Psychogenic erectile dysfunction is a common subspecies of erectile dysfunction, which is provoked by destructive psychological attitudes, neuroses, a depressed psycho-emotional state, low self-esteem, etc. A feature of this violation of potency is that all physical indicators of the male reproductive system are within the normal range. However, there are violations in the transmission of impulses from the center of excitation to the genitals. Treatment for psychogenic erectile dysfunction may include psychotherapy, medication, and physical therapy.
Psychogenic erectile dysfunction is diagnosed significantly more often in men under the age of 40 than organic potency disorders. At the age of 40 to 50 years, the percentage of psychogenic and organic potency disorders is approximately the same, and only after 50 years does sexual dysfunction begin to prevail in men, which is caused by pathologies of organic etiology.
Psychological erectile dysfunction is classified as a functional sexual disorder provoked by psychological factors and manifested by objective disturbances in the functioning of the male sexual system. The doctor diagnoses psychogenic erectile dysfunction, taking into account the influence of a negative factor on any of the components of sexual intercourse: libido, arousal, erection, orgasm and ejaculation.
The term "sexual dysfunction" can be considered as a disorder of one or several functions of the male reproductive system. It would seem, how can any psychological problems lead to such serious organic consequences? In fact, this is not surprising, because it is the sexual function that is the most delicate and sensitive area of the functioning of the male body, closely related to his mood, psycho-emotional state and level of psychological comfort. It is not necessary to have any serious psychological disorders in order to suffer from psychogenic erectile dysfunction. Most men experience problems in bed due to conditions such as depression, nervous overload, frequent change of sexual partners, self-doubt, sexual incompatibility, temperamental incompatibility with a partner, irregular sex life, fear of contracting sexually transmitted diseases, and even wrong upbringing. If, for example, a boy was instilled with the idea that sex is evil, as well as masturbation, it is likely that he will grow up physically healthy, but having psychological problems in bed.
Psychogenic factors are involved alone or in combination with organic causes in a substantial number of cases of erectile dysfunction. Epidemiologic studies have implicated the role of depressed mood, loss of self-esteem, and other psychosocial stresses in the cause of erectile dysfunction. A new definition and classification of psychogenic erectile dysfunction has been proposed based on recent clinical and research findings. According to this new classification, psychogenic erectile dysfunction is categorized as generalized or situational type, with subcategories of each type proposed.
Memories of a failed sexual experience or violence, the use of some unpleasant contraceptives, overexcitation due to prolonged abstinence can also provoke a problem. It should be noted that all men have a different sexual constitution, and for some, sexual intercourse becomes impossible already when exposed to such external factors as too loud music, bright lights, unpleasant odors, the sounds of neighbors' steps, a phone call, strangers talking behind the wall. It may seem that since this pathology is provoked by not very significant reasons, then it is easier to get rid of it. But in fact this is not so, the negative experience is fixed in the subconscious of a man, which leads to the emergence of a kind of vicious circle. A man simply cannot fully relax, which leads to a lack of erection, resulting in another portion of negative emotions.
As a rule, the most effective treatment for psychogenic erectile dysfunction is conservative drug therapy. We are not talking about sedatives or antidepressants, although in some cases mild sedatives are useful to minimize anxiety. However, the leading drug used in the treatment of psychogenic erectile dysfunction is Viagra, the most well-known drug from the group of PDE-5 inhibitors, the mechanism of action of which is to dilate the blood vessels of the penis and increase blood flow to the cavernous bodies of the penis. Other PDE5 inhibitors such as Cialis, Levitra or Avanafil may be used instead of Viagra. These are incomparably more effective ways to restore potency in case of mixed or psychogenic problems with potency than, for example, exclusively psychotherapy. Not all men are ready to share their most intimate experiences with a psychologist, not everyone has the money for this, and besides, this does not help everyone.
The advantages of using Viagra and other PDE-5 inhibitors in the treatment of erectile dysfunction caused by psychological causes is that this medicine is taken on demand, and soon (from half an hour to an hour after taking) gives a man the opportunity to have a full sexual intercourse - of course, if he feels such a desire. The medicine is not an aphrodisiac and does not affect the level of libido. Thus, it provides an opportunity, but does not obligate you to anything. A man becomes more self-confident, he has a positive relationship between sexual intercourse and a successful erection. The drug doesn't cause dependence, so after several episodes of taking, you can first try to reduce the dosage, and then completely stop the drug. The formation of a conditioned reflex will already occur. As a rule, in order for a somatically healthy man to get rid of the problems caused by various side psychological attitudes, about a month is enough for regular use of Viagra or another PDE-5 inhibitor.