Prostatitis and sexual dysfunction

I am 35 years old am experiencing increasing erectilie dysfunction and increasing lack of sex drive hormonally.  My testosterone levels are normal, but I have been diagnosed with prostatitis.  I am also concerned that my strong addiction to internet pornography is causing desensitization and lack of stimulation.  I have no other physical symptoms except a weak urinary stream and several trips to the bathroom during the night, along with slight dripping after urination is complete.  I am also a moderate smoker.  Besides what I mentioned, I am very healthy with no physical, psychological or physiological problems, although I do have an unhealthy diet.  My questions are:

1) Can excessive exposure to pornography cause visual sexual desesnsitization in the sense that I would not get as excited sexually upon sexual interaction with a female since I am so used to seeing so many naked women on line?

2) Is it likely that it is primarily my inflamed prostate causing my erectile problems and lack of sex drive and "hornyness"?  I don't seem to get that feeling anymore of chemicals "stirring" in my body to get me excited.  Also, erectile dysfuntion pills do not seem to have a strong impact.

3) Whatever is causing my problems, is it likely that there is something I can do to return to normal or is it it likely that I will never function and feel sexually the way I used to?

Thanks very much!

[Kevin Pho, MD]

To answer your questions:
1) Although possible, I am not aware that exposure to pornography is linked to visual sexual desensitization.

2) It is possible that an inflammed prostate can lead to erectile dysfunction.  If libido is an issue, then checking the testosterone level should be considered.  This is especially true if the ED medications aren't working.  

3) I would consider a urology referral as well as checking for infection.  Appropriate treatment should be considered if an infection is present.  Testosterone replacement therapy can be given if the level is low.  

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
Medical Weblog:
kevinmd_b