Male sexual dysfunction: Clinical diagnosis and management strategies for common sexual problems

Male sexual dysfunction (MSD) can affect males of all ages. The most common problems associated with sexual dysfunction include low sexual desire, erectile dysfunction, Peyronie's disease and disorders of ejaculation and orgasm. Each of these male sexual problems can be difficult to treat, and some males may have more than one form of sexual dysfunction.

This review article provides an overview of the clinical assessment and evidence-based management strategies for MSD problems. Emphasis is placed on a practical set of recommendations relevant to general practice.

Comprehensive clinical history-taking, tailored physical examination and relevant laboratory testing can provide relevant clues for MSD diagnosis. Modifying lifestyle behaviours, managing reversible risk factors and optimising existing medical conditions are important first-line management options. Medical therapy can be initiated by general practitioners (GPs) with subsequent referrals to a relevant non-GP specialist(s) if patients do not respond and/or require surgical interventions.