Psychological causes of erectile dysfunction 286
by Admin
Posted on 21-03-2023 11:53 PM
Erectile dysfunction is defined as the persistent inability to achieve or maintain penile erection sufficient for satisfactory sexual performance.
The massachusetts male aging study surveyed 1,709 men aged 40–70 years between 1987 and 1989 and found there was a total prevalence of erectile dysfunction of 52 percent. It was estimated that, in 1995, over 152 million men worldwide experienced ed. For 2025, the prevalence of ed is predicted to be approximately 322 million worldwide. In the past, erectile dysfunction was commonly believed to be caused by psychological problems. It is now known that, for most men, erectile dysfunction is caused by physical problems, usually related to the blood supply of the penis.
penile erection is a complex process in which the brain, nerves, muscles and blood vessels play a major role. The main causes of erectile dysfunction include psychological and health conditions, medications, trauma and lifestyle factors.
Preparing for your appointment
Write down any symptoms you're experiencing, including any that might seem unrelated to the reason for which you scheduled the appointment. Write down key personal information, including prior surgeries or pelvic radiation, any major stresses, or recent life changes. Make a list of all medications, vitamins and supplements that you're taking. Write down questions to ask your doctor. Preparing a list of questions before your appointment can help you make the most of your time together.
When seeing your doctor for dry ejaculation — the primary sign of retrograde ejaculation — some basic questions to ask your doctor include:
what is likely causing my symptoms or condition?.
Care at Mayo Clinic
Counseling is an appropriate treatment for erectile dysfunction caused by psychological factors. You, or you and your partner, may meet with a psychologist, psychiatrist or other counselor trained to treat sexual problems. Short-term education therapy is often most helpful. In one technique, the couple focuses on physical sensation and pleasure rather than on performance. A goal is to remove self-evaluation and decrease performance anxiety. This technique often has good results, especially if both partners are understanding and cooperative. Work with your health care team to determine the best treatment option for you. J. Nicholas (nick) warner, m. D. , is a urologist in la crosse , wisconsin.
The main surgical treatment of ed involves insertion of a penile implant (also called penile prostheses). Because penile vascular surgery is not recommended for aging males who have failed oral pde5 inhibitors, ici or iu therapies, implants are the next step for these patients. Although placement of a penile implant is a surgery which carries risks, they have the highest rates of success and satisfaction among ed treatment options. Penile implants are devices that are placed fully inside your body. They make a stiff penis that lets you have normal sex. This is an excellent choice to improve uninterupted intimacy and makes relations more spontaneous.
If all other ed treatments have failed, your doctor may recommend surgery. The operations are: placement of an implant ( prosthesis ) in the penis vascular reconstruction surgery to improve blood flow to or reduce blood leakage from the penis and surrounding structures. This procedure works in very few cases and is currently not recommended. Implants, or prostheses, help restore firmness for many men with ed. There are two types: malleable implants are a pair of bendable rods placed inside the penis. You manually move your penis, and therefore rods, into a position suitable for sex. Such implants do not affect penis size.