Your doctor is likely to ask you a number of questions. Be prepared for questions such as these: what other health concerns or chronic conditions do you have? have you had any other sexual problems? have you had any changes in sexual desire? do you get erections during masturbation, with a partner or while you sleep? are there any problems in your relationship with your sexual partner? does your partner have any sexual problems? are you anxious, depressed or under stress? have you ever been diagnosed with a mental health condition? if so, do you currently take any medications or get psychological counseling (psychotherapy) for it? when did you first begin noticing sexual problems?.

A number of psychological factors can cause ed, including: post-traumatic stress disorder (ptsd) depression if you’re experiencing psychological ed, you may benefit from talk therapy. Over several sessions, you and your therapist will discuss: major stress or anxiety factors your feelings around sex subconscious conflicts that could be affecting your sexual well-being if ed is affecting your relationship , consider speaking with a relationship counselor as well. Relationship counseling can help you and your partner reconnect emotionally, which may also help your ed. Explore the effects of stress and anxiety on ed.

Your Mind and ED

Is your mind in the mood, but your body's not cooperating? it's normal to feel frustrated if you can’t get or keep an erection. And it's not unusual. About 30 million men in the united states have this condition, called erectile dysfunction (ed). There are a lot of reasons for it. The good news is there are also a lot of treatments. You've probably seen the commercials. A little blue pill like sildenafil ( viagra ) and similar drugs can help boost blood flow and make the penis firm. Voila! you're back in action. But perhaps you dislike the lack of spontaneity related to popping a pill before sex.

Reviewed by our clinical team although erectile dysfunction (ed) is predominantly associated with physical causes , such as circulatory problems, psychological contributions to the problem are not given enough attention. This can occur when the functioning of the penis is completely capable of erection, but erection is inhibited by pyschological factors. Sex is an extremely subjective experience, requiring body and mind to work together. When you hit this sweet spot, you may find your cure for erectile dysfunction. It is often forgotten that achieving and maintaining an erection requires a man to be psychologically engaged, rather than being a puppet of a mindless physical response.

Men who are single or in a relationship can seek sex therapy and treatment for erectile dysfunction. Men with partners can have partners who are unsupportive and unwilling to attend sessions, which can impact restoring erectile function within the relationship context, but sex therapy is still encouraged. Men who are in supportive relationships are encouraged to attend sex therapy with their partner at some stage in the process. After men have ruled out organic causes for symptoms of ed, they undergo a complete psychosexual evaluation and a treatment plan is written specifically to target the origins of their symptoms.

Erectile dysfunction treatment in my denver sex therapy practice erectile dysfunction, or impotence, is the inability of a man to develop or maintain an erection sufficient for his sexual satisfaction or that of his partner. The most common physiological causes of erectile dysfunction are related to aging and  include cardiovascular disease, diabetes, low serum testosterone, or side affects of medication such as anti-depressants. Most men experience erectile dysfunction at some point in their lives, due to situational stressors or fatigue, and will be psychologically unaffected by it. However, due to expectations about male sexual function, especially if self-worth and self-image of masculinity are deeply connected to sexual performance, some men may react to an episode of impotence by becoming more anxious, which results in further sexual problems and increased “performance anxiety“.