We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
JAMA Patient Page |

Male Sexual Dysfunction FREE

Sharon Parmet, MS, Writer; Cassio Lynm, MA, Illustrator; Richard M. Glass, MD, Editor
JAMA. 2004;291(24):3076. doi:10.1001/jama.291.24.3076.
Text Size: A A A
Published online

Male sexual dysfunction is one of the most common health problems affecting men and is more common with increasing age. Male sexual dysfunction can be caused by physical or psychological problems. The June 23/30, 2004, issue of JAMA includes an article about the various types of male sexual dysfunction and treatments for them.


  • Low libido (sexual interest)

  • Erectile dysfunction (ED, difficulty achieving or maintaining an erection)

  • Premature ejaculation (reaching orgasm [sexual climax] too quickly)

  • Delayed or inhibited orgasm

  • Physical abnormalities of the penis


  • Problems in the relationship with the sexual partner can lead to sexual dysfunction.

  • Lowered levels of the male hormone testosterone (a condition known as hypogonadism) can cause low libido or ED.

  • Certain drugs, such as antidepressants and blood pressure medications, can cause sexual dysfunction.

  • Erectile function can be impaired by a stroke or by nerve damage from diabetes or surgery.

  • Disorders affecting blood vessels, such as atherosclerosis (hardening of the arteries) and high blood pressure, are risk factors for ED.

  • Other possible causes of sexual dysfunction include smoking, obesity, kidney problems, depression, anxiety disorders, and alcoholism.


If you think you are experiencing male sexual dysfunction, see your doctor.

  • Your doctor will ask you to describe the problem and will ask questions to help determine whether the cause is physical, psychological, or a combination of both.

  • A general physical examination, including examination of the penis and testicles, will be performed, and other tests may be done to evaluate your health.

  • Blood tests may be done to determine if there is a hormonal problem contributing to sexual dysfunction.


  • For psychological causes of sexual dysfunction, such as relationship problems, counseling, either individually or as a couple, may be beneficial. Sexual therapy with a therapist who specializes in sexual dysfunction may also help.

  • Depression or anxiety disorders may need treatment.

  • Any physical problems that may be affecting sexual function should be addressed.

  • If a medication is interfering with sexual function, it may be possible to change or discontinue the medication.

  • Prescription medications that treat erectile dysfunction may help a man achieve and maintain erections.

  • Hormonal treatment, such as testosterone replacement therapy, may help with hormone imbalances that are contributing to sexual dysfunction.



To find this and other JAMA Patient Pages, go to the Patient Page link on JAMA's Web site at http://www.jama.com. Many are available in English and Spanish.

Sources: American Association of Clinical Endocrinologists, American Urological Association

The JAMA Patient Page is a public service of JAMA. The information and recommendations appearing on this page are appropriate in most instances, but they are not a substitute for medical diagnosis. For specific information concerning your personal medical condition, JAMA suggests that you consult your physician. This page may be photocopied noncommercially by physicians and other health care professionals to share with patients. Any other print or online reproduction is subject to AMA approval. To purchase bulk reprints, call 718/946-7424.





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Related Content

Customize your page view by dragging & repositioning the boxes below.

Related Collections
PubMed Articles