What could have gone wrong with me? What I can think of:

1) Started on Topamax
2) Very, very high, unyielding level of stress
3) biking numbs my ladyparts
4) for the first time in my life, I have high blood pressure, apparently from stress - 128/92 which for me is VERY high, I have never had such a high blood pressure, I used to have 92 as my TOP reading, not bottom reading, so I wonder if my body cannot adapt to this change. I hear that high BP leads to ED in men - can it screw up women?
5) high anxiety related to stress
6) specific anxiety related to sex - I cannot relax and enjoy because I am anxious, sort of like ... performance anxiety. But, I think if it were performance anxiety, I could have at least enjoyed solo sex - nope, masturbation is not even on my mind these days.

What else can do it? A combination of factors?