MALE SEXUAL PROBLEMS
Male sexual problems, to be assessed in endocrinology department, include

- Enlargement of breast tissue
- Erectile dysfunction
- Infertility
- Non development of Sexual characters
- Micro-penis

Puberty is special phase in everybody’s life as it involves physical as well as psychosexual growth. Any problem in this process manifests in form of
- Delayed onset of secondary sexual characters
- Early onset of secondary sexual characters
- Gynecomastia in males
- Abnormal facial and body hairs in females
- Absence on menses in females

Erectile dysfunction (ED), also known as impotence, is the inability to attain or to maintain an erection sufficient for satisfactory sexual intercourse. Even with increasing age, it is everybody’s right to remain healthy and remain sexually active. However, as age passes by, ED becomes more common and can lead to embarrassing and frustrating situation.

There are various reasons for erectile dysfunction. The most common reason being psychosexual disorder, which include lack of desire, stress, decrease interest in partner and, most commonly, performance anxiety. Other common etiology includes increasing age, as prevalence of ED is 10% in male with age less than 40, which increase to almost 50% in age group of 40 to 70 yrs.
Pathologically, diabetes is one of the most common causes of erectile dysfunction, which increase with duration of diabetes, poor control of diabetes and with onset of complication of diabetes. Other common contributing disorders can be obesity, hypertension, peripheral arterial disease, neurological diseases, trauma to spine, hormonal disorder including thyroid disorders and pituitary disorder. Smoking, excessive alcohol use and other substance abuse can also lead to erectile dysfunction.
And most importantly, a lot of commonly used medications can cause ED per se.