Does regular exercise cause men's sexual function to decline?

Patient's question:

Male, 33 years old, feeling a significant decline in sexual function recently. Since starting to exercise, I don't know what the cause is, but my sexual function has declined a lot. Previously, it was only occasionally unsatisfactory, but now my erection hardness is also poor. So, I would like to ask, does exercise cause a decline in sexual function?

Doctor's answer:

Hello, based on your current situation, the gym you mentioned can significantly improve the quality of this sexual life, but it cannot resolve the fundamental issue. Given your current condition, it is necessary to undergo a professional urological examination to check hormone levels or perform a penile cavernous Doppler test. This will allow for a clear assessment and determine the appropriate methods for medication intervention and physical treatment based on different circumstances.

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