Patient's question:
I haven't had any sexual desire with my wife recently. I feel like I can't get erect, and I also experience some pain during intercourse, which makes me think I might have a sexual dysfunction. What could be the causes of sexual dysfunction?Doctor's answer:
Blood flow. Some men have insufficient blood flow within the penis, such as fibrosis of the corpus cavernosum, resulting in slow blood flow and difficulty achieving an erection. Anemia, hypertension, high cholesterol, smoking, or pelvic radiation therapy can also cause changes in blood flow.Testosterone levels. This is an important male androgen. If testosterone levels are low, sexual arousal may begin slowly. Inflammation of the thyroid or pituitary gland, as well as incomplete testicular development, can also lead to elevated testosterone levels.
Reason three: Psychological factors. Long-term fatigue, stress, or anxiety in men can reduce brain arousal.