Hello, thanks for writing to us.
It is sad to hear about your married life being unfruitful. I shall try to give all the probable causes here. There are many causes for asexual life in a couple. They are:
- General causes: Disinterest for each other,
Extra marital conflicts
Financial socio-economic affairs
- Medical conditions: Any cause pertaining to impaired desire, impaired arousal, impaired erection or sexual pain.
- Hormonal imbalances as in changes in levels of FSH, LH, estrogens, FSH/LH ratio, progesterone, prolactin in females , testosterone, prolactin, corticosteroids in male.
- Systemic diseases like Diabetes, hypertension, Psychiatric issues
- Drugs like anti hypertensive drugs, anti-psychiatric drugs
Erection problem early in the morning and no erection on any other stimulus points towards organic erectile dysfunction.
It would have been better if you had provided the details of your medical history, drug addictions, any family history pertaining to the above mentioned causes.
Assuming that you don’t have any other marital conflicts, I suggest you to meet your physician as soon as possible.
Step wise examinations usually done are:
- General physical examination including the external genitalia of the patient
- Diabetes and hypertension status
- Blood tests like Complete blood picture, ESR.
- Blood FSH, LH, Prolactin, Thyroid profile in female partner
- Testosterone, corticosteroids, Prolactin levels in male partner
Hope this of some help.