As far as I recall, both, as in, there had been a medical problem, but also Louis didn't have a clue. Which, yes,is ironic given his grandfather (Louis XV) was one of the most infamous "screws everything which moves" types, and you'd think it didn't Joseph as the Dr. Ruth of Rokoko times to instruct a Frenchman in lovemaking, but evidently, national clichés notwithstanding….