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Erectile dysfunction was the most common (26%), followed by low sexual desire (24%), and problems with orgasm (11%).
The results took the authors by surprise, “It is unclear why we found such high rates overall, but especially the high rates among both male and female participants rather than female participants alone, as is common in the adult literature”  (p.638).
The 2001–2002 rates for older men 40–80 were about 13% in Europe .
By 2011, ED rates in young Europeans, 18–40, ranged from 14%–28% .
Traditional factors that once explained men’s sexual difficulties appear insufficient to account for the sharp rise in erectile dysfunction, delayed ejaculation, decreased sexual satisfaction, and diminished libido during partnered sex in men under 40.
This review (1) considers data from multiple domains, e.g., clinical, biological (addiction/urology), psychological (sexual conditioning), sociological; and (2) presents a series of clinical reports, all with the aim of proposing a possible direction for future research of this phenomenon.
A 2013 Italian study reported one in four patients seeking help for new onset ED were younger than 40, with rates of severe ED nearly 10% higher than in men over 40 .
A 2014 study on Canadian adolescents reported that 53.5% of males aged 16–21 had symptoms indicative of a sexual problem .
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In the last few years, research using a variety of assessment instruments has revealed further evidence of an unprecedented increase in sexual difficulties among young men.
In 2012, Swiss researchers found ED rates of 30% in a cross-section of Swiss men aged 18–24 using the International Index of Erectile Function (IIEF-5) .
The researchers noted that over time rates of sexual problems declined for females, but not for males .
A 2014 study of new diagnoses of ED in active duty servicemen reported that rates had more than doubled between 20 .
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