What are the manifestations of psychogenic penile erectile dysfunction?

Erectile dysfunction (abbreviation: ED) is the persistent inability of the penis to achieve and/or maintain an erection sufficient for satisfactory sexual intercourse. It is also commonly known as impotence. The causes of the disease are many, and currently the disease is usually clinically classified according to different causes: psychological, organic and mixed types of both. The central rational ED is mostly seen in young people, compared to the other two causes of ED treatment is easy and better. Psychological ED is mainly manifested as follows: 1, there is a normal morning erection, or the penis can erect when sexually stimulated; 2, the penis just inserted into the vagina during intercourse or before the penis weakness, ejaculation; 3, repeated attempts have failed, the patient is accompanied by varying degrees of anxiety, confusion and worry, serious family emotional crisis can occur. In this group of patients, often because of the traditional ideological confinement reluctance to see a doctor, most of them suffer in silence, even if forced to family pressure to find some self-proclaimed miracle doctor to prescribe some drugs, or to the so-called specialist hospital a complex treatment. Often due to such simple treatment or high costs to achieve results and increase the psychological burden, more loss of self-confidence. The author believes that the main causes of psychological ED are: 1, lack of sexual experience. Men and women are not fully prepared for sexual activity, the process of sexual intercourse is not well understood; 2, too excited or nervous. The former is mostly seen in the male side, overexcited easily to plant nerve dysfunction resulting in premature ejaculation or penile weakness. The latter is mostly seen in the female side, because of its pain, tension and inability to cooperate can lead to male impotence; 3, mental stress or marital discord, the process of sexual intercourse is difficult to harmonize; 4, a chance factors lead to penile weakness or premature ejaculation, and too much self-condemnation can not extricate themselves. 5, character deficient people. Mostly seen in young people who are introverted, not confident or lack of sexual knowledge. The author has been practicing medicine for more than thirty years and has received a large number of such patients. Usually based on the medical history, physical examination first clear diagnosis, try to find the possible causes, targeted help analysis, and strive to release the patient knot. At the same time, some necessary tests (such as nocturnal penile erection test, penile corpus cavernosum color Doppler examination and blood sex hormone level test, etc.) are performed to: 1. enhance the patient’s self-confidence; 2. relieve the woman’s worries and facilitate cooperation with treatment. The author’s experience: for this type of patients simply taking the relevant drugs, can only be effective for those who have had a normal sex life and midway impotence. For the first failed sexual intercourse effect is very little, most of the clinical psychological ED and precisely seen in this group. So, is there a suitable treatment method? The author believes that psychotherapy is the best choice. As the saying goes: the bell must be untied, so require the coordination of both men and women to achieve results. The author usually requires the patient to get the commitment of the female partner to cooperate before treatment, otherwise no method of guidance. Because, it is difficult to achieve the effectiveness of unilateral treatment. In many psychological treatment methods, the author believes that sexy concentration training is simple and effective, as the preferred treatment.