Sexual dysfunction

Sexual dysfunction in men (mostly erectile dysfunction or impotence, or premature ejaculation) or women (mostly low libido or lack of lubrication) can have many causes. In general, if you're very young with normal sexual function previously, the problem is most likely due to stress, anxiety, depression, fatigue, malnourishment, general illness, or a combination of these factors. If you don't have any of these factors, your doctor may consider vascular and neural factors such as arthrosclerosis and diabetic neuropathy. Treatment of the underlying cause may eliminate sexual dysfunction. If the underlying cause can't be eliminated, some medications on the market such as Viagra, Levitra, and Cialis may be helpful even in women. These medications are contraindicated in people on nitroglycerin type of medications because your blood pressure may bottom out. Before you try these medications, however, I recommend you have your hormones tested because you may have hormonal imbalance. Once your hormones are balanced with natural hormones, you may not need these medications since your sexual function may come back naturally. Other treatment modalities such as suppositories, injections, vacuums, pumps or implants for men are less satisfactory and may have serious side effects.