Sex is an integral part of an intimate relationship and forms the basis for a couple's shared love and respect, but many people cannot fully enjoy these pleasures. A sexually dysfunctional man, for example, may lack the desire or self-confidence to participate in sexual activity. He may not be able to focus his attention on arousal activities. He may ejaculate prematurely, or lose his erection before his sexual partner is sexually satisfied, or he may develop and maintain an erection for a long time but without being able to reach orgasm or ejaculate.
A man with erectile or other sexual dysfunction may wallow in the pits of hell and may lose his self-esteem, self-confidence, and pride. He may experience painful frustration; a sense of the loss of his much-valued virility and manhood; and increased vulnerability to emotional, marital, familial, professional, and social difficulties. The radiant spring of his life may change to a cold, gloomy winter. He may shun any sex-related subject in normal conversation, and even with his physician, for fear of embarrassment. He may accuse his wife or partner of being the primary cause of his problem or deny its occurrence and refuse to discuss it or seek medical help.
Within the relationship, the vital ingredients of intimacy, romanticism, love, and respect can gradually dwindle or be washed away by feelings of suspicion, blame, anger, repulsion, and even hatred. Physical and mental quality of life may be greatly reduced for the affected male and for the couple, subjecting them to significant emotional and psychological disturbances.