I still feel like the whole stress- nocturnal erections thing is hard to say whether its 'psychogenic' or 'physiogenic'.
Cause isn't it possible to have say lower Testosterone levels but have nocturnal wood and still suffer from anxiety-depression symptoms which then go on to inhibit erections?
Or even non-T related things like allopregnanolone, other neurosteroids, neurotransmitters, etc?
Ie--the things that are difficult to still measure but within the realm of physiological dysfunction.
Theres a ton of people suffering from weed induced DP/DR problems for example and then they have ED, etc but maybe still have morning wood. The thing is--is this physiogenic due to the HPA axis hormonal systems or is this psychogenic? (DP/DR as im sure you know is related to HPA axis alterations).
Seems like weed induced DP/DR cases are mostly referred out to psychologists though even if the patient had no mental health issues prior to the physiologically induced panic attack which caused it.
ALso--when he refers to hippocampal atrophy and says its "not reversible" then how do people recover from depression/anxiety/etc? As far as I understand, antidepressant treatments whether pharmacological or psychological or lifestyle act to increase BDNF in some ways and then lead to neurogenesis right?
Additionally, Sapolsky seems to go more toward the theory high glucocorticoids in depression/anxiety. I wonder why Dr.M and other docs often say that they rarely see high cortisol in depression and that its often low. Who is right?