What is Erectile Dysfunction?
Erection refers to the simplest physiological male sexual reactions.
This reaction involves only two mechanisms:
Strangely enough, while among violations of psychosexual male reactions, the most common is erectile dysfunction.
Erection presence for man is more significant fact than sexual intercourse itself. That is why any violation of erection is perceived not as single problem, but as collapse of manly worthiness in principle.
Turning to terminology, erectile dysfunction is understood as inability to achieve erection in general or inability to maintain it during sexual intercourse.
Erectile dysfunction can occur at any age, their manifestations and symptoms are diverse. Most often penis penetration into vagina is impossible. There are also cases when man can achieve erection only in certain specific conditions or situations.
You should not take for psychogenic erectile dysfunction one-time erection disorder (its absence or fading at the most inopportune moment).Single episodes still do not talk about anything, they can arise due to variety of reasons:
- unsuitable conditions;
- peculiarities of relations with partner.
If you experience your failure and think about possibility of its recurrence, it can lead to emergence of “true” psychogenic erectile dysfunction and phenomenon such as psychogenic impotence.
Psychological Causes of Erectile Dysfunction
Erectile dysfunction is often provoked by psychogenic disorders. The most common form is failure expectation syndrome. Accidental sexual failure – reduction or disappearance of erection – leads to self-confidence lowering. Fear intensifies before sexual intercourse, which leads to complete erection loss. The principle of autosuggestion works: the stronger these fears are, the more likely they are to be realized. Over time, genuine problems with erection achievement and maintenance, the so-called psychogenic impotence (psychogenic ED) begins. Subsequently, it can provoke loss of interest in sex as well as loss of faith in yourself. Numerous attempts to overcome insecurity turn sexual intercourse into a set of “saving” rituals, partners can not concentrate on anything other than to observe and evaluate reaction to their actions. This further suppresses possibility of erection and aggravates psychogenic erectile dysfunction.
As a result, we observe a vicious circle:
- weakness of erection;
- fear of further failures;
- change of one’s own position for role of observer;
- erectile dysfunction;
- increased fear of failure;
- psychogenic erectile dysfunction.
If at some point you do not break this circle, erectile dysfunction will be constantly reinforced.
Psychogenic Erectile Dysfunction Treatment
Psychogenic erectile dysfunction treatment combines:
A psychotherapist will help relieve feelings of anxiety and fear of sexual intercourse. Pharmacotherapy was initially comprised of by symptomatic means – tranquillizers, which helped to get rid of feelings of anxiety only for short period of time. Homeopathic remedies were also used, action of which was based mainly on placebo effect.
In the last decade, situation has changed with PDE-5 type inhibitors appearance. They are used for all types of erectile dysfunction treatment, regardless of what caused these violations. Especially effective, these drugs are in case of vascular nature of erectile disorders. But also psychogenic erectile dysfunction recedes before action of inhibitors.
PDE-5 type inhibitors can be both medicament for psychological impotence treatment and means of psychological protection: in presence of stimulation, agent will provide powerful vascular effect, minimizing possibility of failure. Therefore, appointment of PDE-5 is desirable to continue until complete elimination of psychogenic disorders: their action is both symptomatic and pathogenetic. It is also desirable to undergo course of psychotherapy along with inhibitors intake, fear of failure can reduce effect of even such an effective remedy, and psychological erectile dysfunction will again prevail over medicines.
More often, inhibitors are used in situations when disorder has not yet manifested itself, but there are prerequisites for sexual failures:
- increased stress;
- partner change;
Nevertheless, inhibitors intake must necessarily be prescribed by specialist.