Men's Sexual Performance Concerns
Sexual performance concerns are common. They are often linked to sleep, stress, vascular health, hormones, medications, and relationship strain. The right evaluation looks at all of those pieces.
Symptoms
Trouble getting or keeping erections, reduced interest in sex, rapid ejaculation, delayed orgasm, and performance anxiety.
Causes and risk
Multiple factors often interact -- including blood pressure, diabetes, sleep apnea, low testosterone, depression, and medication side effects.
How it is evaluated
Evaluation usually includes medical history, medications, sleep review, mood screening, and focused lab work when needed.
Treatment
Treatment depends on the cause and the patient's goals. A single symptom may need multiple contributing factors addressed.
When to seek care
Seek care when sexual concerns are affecting quality of life, relationships, or emotional wellbeing.