The idea that ED is the result of an incorrect emotional attitude long possessed the minds of doctors. Today, the weakness of the stronger sex is increasingly explained by all sorts of problems and malfunctions in the work of internal organs. The most common failure in the life of a man – this is how the famous psychotherapist Sigmund Freud called impotence. Since that time, medicine has achieved much, to the smallest detail, technologies for diagnosing and treating sexual impotence have been developed. But even now problems with potency are the strongest blow to male vanity.
Two out of ten representatives of the stronger sex suffer from erectile dysfunction. Only one in ten men who faced sexual disorders goes to a specialist. In 90% of cases, an erection can be restored. In 80% of men, impotence has physiological causes and signals about any unhappiness in the body.
Causes and manifestations of psychological erectile dysfunction
What diseases can impotence (erectile dysfunction) signal about?
- The chronic psyche problems are leading the list of diseases – neurotic disorders, depression. In this case, the erection depends on the emotional state. Sometimes, a full sexual intercourse is possible only if certain conditions are met. For example, a man can achieve erection only with a certain partner, at certain times of the day or after masturbation.
- Common causes of sexual disorders: diabetes, alcoholism, drug addiction, intoxication, metabolic disorders. With these diseases, the transmission of impulses along sensitive and motor fibers is impaired, which means that the reflex arc providing an erection suffers.
- Problems with potency sometimes appear after injuries or diseases of the spinal cord and brain. Often, erectile dysfunction is the first symptom of an infectious lesion, trauma, tumor, epilepsy or Parkinson’s disease.
- The sexual desire noticeably decreases when there are hormonal disorders. As a rule, this occurs against the background of a lack of male sex hormones, or with an excess of female hormones.
- Atherosclerosis, birth defects and other vascular diseases also threaten impotence. The fact is that such disorders prevent the normal flow of blood to the cavernous bodies of the penis. Impotence can also develop as a side effect of taking medications.
- The erection is affected by antidepressants, neuroleptics, tranquilizers, drugs that treat hypertension, and those that lower gastric secretion.
- For sexual failures, sometimes inflammatory diseases of the prostate, urethra, bladder and testicles are concealed. In general, any chronic illnesses, nervous and physical fatigue do not have the best effect on male power.
To exclude urogenital diseases, consultation of the urologist or andrologist, with the subsequent ultrasonic research, delivery of the analysis of a blood and a semen, extraction of bacteriological smears is necessary. If there is a suspicion that is associated with hormonal disorders, contact an endocrinologist. You may need ultrasound examination of the endocrine glands, computed tomography. Laboratory diagnostics will help to establish the level of a hormone in the blood.
Vascular disorders are detected using ultrasound dopplerography. Modern methods allow to determine quantitative and qualitative indicators of blood supply to the penis. For the same purpose, functional tests are assigned. In the cavernous organs of the penis, vasodilator drugs are administered. In this case, the blood pressure in the artery of the penis and the brachial artery is compared.
The neurologist will help to eliminate the diseases of the spinal cord and brain, as well as peripheral nerves. For this, several complex studies are sometimes prescribed: tomography of the brain and spinal cord, electroencephalography, electromyography, rheoencephalography.
A psychotherapist, a sex therapist or a psychiatrist should evaluate the psychic component of a sexual disorder. The main diagnostic technology used by these specialists is a conversation with the patient, various methods of psychological testing.
Symptoms of erectile dysfunction:
The causes of the development of erectile dysfunction can be different, but the symptomatology of this disease is always the same. If you find the first symptoms you need to seek help from a specialist, often the symptoms of erectile dysfunction serve as markers of other diseases. General symptoms of erectile dysfunction:
- weakening of erection: in the morning the penis is poorly erect, even during sexual intercourse it does not become sufficiently hard;
- during sexual intercourse, the penis loses its firmness, which does not enable it to be completed;
- ejaculation occurs with a weak erection or happens prematurely;
- complete or partial absence of an erection during intercourse.
The influence of interpersonal relationships in the family on potency
In most cases, erectile dysfunction is caused by psychological reasons. And this problem can be solved! Virtually every man starts trembling hearing the word “impotent” because the consistency in this issue for the stronger sex plays an important role. Full sex – not only a source of joy and pleasure, but also the physical, moral health of a man, a pledge of good relationships with the opposite sex, the subject of self-esteem and self-confidence. What if something goes wrong? Most often, a man closes in himself, becomes insecure, not far off depression. Problems grow as a snowball and very quickly go beyond the sexual sphere.
Therefore, noticing the first symptoms of erectile dysfunction, you should immediately start working on the issue, look for causes and seek to eliminate problems with erection. The good news is that the problem is solved in 95% of cases. But to get into these optimistic percentages, a man in no case can not hope for “maybe”. The causes fall into two main classes: organic and psychological. To distinguish them is quite simple.
Erectile disorders of an organic nature appear gradually and have an increasing dynamics, spontaneous and nocturnal erections are absent. There is a strong sexual desire, but sexual intercourse is impossible. Psychological impotence is sudden, it depends on the mood of a man, his inner state. Often the disorder proceeds against the background of psychological problems and mental trauma. Spontaneous erections with this type of impotence persist. Since in 90% of cases of disorders of erectile dysfunction “it is” to blame “psychology, experts recommend starting therapy with their search.
A fear of failure is a very common problem, especially among those men for whom their sexual abilities are a matter of pride and self-expression. Somewhere in the depths of the soul such a sexy giant is very afraid of failing and it is quite logical that sooner or later, in certain circumstances, such a moment comes. For example, a man very much wants to impress an woman, thereby he “winds up” himself, as a result – a sexual fiasco. If the situation happened one day – it will happen again – the man is going through and the fear of repeated failure does its job: the problem is repeated again. And the more often, the more difficult it is to cut this Gordian knot. Advice: change the attitude to the issue, have a permanent partner, where the relationship are based on the feelings that go beyond the sexual sphere.
Self-diagnosis of the problem
A hard erection is the result of well-coordinated work of the nervous, endocrine, circulatory system, as well as inguinal musculature. With sexual stimulation, the walls of cavernous bodies and the leading arteries of the penis nervously stimulate the release of nitric oxide, as a result they relax and increase in volume. Muscles tighten, supporting an erection. Retracting venules contract and retain blood in the cavernous bodies of the penis until orgasm and ejaculation.
There is an easy way to determine impotence of one type or another on your own. To do this, you need to pay attention to the condition of the penis in the early morning and analyze night sensations, dreams. If after an awakening an erection is observed, there are erotic dreams accompanied by excitation of the sexual organ and even pollutions, then physiology is normal, and dysfunction is psychogenic or neurogenic in nature. In the latter case, peripheral nerve damage is excluded.
How does psychotherapy help to cope with the problem
Since impotence adversely affects the emotional state of a man, helps to reduce his self-esteem, self-confidence and masculinity, as well as the appearance of problems in the family and possible social disapproval, it is very important to have her psychotherapeutic treatment. Psychotherapy with erectile dysfunction, taking into account the personal characteristics of the patient, family situation, nature and extent of sexual disorders may include several stages:
- Individual work with the patient (most often in the case of his direct contact with a doctor). In view of the special “scrupulousness” of this problem, the most important point in the beginning of the work is the establishment of sincere and trusting relations and the preservation of this contact in the future, which most fully reflects the client-centered approach. Indeed, accepting the patient “as he is” with all his problems will significantly weaken his anxiety and allow us to discuss the existing problems.
- Personal-oriented and short-term psychodynamic psychotherapy will help the patient to better understand the causes and mechanisms of erectile dysfunction, strengthen personal protective mechanisms and create a positive life scenario for the patient. Very important is the physical therapy that helps to remove muscle clamps and develop the skills to manage your own body, including by contacting a partner.
- In the presence of a newly emerged acute stressful situation with subsequent psychogenic impotence, an effective hypnotic effect with suggestion aimed at relieving the patient’s consciousness of negative experience will be effective. When the patient receives the necessary information about the problem that worries him, reducing anxiety and the appearance of positive dynamics in his condition, you can move on to the next stage of psychotherapy – conjugal or family work. When a psychotherapist appears at the first consultation of a couple, the work can be carried out either individually with the patient or immediately with a couple.
- In psychotherapeutic work with a couple (in the context of marital and family psychotherapy) in an atmosphere of security and maintaining neutrality on the part of the therapist, the most important task is to build trust between partners. Attention is given to the formation of a certain patience with the partner with her active participation in the psychotherapeutic process. In case of anxious expectation of failure, it is important for the partner to convey to him the understanding of the situation and its adoption, to constantly support and avoid all pressure (in no case this situation can not be a means of blackmail and manipulation). Simultaneously with the transfer of a partner’s sense of security to a partner, it is necessary to strengthen his self-esteem, emphasizing the features of masculinity and social success.
Treatment at the sexopathologist
Sexopathology (sex + Greek pathos – feeling, experience, suffering, disease + logos – teaching, science), a field of clinical medicine that studies sexual disorders and develops methods for their diagnosis, treatment and prevention, a section of medical sexology that studies primarily functional, emotional, personal, social and adaptive aspects of sexual disorders that make up the main group of pathologies of the sexual sphere. It is based on an interdisciplinary approach, while in diagnosis, identifying patterns in the development of painful process and treatment is based on urology, gynecology, andrology, endocrinology, neuropathology, psychiatry.
General sexopathology studies the basic patterns of correlation and differentiation of the sexes, the anatomical and physiological foundations of the sexual sphere and sexuality, the correlation of the norm and pathology of sexual desire, the administration and mutual satisfaction of sexual desire. Private sexopathology studies specific diseases, accompanied by violations of sexual function, treatment and rehabilitation methods for this or that disease, taking into account the specific psychosexual characteristics of the patient’s personality. One of the main provisions of scientific sexopathology is the principle of pairing, which is taken into account in the diagnosis, the origin of sexual disorders and in psycho-corrective therapy.