Sexual dysfunction often has physical causes

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For normal sexual function both the desire and the ability to perform are needed. The desire is a psychological problem and only too often I see patients for whom this is the only aspect which is tackled. For psychological problems I usually refer patients to Relate, tel: 0300 100 1234 or see their website RELATE

The ability is equally important and needs an intact nerve supply, a good blood supply and good energy levels. Therefore problems such as impotence, or failure to achieve orgasm in either males or females may be an early indication of either arteriosclerosis or nerve damage due to toxic stress (diabetes, heavy metals, pesticides, premature ageing, drugs - medicinal and recreational, alcohol etc) or simple fatigue.

Investigation of sexual dysfunction therefore aims to:

1. Identify psychological factors - is the desire there?

2. Look for arteriosclerosis and investigate accordingly.

3. Investigate as for peripheral neuropathy.

4. Investigate as for CFS.

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