Sexual problems can cause poor sperm morphology directly or indirectly. In failure to ejaculate, or erectile dysfunction due to psychological pressure, there is a direct effect on the sperm which is retained under pressure in the scrotum. Sperm morphology is also affected indirectly in cases of physical-origin sexual problems such as diabetes, high blood pressure, high cholesterol and heart disease as the medication given to treat these syndromes can have side effects such as impotence.

Treatment of erectile dysfunction in Chinese Medical terms involves a combination of acupuncture, herbal medicine, nutrition and mind/body therapy to look at the psychological reasons behind.