MALE SEXUAL DYSFUNCTION Sexual Dysfunction Erectile Dysfunction Desire Psychological Physiological Physiological Pharmacological Reduced/Absent Hypo-testosteronism Prolactinemia Hyper-estrogenism Hypothyroidism Hyperthyroidism Chronic Pain Chronic Disease Diabetes Cardiovascular Disease Peyronie's Connective Tissue Disease Establish Dysfunction in Context: Partner Showing Less Desire is not Necessarily Impaired Global Dysfunciton is likely Organic Cause Situational Impairment Most Likely Psychological Neurological Pharmacological Anti-depressants Narcotics Anti-psychotics Anti-androgens Alcohol Benzodiazepines Hallucinogens Psychological Stroke Spinal Cord Injury Multiple Sclerosis Dementia Polyneuropathy Anti-hypertensives Anti-depressants Diuretics Benzodiazepines Alcohol Sympathomimetic Drugs (e.g. Cocaine, Amphetamines)Mood Disorders Anxiety Disorders Guilt Stress Interpersonal Issues (e.g. Lack of trust in partner) Psychosis/Delusions Previous psycho-social trauma (e.g. Abuse) Performance Anxiety Lack of Sensate Focus Mood Disorder Anxiety Disorder Stress Guilt Interpersonal Issues Hypo-testosteronism Prolactinemia Hypothyroidism Hyperthyroidism Physiological PelvisOther Trauma Pelvic Surgery Prostate Surgery Priapism Infection Bicycling Hypertension Dyspareunia Dialysis

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