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 Sexual dysfunction can affect men of all ages, but is especially common in older men. The most common problems related to sexual dysfunction include ejaculation disorders, erectile dysfunction and inhibited sexual desire. These issues can often be corrected by treating the underlying causes.

• Low testosterone levels.
• Prescription drugs (antidepressants, high blood pressure medicine).
• Blood vessel disorders such as atherosclerosis (hardening of the arteries) and high blood pressure.
• Stroke or nerve damage from diabetes or surgery.
• Smoking.
• Alcoholism and drug abuse.

Psychological causes might include:

• Concern about sexual performance.
• Marital or relationship problems.
• Depression, feelings of guilt.
• Effects of past sexual trauma.

Work-related stress and anxiety.