Contemporary research and clinical research throughout the globe have decisively confirmed that psychological impotence affects 10 to 20 per cent of men of all ages. Because of the social perceptions associated to men’s sexuality, and the oft-related emotions of frustration, inadequacy, anxiety and depression triggered by impotence problems, mental erectile dysfunction can be an indirect result of erectile dysfunction brought about by a physical disorder.
Impotence, or erectile dysfunction, in medicine, is a condition in which a guy is unable to attain an erection that is stiff enough for sexual penetration or sexual satisfaction. Impotence, however, shouldn’t be wrongly identified as premature ejaculation, loss of sex drive, or absence of orgasm; in all of these conditions, satisfactory erection can be attained.
Impotence is a very common issue; in the United States between 10 and 15 million adult men suffer from severe erection problems. The incidence of this problem raises with age. Less than 1 percent of the male public under 30 years old is affected, 3 percent under forty-five years, 7 percent between 45 and 55 years, 25 % at age 65, and up to 75 % in men 80 years old. Impotence seems to be on the rise, but this might be due to improving life-span.
Male impotence is divided as either primary or secondary. Primary erectile dysfunction is expressed age of puberty as a fundamental inability to achieve erection; secondary male impotence is more common and consists of an onset of erectile inability during their adult years, after a period of normal erectile ability.
There are numerous causes of erection problems. In primary anatomic erectile dysfunction the reproductive organs themselves may be faulty. In secondary impotence, functional causes such as emotional difficulties and side-effects of drugs taken for other problems are the reason for the greatest number of cases.
The most common psychological factors resulting in psychological erectile dysfunction are stress in a man’s life or problems in his sexual romantic relationships. As an example, if a man has suddenly lost his job, his sense of failure can result in temporary erectile dysfunction. It’s possible to tell if the cause of a man’s erectile dysfunction is completely psychological; if he still experiences regular erections during rapid eye movement (REM) sleep, there is unlikely to be any actual physical reason for his erectile dysfunction while awake. However, sometimes a physical condition that is not serious enough to cause erectile dysfunction on its own could make a man more likely to develop impotence problems if mild psychological factors are also existing.
Lots of medicine can result in erectile dysfunction. Diuretics, tricyclic antidepressants, H2 blockers, beta-blockers, and hormones are among the most common; once the drug treatment is stopped, normal erections typically resume, unless emotional disorders have developed meanwhile.
Other factors behind psychological erectile dysfunction have to do with physical conditions, illness, or stress. Among these, diabetes mellitus is liable for 40 percent of the cases in the states; vascular diseases, 30 percent; surgical treatment on the pelvis or penis, 13 percent; spinal cord damage, 8 %; endocrine or glandular problems, 6 %, and multiple sclerosis, 3 percent.
Treatments of mental impotence based upon many forms of psychiatric therapy are commonly used for cure. In 1970 the team of William Masters and Virginia Johnson proposed a program of behavioral therapy for an affected man and his partner. This process has become widely accepted and involves abstinence from intercourse for several weeks while the couple builds up other aspects of their romantic relationship. Only once the man is able to have an erection and sustain it on numerous periods should the couple try sex.
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