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  • Writer's pictureDr P K Gupta

Erectile dysfunction (impotence): what it is and what is its treatment

Erectile dysfunction is one of the sexual problems that most worries men. It usually occurs due to different causes, although the anxiety of execution is one of the psychological origins that can cause it and that turns this problem into a vicious circle from which it costs to leave, says sex specialist in Delhi.

Erectile dysfunction can cause consequences in different areas of a person’s life: problems of self-esteem, relational difficulties, etc.


Erectile dysfunction, why does it occur?

Any alteration of the mechanisms involved in the erection can cause erectile dysfunction. From the outset, it is very important to know if there is any alteration at an organic level (as is the example of neurological or vascular problems).


Once discarded any affectation of organic origin, it is when sexologist in Delhi can examine the problems of physical or psychological origin, being the vascular problem or anxiety of execution again the protagonist of this dysfunction.


Causes: execution anxiety

Execution anxiety is a state of alert that appears as a response to the set of thoughts that connect with previous unsatisfactory results and predict a new failure.


The battery of messages related to “Will I do it?”, “What if it goes wrong again?” Or “What could change this time?” This leads the individual to a state of mind governed by the over-analysis; the demand and fear team up to find a channel of expression, warns sexologist in Delhi.


Doubting the capacity itself added to the enormous ignorance (what is causing the problem) generates a feeling of frustration that, again, feeds the thoughts related to the alert, explains the best sexologist in Delhi.


How can sex therapy help us?



From sex therapy, the different areas that can cause stress and anxiety in the patient’s life (vital experiences, current work and family situation, couple relationship, etc.), as well as more specific aspects related to execution anxiety are worked on, says sexologist in Delhi.


The obligation to deliver results, excessive altruism and self-observation are three key issues of execution anxiety. With the aim of improving the capacity for self-control, therapy focuses attention on the detection of automatic thoughts that trigger alertness. In line with the comments, these types of thoughts respond to:


The need to give a very consistent and lasting erectile response.The control of the satisfaction of the couple more than of the own and joint eroticism.Continuous observation of the penis and its functioning.


Talking about these types of concerns offers the patient an expression channel that will increase emotional self-knowledge. This, coupled with the creation of alternative thoughts, will diminish the voice of self-demand and facilitate the work of self-empathy. Likewise, building a discourse with all the elements that remain in the backstage of the problem (taboos), will facilitate understanding and approach within the couple, says the top sexologist in Delhi.


Guidelines and tips to follow

An important point is to provide the patient with guidelines that decrease the level of nervousness and pressure in sexual experiences.


More specifically, one of the indications that are sometimes offered in sexual therapy is to “prohibit intercourse” during the first sexual encounters, thus obtaining the concerns stop being a source of anxiety.


There are many myths regarding the genitalization of sexual intercourse or the belief that they are only complete if penetration and orgasm are achieved. It is true that the genitals are a very important part of the human body, but reducing sexuality to genitality is limiting experience, especially if we consider that the whole of our body is sexed. The skin is a sexual organ, and as such, it must be taken into account in our intimate relationships.


Penetration is just one more practice within the multiple possibilities we have to satisfy ourselves. There can be very pleasant sexual intercourse without intercourse. This connection again with pleasure is another objective within sex therapy, says sexologist doctor in Delhi.


What happens if the person does not ask for help?

First of all, it is important to differentiate between an isolated manifestation or an established problem.


When it comes to dysfunction that repeats itself over time, serious problems appear, such as the affectation of self-esteem, the avoidance of sexual relations and conflicts at the couple level. In reference to this last point, the belief that “you are increasingly distant” and “you no longer want me” attributes the origin of the problem to erroneous causes and ends up becoming a reason for discussion and estrangement.

From the couple’s therapy, it is essential to work on the communication of the fears and needs of each member, thus achieving an environment of love and mutual attention … A problem that was previously experienced from loneliness now happens to live hand in hand, says sexologist in Delhi.

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