Male sexual psychological disorders can be improved through psychological counseling, behavioral therapy, medication treatment, partner involvement, and lifestyle adjustments. This disorder may be related to psychological stress, childhood trauma, partner relationship disorders, abnormal hormone levels, or organic diseases, and often manifests as symptoms such as decreased libido, erectile dysfunction, or fear of sexual intercourse.

1. Psychological Counseling
Cognitive behavioral therapy can help correct misconceptions, and professional psychologists can help patients identify sources of anxiety through conversation therapy. For psychological trauma caused by childhood sexual assault or religious repression, psychoanalytic therapy can trace back to subconscious conflicts. It is recommended to choose a psychological counselor with qualifications in sexual psychotherapy, which usually requires 8-12 systematic consultations.
2. Behavioral Therapy
Sexually Focused Training gradually rebuilds intimacy through non sexual physical contact, using progressive exposure therapy to alleviate sexual fear. The Masters Johnson therapy requires partners to participate in training together and cooperate with the stop start method to improve premature ejaculation. A personalized training plan needs to be developed under the guidance of a professional physician.
III. Medication Treatment
Testosterone supplements are suitable for individuals with low hormone levels and require monitoring of prostate-specific antigen. Dapoxetine hydrochloride tablets can be used for premature ejaculation, while paroxetine tablets can help alleviate sexual anxiety. Before using sildenafil citrate tablets, contraindications for cardiovascular disease must be ruled out, and all medications must be strictly used according to medical advice.
4. Partner Participation
Partners should avoid using accusatory language and establish correct cognition through reading sex education materials together. Regularly engage in non sexual physical contact such as massage and use sensory focus exercises to reduce performance anxiety. It is recommended that both parties receive marriage counseling together to improve communication patterns and emotional connections.
V. Lifestyle Adjustment
Regular aerobic exercise can improve endothelial function, and a Mediterranean diet helps maintain hormone balance. Smoking cessation and alcohol restriction can reduce the risk of erectile dysfunction and ensure that 7 hours of sleep can regulate stress hormone levels. Yoga or mindfulness training can reduce sexual anxiety, avoid overwork and work stress. Maintaining a balanced diet can help maintain sexual function, with moderate intake of zinc rich foods such as oysters and nuts. Engage in 150 minutes of moderate intensity exercise per week, such as swimming or brisk walking, and avoid prolonged sitting. Establish a regular sexual rhythm, but do not overly focus on sexual performance. Couples should regularly engage in emotional communication to create a relaxed and pleasant intimate atmosphere together. If the symptoms persist for more than 3 months or are accompanied by depressive symptoms, it is recommended to seek medical attention from a urology or psychology department.
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