The causes of arousal disorder can be multifaceted. They may include:
Hormonal Imbalances: Changes in estrogen and testosterone levels, particularly during menopause. Psychological Factors: Stress, anxiety, depression, and past sexual trauma. Medical Conditions: Chronic illnesses such as diabetes, cardiovascular diseases, or neurological disorders. Medications: Certain antidepressants, antihypertensives, and anti-seizure drugs. Lifestyle Factors: Smoking, alcohol consumption, and lack of physical activity.