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Eventually the fears may become so pervasive that they will become a self-fulfilling prophecy and the man will experience an actual inability to get or keep an erection. Over the long run, performance fears may lead to an avoidance of sex, loss of self-esteem. Fears of sexual performance are not limited to men or to worries about physical responsiveness such as the speed with which vaginal lubrication or an erection is attained, or the length of time that it is maintained. Tension from this breathing pattern tending to accumulate in the upper chest. Amplification of experience by more stimulation. Frequent inclusion of erotic fantasy, often felt necessary to go all the way to ejaculation. Libido and Medical conditions Certain medical conditions lead to low libido -- or complete loss of libido -- poor performance, or decreased enjoyment. These include hypertension, diabetes, high cholesterol, cardiovascular disease, peripheral vascular disease, and neurological disorders, and insomnia. Drugs that decrease Libido Drugs that interfere with libido or sexual function include some anti-hypertensives, SSRIs, sedatives, and beta-blockers.
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