I honestly don't know, I know I wasn't sexually active at all when I first got it I do know that I was heavy into eating processed foods on the daily, I'm an obese male so that could have contributed with all of the toxins in my body. I was chronically tired, always wanting to sit down or lay down but I think EC continued a lot to my dysfunctional health because with me having it i never went outside, extremely anti social, severely depressed from it, always beating myself over it like why me out of all people so I think me getting EC caused a lot of other issues. I also I'm not sure if I put it in the post but I've ELIMINATED ALL DAIRY AND LACTOSE!!! I've done tons of research on it and I get a lot of the same things is that dairy can cause chronic disease issues as well and inflammation! Hope this helps :) again I'm no expert just doing what's worked for me!!