TABLE 1

Sexual Dysfunction Among Male Adolescents

SystemMedical Condition
CardiovascularModerate to mild valvular disease
Uncontrolled hypertension
EndocrineAddison disease
Diabetes mellitus
Hyperprolactinemia
Hyperthyroidism
Hypothyroidism
Klinefelter syndrome
Low testosterone level
GenitourinaryCongenital hypospadias
Epispadias
Pelvic trauma
Priapism
HematologicSickle cell disease
InfectionsProstatitis
STIs
NeurologicBack injury
Brain injuries, lesions, or tumors
Craniopharyngioma
Epilepsy
Multiple sclerosis
Peripheral neuropathy
Spinal cord injury
Stroke
Other medical conditionsChemotherapy
Chronic infections
Chronic medical diseases
Eating disorders
Excessive wt loss or gain
Major or general surgery
Malnutrition
Obesity
Obstructive sleep apnea
Radiation
Restless legs syndrome
Other conditions
 Psychological and mental healthAbuse: sexual, physical, emotional
Environmental: lack of privacy, timing
Fatigue
Guilt or shame
Mood disorders: anxiety, depression, bipolar
Misconceptions about normal functioning
Partner anxiety or sexual dysfunction
Performance anxiety
Relationship problems
Sexuality concerns, gender dysphoria
Substance use: illicit drugs, alcohol
Trauma
Unrealistic expectations
 Substances and medicationsAlcohol
Amphetamines
Antiandrogens (spironolactone)
Antidepressants, particularly selective serotonin reuptake inhibitors
Anti-hypertensives:β-blockers, clonidine, guanethidine, methyldopa
Antipsychotics
Cimetidine
Illicit substances
Ketoconazole
Opioids
Prescription medication misuse
Steroids
Thiazides, particularly chlorthalidone
  • Adapted from Rew KT, Heidelbaugh JJ. Erectile dysfunction. Am Fam Physician. 2016;94(10):822.