Erectile dysfunction (ED) refers to a man’s inability to get an erection, or an erection that does not last long enough to complete satisfactory intercourse, whenever he wants to have intercourse under sexual stimulation for a considerable period of time (usually more than three months) is called erectile dysfunction. Erectile dysfunction is usually divided into three categories according to different etiologies: psychological erectile dysfunction, organic erectile dysfunction and mixed erectile dysfunction (organic etiology and psychological factors exist at the same time). The definition of psychological erectile dysfunction: Human sexuality is not only a physiological activity, and mixed with complex psychological activities, normal sexual intercourse in addition to the requirements of both spouses have a sound physical function, but also requires no psychological abnormalities. The erectile dysfunction caused by psychological factors, called psychological erectile dysfunction. Second, the etiology of psychological erectile dysfunction: The main causes of psychological erectile dysfunction are anxiety, depression, tension, marital discord or lack of attraction of spouse, sexual repression, sexual disharmony, childhood bad sexual seclusion and anxiety about pregnancy and sexually transmitted diseases. In addition, in clinical work, we often encounter some patients because of the habit of masturbation and self-blame, mistakenly believe that long-term masturbation will inevitably lead to erectile dysfunction, such patients appear erectile dysfunction mostly belongs to the psychological. The diagnosis of psychological erectile dysfunction: 1, to understand the medical history and symptoms: detailed questioning of the patient’s sexual history, the presence of sexually transmitted diseases, spermatorrhea and masturbation habits, patient questioning of the patient’s relationship with the husband and wife, family environment, the nature of work, understanding of past medical history, medication history, tobacco and alcohol habits and mental state. The dysfunction occurs suddenly. The onset of dysfunction is relatively sudden, and patients often develop in specific situations or occasions, with obvious psycho-psychological triggering factors such as conjugal relationship, emotions and society. However, good spontaneous erection is still maintained, and normal erection can also be achieved through masturbation or other sexual fantasies. 1. Patients often have a history of psychosocial trauma, such as fear, anxiety, depression, and stress or major changes in the home and work environment. 2. No systemic diseases affecting the erectile function of the penis. 3. Have not taken any medication that affects penile erection. Symptoms of psychological erectile dysfunction: 5. The penis cannot be erected during repeated sexual urges, but it can be erected automatically in sleep, early in the morning when waking up or when the bladder is full, and it can be sexually excited and can be erected normally when masturbating, reading pornographic novels and pictures, watching pornographic videos or sexual fantasies. 6. When trying to have sexual intercourse, the erection of the penis disappears, or its hardness is not enough to enter the vagina, or it cannot maintain its hardness until ejaculation. 2. Physical examination: A comprehensive and systematic physical examination is necessary to diagnose psychological erectile dysfunction. The purpose is to exclude the developmental defects and abnormalities of the nervous system, endocrine system, cardiovascular system and reproductive organs related to erectile dysfunction, etc. If the above abnormalities exist, then organic erectile dysfunction should be considered. 3, laboratory tests: erectile dysfunction laboratory tests is the so-called laboratory tests, the purpose is also to understand the presence of systemic diseases that affect erectile function. The general items that need to be examined include: blood and urine routine, blood sugar, urine sugar, blood lipids, liver and kidney function and sex hormones, etc. The above tests are often normal in patients with psychological erectile dysfunction. 4. Erectile function index score When you go to the hospital for an examination because of erectile problems, the doctor may first ask you to fill out a scoring form – the International Index of Erectile Function score sheet (IIEF-5). There are five questions to answer and you can circle the appropriate answer on the form. The doctor will then add up the scores corresponding to the answers you have chosen and come up with a total score, which will be used to initially determine your erectile function. If your total score is less than 21, you may have erectile dysfunction, do not ignore it, because it is not only a sexual health problem, but also a precursor to cardiovascular disease.