Patient's question:
Recently, my wife has been getting angry with me because of my abnormal bedroom performance, saying she feels awkward about taking me to the hospital. Every time we have sex, my penis doesn't get erect easily, and even when it does, it's not very hard. I feel like I might have a sexual dysfunction. Why might this cause 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, 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, anxiety, and depression in men can reduce brain excitability.