30 millions Americans people affected by erection problems

And only 10% consult a doctor … These problems are however not inevitable and can be treated. Manhood Enhancement reviews the most common erection problems and their possible treatments



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It is estimated that 20 to 30% of men are affected by premature ejaculation. Solutions exist and Manhood Enhancement takes stock



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Key figures of sexual disorders

The problems of erection, impotence, premature ejaculation or Libido affect many men. Here are the key figures.




The early ejaculation or premature premature ejaculation is, with erectile dysfunction, the most common disorder of the frequent male sexuality. Its causes are varied: they can be psychological, behavioral, neurobiological or genetic.

While definitions vary across countries and medical societies, they all agree on three points. Premature ejaculation results in:

  • an ejaculation that occurs too quickly, before the man or his partner wish and that, consistently or very often;
  • an inability to “hold” or control ejaculation;
  • the psychological impact negative.

It should be noted, however, that premature ejaculation, during first sexual intercourse or a new relationship, is normal . It becomes problematic only if it persists and constitutes a real embarrassment.

We distinguish :

  • the ejaculation early primary that is present in each report, with different partners throughout life.
  • the ejaculation early secondary or acquired appears as it was not present in previous sex. It is usually associated with an underlying disease such as prostatitis, an erectile or neurological disorder, or a psychological problem.

Who is affected by premature ejaculation?

According to many studies, premature ejaculation affects 20 to 30% of men.

However, it is difficult to obtain precise figures, especially as the diagnostic definition has long remained vague. On the other hand, very few men who consider themselves affected by this disorder consult a doctor for this reason.

According to the ISSM (International Society of Sexual Medicine), the prevalence of premature ejaculation would vary between 3 and 30% depending on the studies.


Causes of premature ejaculation

It is now known that premature ejaculation, which has long been considered a purely psychological disorder, is also linked to neurobiological disorders and / or genetic susceptibility.

The exact causes are however unknown.

Several biological factors could contribute to this disorder, including :

  • hypersensitivity of the glans,
  • a hyper-excitability of the ejaculation reflex,
  • disorders of the transmission of nerve messages in the brain or hypersensitivity of certain nerve receptors (especially serotonin receptors),
  • inflammation of the prostate (chronic prostatitis),
  • abnormalities of the thyroid gland (hyperthyroidism),
  • a neurological disease, such as multiple sclerosis.

To date, no large-scale study has clearly demonstrated the role of any of these neurobiological causes.

It is clear that some psychological and environmental factors also have a role to play.


Evolution and possible complications

Premature ejaculation is not a disease in itself. It is a disorder that becomes problematic only if it is a source of embarrassment, discomfort or distress for the person who complains or for his partner.

Thus, the psychological consequences of premature ejaculation can be very negative for both the subject and the couple. Men who suffer from it may develop symptoms of depression, anxiety, or even fall back on themselves by avoiding any romantic or sexual relationship.

That’s why it’s important to talk about it, especially as solutions exist, whether medical or not.



Micropenis: what exactly?

We speak of micropenis when the penis does not exceed 8 centimeters in erection : the phenomenon can manifest itself from the birth (in case of insufficient secretion of testosterone in utero for example) or develop later (because of a hormonal problem , for example). On average, 3% of men would be concerned.


Micropenis: what are the consequences for health?

Having a micropenis could actually reduce the chances of conceiving. Moreover, on its website, the French Association of Urology explains: “a micropenis (defined as a penis not exceeding 7.5 to 9 cm in erection) can decrease the capacity of insemination”.

A micropenis can also have psychological consequences (complex, loss of self-confidence, insufficient self-esteem) … which can themselves cause erectile dysfunction .


Micropenis: what are the consequences for sexuality?

Nothing prevents to have a micropenis and a sexuality bloomed . First thing to know: the size of the penis has absolutely no impact on the male pleasure felt during the sexual act.

Deuzio, it is useless to have a penis 20 cm long to satisfy his partner: according to the specialists, the G spot would be about 3 centimeters from the entry of the vagina and the clitoris , it is (in part) to outside. Two “zones of pleasure” accessible therefore, even with a micro-penis!

Tertio, we know: a fulfilling sexuality is not limited to penetration. Oral sex (oral sex, cunnilingus, rimming …), foreplay (massages, erotic games …), sex toys (clitoral stimulators, anal plugs …): so many ways to have fun in bed – and to reach orgasm – without necessarily penetrating.




An erectile dysfunction or erectile disorder is commonly called ” impotence “: it is defined as an inability to achieve or maintain an erection sufficient for satisfactory sexual intercourse. However, even with erection problems, it is still possible to feel desire, have an orgasm and ejaculate.

We talk about erection problems only:

  • when they last more than three months;
  • when they are repeated each time they have sex.

These disorders are different from a possible failure of temporary erection . This last phenomenon, quite ordinary, should not be considered as a problem.

Erectile dysfunction can occur at any age, but is much more common after age 50. They touch a little more than one in ten men during his life.



Other erection and sexual disorders exist

The priapism is not an erectile dysfunction: it is a painful erection lasting more than two hours. It occurs independently of any sexual stimulation, and does not result in ejaculation.

The premature ejaculation is a sperm emission occurring at the beginning of the penetration or even before it. Like erectile dysfunction, this phenomenon disrupts the sexual relationship.




The penis is the organ that allows intercourse and the micturition. It consists of two cavernous bodies and a spongy body that surrounds theurethra. It ends with the glans that includes the orifice of theurethra. The penis is covered with a skin called scabbard that ends with the foreskin covering the glans.

An erection takes place in several stages and requires several parameters:

  • a sexual desire related to the psychological state and the hormonal mechanisms that influence the libido ;
  • sexual arousal responsible for a stimulation transmitted from the brain to the penis via the nervous system;
  • an influx of blood into the cavernous body (or erectile body) of the penis if the nervous and blood systems work well: it allows the penis to swell and harden.



The erection problems have different causes: physical disease, psychological problems, taking certain medications. Often, these factors are associated with each other and the disorders have a multiple origin.


Erectile disorders of physical origin mainly affect men over 50 years of age.

These dysfunctions appear gradually, over several years.
The main physical factors favoring the occurrence of erectile dysfunction are:

  • blood vessel abnormalities caused by high blood pressure , diabetes , high cholesterol levels or tobacco  ;
  • the overweight and obesity  ;
  • nerve damage related to alcoholism, Parkinson’s disease , multiple sclerosis ;
  • an attack of the spinal cord (paraplegia for example);
  • hormonal problems (eg, a low male hormone level)
  • side effects to a surgical operation, especially of the prostate, if nerves of the penis have been damaged ( prostate cancer for example).


In men under 40, erection problems are usually due to psychological factors.

They often occur in a brutal way, unlike those with a physical cause. These psychological factors may increase erectile dysfunction of physical origin.
It is mainly:

  • of anxiety or stress. Anxiety “performance” is the first psychological cause of erection problems: the man is afraid of not being able to have an erection and not being able to satisfy his partner. His anticipatory fears prevent the appearance of a normal erection;
  • of the depression  ;
  • relationship problems;
  • difficulties encountered in previous relationships.


At any age, some medications can cause erectile dysfunction .

These may be treatments prescribed for example for:

  • the hypertension  ;
  • the anxiety  ;
  • the depression  ;
  • seizures of epilepsy  ;
  • a gastric ulcer .

If you are not sure about a medicine, do not stop taking it yourself: talk to your doctor.



Many men complex about the size of their penis or ask questions about the ideal length of their sex in a spirit of often unconscious competition, with the aim of (making) reassure them on their capacity to satisfy their partner. What is the average penis size erect worldwide? What is the ideal length to satisfy his / her partner?


The average penis size in the world

The TargetMap  site has compiled various studies on the sex size of men in erection in each country to establish a world infographic. Everyone can see the average penis size of men in countries where studies have been done.

The  smallest average size is  9.30 cm and the largest  average size is 17.93 cm (Congo).

If we analyze the infographics by regions of the world, South America is placed just after Central Africa in terms of greater average penis size and seems to concern a larger population, but data from many African countries are missing.


Here is a ranking made from the infographic available on TargetMap:


Average size of erect penises by country

  1. Congo: 17.93 cm
  2. Ghana: 17.31 cm
  3. Ecuador: 17.77 cm
  4. Sudan: 16.47 cm
  5. Brazil: 15.70 cm
  6. Australia: 15.70 cm
  7. Argentina: 14.88 cm
  8. France: 14,50 cm
  9. Germany: 14.48 cm
  10. Norway: 14.34 cm
  11. USA: 14.15 cm
  12. United Kingdom: 14.30 cm
  13. Turkey: 13.98 cm
  14. Egypt: 13.85 cm
  15. Spain: 13.58 cm
  16. Russia: 13.21 cm
  17. India: 13.01 cm
  18. China: 12.90 cm
  19. Japan: 12.60 cm
  20. Italy: 12,50 cm
  21. Iran: 11 58 cm
  22. Pakistan: 11.05 cm
  23. South Korea: 10.80 cm
  24. North Korea: 9.60 cm
  25. Thailand: 9.43 cm
  26. Nepal: 9.30 cm

The world map published by Targetmap:

penis world average size

















ThePenisSizeWorldwide – Credits: TargetMap

What is ideal penis length?

Below 8 cm erect length , it is considered to be a micropenis. Only 3% of people would be concerned.

Given that the depth of the vagina is between 8 and 12 cm, the ideal length of the penis depends on the anatomy of each woman but the vagina being quite elastic, especially during sex, it adapts quickly to different sizes of penis.

The width of the vagina, apart from sexual intercourse, is usually 0 cm since it is not stimulated. During stimulation, it expands to fit the circumference of a penis or object, and can reach 10 cm in circumference during childbirth.

However, many studies show that height is not so important in achieving sexual satisfaction for the majority of women.