“Sexual power” broadly refers to sexual desire (libido), the ability to achieve and maintain an erection (in males), arousal, performance, satisfaction, etc. A decrease in sexual power can have physical, psychological, hormonal, relational, and lifestyle causes. It affects both men and women and can significantly impact quality of life, relationships, and mental health.
Below are the most common causes, grouped by category, with details:
| Category | Specific Causes | Mechanism / How It Leads to Decreased Sexual Power |
|---|---|---|
| Hormonal / Endocrine | • Poor sleep, irregular sleep patterns • Sedentary lifestyle or over-exercise • Unhealthy diet, obesity • Excessive alcohol consumption or substance abuse • Excessive stress and insufficient relaxation • Excess pornography use (may affect expectations and sexual response) • Smoking and exposure to toxins • Use of certain recreational/illicit drugs | • Low testosterone (in men) • Menopause & low estrogen (in women) • Hypothyroidism (underactive thyroid) • Hyperprolactinemia (high prolactin) • Other endocrine disorders (e.g., adrenal dysfunction) |
| Physical / Medical Conditions | • Chronic diseases: diabetes, kidney failure, liver disease, cardiovascular disease • Sleep disorders (e.g., obstructive sleep apnea) • Obesity, high blood pressure, high cholesterol • Neurological disorders (e.g., multiple sclerosis) or nerve damage • Medications: antidepressants, antipsychotics, antihypertensives, chemotherapy agents, opioids, etc. • Substance use: alcohol, smoking, recreational drugs | |
| Psychological & Emotional | • Depression • Anxiety (performance anxiety, generalized anxiety) • Stress, burnout, fatigue • Relationship issues: poor communication, conflict, lack of intimacy • Body image, self-esteem issues • Past sexual trauma or abuse | |
| Lifestyle & Behavioral | • Poor sleep, irregular sleep patterns • Sedentary lifestyle or over-exercise • Unhealthy diet, obesity • Excessive alcohol consumption or substance abuse • Excessive stress and insufficient relaxation • Excess pornography use (may affect expectations and sexual response) • Smoking and exposure to toxins • Use of certain recreational/illicit drugs | |
| Aging & Others | • Natural decline of sexual hormone levels with age (testosterone in men, estrogen in women) • Menopause, perimenopause • Increase in comorbidities with age • Decline in physical fitness, vascular changes | Aging reduces hormonal levels, vascular flow, nerve sensitivity, and increases risk of disease and medication use—all contributing to decreased sexual function. |
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