First, consider whether there are indeed emotional or relationship variables contributing to your problem. It helps to be evaluated by a trained sex therapist who can help you sort this out. Not only do traumatic pasts, relationship issues, and general emotional conflicts impact on sexual arousal, but unrealistic expectations about sexuality or stress around sexual situations can impact on your sexual response as well. This way you can talk to your doctor about replacement if your levels are low. Also, diminished blood flow to the genital area, either as a result of aging, or some kind of pelvic injury or pelvic surgery can impact on response.
Nerve damage can occur in the same way and impact on sexual arousal as well.
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