Sexual Health Overview

Frequently Asked Questions About Sex and Relationships

Sex-Drive Killers Slideshow

• What is the most common cause of sex problems among couples?
• What is the most common sexual condition affecting men?
• What is the true definition of erectile dysfunction -- and what are the most common causes?
• What causes sexual dysfunction in women?
• What causes pain in the penis?
• Why is intercourse painful for some women?
• What is retrograde ejaculation -- and how is it treated?
• Is having an erection for an extended period of time dangerous?
• Which medications commonly cause sex problems for men or women?
• Is it true that sex can actually give some people a headache?

What is the most common cause of sex problems among couples?

While they can take many forms, sex problems are defined as any physical or emotional issue that prevents a couple from achieving a mutually satisfying intimate relationship. Among the most common for men include prostate problems, a decrease in the blood supply to the penis due to diabetes, heart disease or other health concerns, nerve damage to the spinal cord, or a decrease in the hormone testosterone. In women common problems include a lack of desire caused by a decrease in the hormone estrogen, thyroid disorders (which can also affect some men), and pain during intercourse caused by any number of vaginal problems, including a lack of lubrication.

Some couples also find that the use of certain drugs can also cause sexual problems. These include alcohol, nicotine, narcotics, stimulants, some blood pressure drugs, antihistamines, and certain antidepressant medications.

What is the most common sexual condition affecting men?

Studies show it is premature ejaculation, which can affect up to 75% of men. Clinically it is defined as the release of the ejaculate from the penis either before intercourse can take place, or quickly after it starts, usually within less than 15 "thrusts." While every man will experience premature ejaculation at least once in their life, for some the problem is chronic. When this is the case causes can be linked to a highly sensitive and easily stimulated nervous system, obsessive compulsive disorder, or sometimes a lack of control over the body's response to excitement. A frequently overlooked cause of temporary premature ejaculation is an infection in the prostate gland known as prostatitis. When this is the case, a course of antibiotics often solves the problem. Temporary problems can also result from stress, or from the use of certain medications including some cold pills.

Treatments for chronic premature ejaculation include the antidepressant medication clomipramine (Anafranil) taken 12 hours before sex, and use of a condom to help reduce sensation. Sometimes a prescription lidocaine cream can also help by reducing sensation, but that can also impact the partner.