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En estos casos la mente del individuo abandona los pensamientos sexuales entrando en un círculo vicioso compulsivo de preguntas a sí mismo como: no voy a poder, creo que no tengo erección, que vergüenza, que pensará ella, etc. Generalmente, la función sexual masculina normal comienza con el deseo sexual o libido que ocurre por la estimulación del cerebro, el sistema nervioso, los vasos sanguíneos y las hormonas, lo que conlleva a la erección del pene, la liberación de semen (eyaculación) y termina finalmente con tener un orgasmo.