Low libido and orgasmic dysfunction: What to do

Patient's question:

Detailed medical condition and consultation purpose:
Low libido, with a more significant issue being anorgasmia. Specifically, there is a lack of instinctual urges, but intercourse can still be completed, and fertility is also good. There is still some pleasure during sexual activity, but there is no sensation during ejaculation (the penis feels already soft but still has some hardness, as if semen is blocked, but it is actually barely leaking). Spousal relationship issues and psychological disorders have been ruled out. Is there a potential organic cause for these symptoms? How can it be treated?
Medical history:
Low libido has persisted for many years, and there was no anorgasmia initially. Two years ago, I visited Fuyang Shidong Urology Hospital for treatment, where I received an injection

Doctor's answer:

Hello, there are many causes of sexual dysfunction, which can be classified as functional or organic. Most sexual dysfunctions are functional, characterized by disturbances in cerebral cortex function, usually caused by abnormal sexual habits (such as masturbation, excessive sexual intercourse) and abnormal mental states (fear, tension, fatigue). Organic sexual dysfunctions are less common, often resulting from spinal cord injuries that disrupt the function of the erectile and ejaculation centers, or chronic inflammation such as urethritis, prostatitis, orchitis, etc., as well as neuroendocrine diseases, and penile abnormalities. It is recommended to visit a hospital for consultation. After specialized and professional examinations confirm the diagnosis, symptomatic treatment should be administered!

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