How can I feel physically exhausted and have no sexual desire?

Patient's question:

I am 49 years old, male. In the past year, I have felt physically exhausted, lack of sexual desire, mild premature ejaculation, erectile dysfunction, oily hair, and earwax in a mud-like state.

Doctor's answer:

Hypoactive sexual desire refers to the inhibition of a woman's sexual response, also known as sexual anesthesia. Generally, the factors that affect sexual desire are mainly the following aspects: First, age. Sexual desire is strongest during adolescence. As people age, sexual desire gradually declines, and by old age, sexual function declines, and sexual desire significantly decreases. Second, diseases. Malnutrition, endocrine diseases, diabetes, myocardial infarction, and other conditions can affect sexual desire and sexual response. In severe cases, sexual desire or sexual behavior may be completely lost. Third, medications. Many commonly used medications can affect sexual desire and sexual function, with antihypertensive drugs, antipsychotic drugs, and sedative-hypnotic drugs being particularly notable. Fourth, psychological factors. Psychological factors have a crucial impact on sexual desire, especially for women.
Advice: If a woman does not feel cared for by her partner, her sexual desire may decrease. It is recommended to visit a hospital for a check-up to rule out any medical reasons. After that, the couple should communicate well.

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