What are the causes of sexual dysfunction?

Patient's question:

Hello doctor, in these few years since my marriage, I have been unable to conceive a child. After examination, I found out that I have sexual dysfunction. What are the causes of sexual dysfunction?

Doctor's answer:

The causes of sexual dysfunction can be divided into functional and organic factors. Functional sexual dysfunction accounts for the majority, characterized by disturbances in cerebral cortex function. It is usually caused by abnormal sexual habits (e.g., sexual intercourse, excessive sexual activity) and abnormal mental states (e.g., fear, tension, fatigue). Organic sexual dysfunction is less common and is often due to spinal cord injuries leading to dysfunction in the erectile and ejaculation centers. It can also be caused by chronic inflammation such as urethritis, prostatitis, orchitis, epididymitis, as well as neuroendocrine diseases, and inflammation of the penis itself.

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