Male sexual health challenges are more common than many realize, with concerns ranging from erectile dysfunction (ED) and low libido to premature ejaculation and other difficulties. Although these issues affect millions of men, the stigma around discussing them often causes delays in seeking help. Many men struggle silently for years before consulting a doctor. Thankfully, today’s medical research has greatly advanced our understanding of male sexual function, making effective diagnosis and treatment more accessible.
Dr. Sharon Parish, Professor of Medicine in Clinical Psychiatry at Weill Cornell Medicine, specializes in sexual medicine and emphasizes a holistic approach. “I look at the complete picture of a man’s health,” she explains. “While many begin by visiting a urologist, they are often referred to me for a more in-depth evaluation that considers both physical and psychological well-being.”
Sexual dysfunction can signal underlying health problems
A man experiencing consistent changes in desire, arousal, or ejaculation should seek medical guidance. Dr. Parish notes that persistent symptoms may point to conditions such as:
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Premature ejaculation caused by medications, nerve issues, or urinary complications.
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Reduced sexual desire or ED as a potential early indicator of diabetes.
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Hormonal imbalances impacting libido and erection quality.
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Erectile difficulties linked to cardiovascular disease or even prostate cancer.
The mental health connection
Psychological health is just as important. Disorders such as depression and anxiety are strongly tied to sexual dysfunction. “There’s a direct link between ED and depression,” says Dr. Parish. “For women, depression tends to reduce sexual desire, while for men, it’s often tied to erection challenges.” Treating mental health concerns with therapies like mindfulness, relaxation, and cognitive behavioral therapy can help restore sexual function and improve confidence.
Medications and their role
While some worry about psychiatric medications causing sexual problems, studies reveal that most men do not experience major side effects. In fact, addressing mental health issues usually improves sexual well-being. For those who do notice changes, doctors can adjust prescriptions or recommend alternatives with fewer side effects.
Normal age-related changes
Aging naturally brings gradual shifts in sexual function. Men may find they need more time for foreplay or stimulation. While this is often normal, sudden or severe changes should not be ignored, as they could point to underlying health conditions that need treatment.
Lifestyle and overall health improvements
Sexual health is not isolated — it is deeply connected to cardiovascular, hormonal, neurological, and mental systems. By adopting healthy habits like balanced nutrition, regular exercise, and maintaining a healthy weight, men can strengthen both their physical and sexual well-being.
Dr. Parish highlights the importance of treating the whole person rather than just the symptoms. With the right medical care, lifestyle choices, and mental health support, men can achieve lasting improvements in their sexual health and overall quality of life.
