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Norman M.
Norman M., Principal psychotherapist in private practice. Newspaper contributor, over 2000 satisfied clients on JA
Category: Mental Health
Satisfied Customers: 2568
Experience:  ADHP(NC), DEHP(NC), ECP, UKCP Registered.
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for about the last six months i have had very little interest

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for about the last six months i have had very little interest in sex even when i get an erection it is not very firm and can not maintain it i have tried viagara but it has very little effect on me my wife is getting very frustrated with me and i readily shy away from sex because of my fear of not getting an erection

Sorry to hear what you are going through just now. Sadly, it is NOT uncommon. This may just be (to a certain extent a natural part of ageing.

The causes of a erectile dysfunction can be physical, psychological or a mixture of the two.

The very first thing is to have a physical checkup. It is possible that your hormones are out of balance. It may be too that you are over-stressed and over-tired.

The commonest physical causes are:

  • Any systemic disease such as diabetes.
  • Alcoholism – or simple heavy alcohol use..
  • Abuse of recreational drugs.
  • Obesity – quite common; slimming down will often help.
  • .Dysfunctional thyroid - where the pituitary gland produces too much of the hormone prolactin.
  • Prescribed drugs
  • Anaemia – very uncommon
  • Low testosterone level – again uncommon.

Once any physical causes have been ruled out or dealt with, one can look at the psychological side.

Psychological causes

  • Stress and overwork
  • Depression – very common.
  • Childhood conditioning that sex is ‘bad’..
  • Lack of trust or relationship problems with your partner.

What Can You do.

Begin by seeing your PCP/GP

If your doctor can't help, he or she can refer you to an appropriate specialist.

Best wishes, NormanM

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