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Sexual Problem

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Anxiety about performance

Difficulty in getting an erection

Difficulty maintaining an erection during sexual activities

Low sperm count / Absence of sperms

Pain in the scrotum

Reduced interest in sex

Scanty / Little ejaculation

Swelling in the scrotal sac

Uncontrolled ejaculation before an intercourse begins

Uncontrolled ejaculation soon after intercourse inititation

Uncontrolled ejaculation with minimal sexual stimulation

Small size of penis/scrotum

Medical Factors

Varicocele

The use of certain kinds of medications (e.g. Anabolic Steroids/ Opiods/ Coccaine)

Thyroid complaints

Trauma to the testicles

Sexually transmitted infections

Prostate complaints

Prostate Enlargement

Low testosterone

Other infections and medical conditions like malaria and mumps

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Personal Factors

Incompatibility with partner

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Feelings of guilt or inadequacy

Depression

Overexcitement or too much stimulation

Novelty of a relationship

Relationship stress

Sexual inexperience

Habits

Selection of the wrong kind of underwear

Cigarette smoking

Drugs addiction

Excessive alcohol consumption

Excessive heating of the testicles due to hot baths

Strenuous exercise like biking or horseback riding

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