What is the reason for decreased libido?

Patient's question:

Problem Description: Recently, I haven't experienced morning erections, and I feel like I have no libido. My wife and I are living in different places. In the past, when we hadn't seen each other for a long time, we had very strong desires. Now, it's just a moment of excitement, and the desire isn't as intense. Additionally, my erections lack hardness, and I can't satisfy my wife. After sex, I also have noticeable lower back pain! I don't have much work pressure or feel tired, so what could be the reason? I would appreciate your answer! Thank you!

Doctor's answer:

Hello: There are many reasons that can affect male libido and sexual function, such as:
Psychological factors: Excessive fatigue, depression, poor marital relationship, potential hostility from the husband towards his wife, resentment and anger, or excessive fear, admiration, or inferiority complex towards his wife;
Organic diseases such as chronic prostatitis can reflexively affect the spinal cord center. Certain systemic diseases, physical weakness, or excessive masturbation can also lead to sexual dysfunction.
Sexual life is a mutual matter that requires mutual understanding and cooperation from both partners. It is recommended that you visit the sexual dysfunction department of a hospital to identify the cause and condition, and receive personalized treatment.

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