It is the difficulty in achieving the necessary and sufficient penis erection to maintain any sexual activity. This can happen from the beginning of a man’s sexual life, but can also develop later. It may be purely psychological or play a role in biological factors. Therefore, you need to make psychological / biological origin distinction well. The problem is likely psychological in individuals who are erect in the morning, spontaneously erect during the day, and erect in masturbation. The solution of the problem becomes more complicated in cases where patient use drugs (viagra, cialis, etc.) even though it is psychological. The real and long-lasting treatment of this problem is sexual therapy.
Clinical signs and symptoms
3 criteria for diagnosis
- No full erection of the penis or not maintaining erection of the penis during sexual intercourse
- This disorder causes significant stress
- Erectile dysfunction is not a component of a psychiatric disorder other than sexual dysfunction and is not directly related to physiological cause or substance.
What are the causes of erectile dysfunction?
The causes of erectile dysfunction can be divided into organic (physical) and psychogenic. Sexual story is important to understand which causes are effective.
Physical causes of erectile dysfunction
Physical causes of erectile dysfunction can be divided into vascular (vascular) diseases, hormonal causes, neurogenic causes, drugs, alcohol and substance.
Among the vascular causes, arteriosclerosis (hypertension), (high blood pressure), hyperlipidemia (increase in the rate of fat in the blood), hormonal causes are the most common low testosterone, hypothyroidism, hyperprolactinemia, and the most common neurogenic causes are diabetes mellitus (diabetes). ), chronic diseases such as parkinson’s, surgical interventions such as prostate surgery, antidepressants, antihypertensives, cardiac (heart) drugs are among the most common drugs.
Psychological Causes of Erectile Dysfunction?
There are three causes that triggers and sustains the psychogenic causes of erectile dysfunction
The most common causes are lack of sexual knowledge, sexual inexperience and upbringing.
Among the triggering reasons; relationship problems, work problems, financial problems, the emergence of another sexual problem or a psychiatric or physical illness in himself or his wife, the inability to accept the natural changes of aging, his wife becoming pregnant, breastfeeding, menopause.
The most common cause is performance concerns. A man with erectile dysfunction worries about whether erectile dysfunction will occur before starting sexual intercourse. Another aspect that contributes to the continuation of the problem is the sexual partner’s approach to sexuality and problem.
What Treatment Methods for Erectile Dysfunction?
Treatment varies depending on the cause of erectile dysfunction. If there is a lack of sexual knowledge and experience, even providing only sexual information can correct the problem.
But if there is psychogenic erectile dysfunction, sexual therapy is administered by experienced psychiatrist and psychologist for 6-12 sessions.
When relationship problems are the priority, sexual therapy may delay because of the need of intercourse therapy.