Emotional factors can interfere with sexual feelings as well and often lead to or worsen sexual dysfunction. These include:

• Depression
• Anxiety
• Stress
• Fatigue
• Poor communication or conflict with your partner

Sexual and emotional issues don't just impact you; they affect your personal relationships and can create challenges of trust, intimacy, and closeness.

You may feel distant or withdraw emotionally and physically because you may not feel enjoyment or you may have a fear of failure when it comes to performing sexually.

Your partner may wonder if you are losing interest, or if you don't want to spend time with friends or family. These things may impact your self-esteem and the self-esteem of your partner.

Understanding how your sexual health can be affected by diabetes, stress, cardiovascular issues and low testosterone levels can help you and your health care providers manage this important life issue successfully.