Many patients come to my office for sexual dysfunction (SD). SD can look like painful intercourse for women and erectile dysfunction (ED) or Peyronies for men. While there are many reasons for SD, one commonality among patients is an underlying dysfunction of the autonomic nervous system. The exception is ED caused by vascular damage or induced by drugs.
Most women with chronic pain are told they need hormones, or need to be on very specific diets and do not find much improvement even with these measures. Men with Peyronies are often given painful injections and are not better after those tortuous treatments.
One of the other common symptoms I find in patients with underlying autonomic dysfunction is sleep disorder. Chronic difficulty staying or falling asleep is a sure sign the neuroendocrine system or the autonomic system is not working as it should be.