Male sexual frigidity should first be ruled out by male impotence, premature ejaculation and other sexual dysfunctions. Other common physical causes are androgen deficiency, excess estrogen, pituitary tumors, hyperprolactinemia due to adrenal gland, i.e. kidney disease, reproductive system infections such as chronic prostatitis, cardiovascular disease. Long-term alcohol or drug consumption, physical aging, etc. Psychological factors such as excessive stress, fatigue, tension between husband and wife, misconceptions about sexual life, mental disorders such as anxiety and depression, reduced sexual pleasure, orgasm or lack of it, poor sexual experience in early life, etc.