What is psychological impotence

psychological impotence refers to erectile dysfunction caused by psychological factors, mainly manifested as the inability to obtain or maintain sufficient erection hardness to complete sexual activity. Psychological impotence may be related to factors such as anxiety, depression, strained partner relationships, sexual psychological trauma, and excessive fatigue, and is usually not accompanied by organic lesions. It is recommended to improve through psychological counseling, behavioral therapy, and other methods. If necessary, seek medical attention to rule out organic diseases.

1. Anxiety Factors

Pre sexual Performance Anxiety is a common cause of psychological erectile dysfunction, and patients may experience tension due to concerns about insufficient sexual ability, leading to excessive sympathetic nervous system excitation and inhibition of penile corpus cavernosum congestion. This type of situation may be accompanied by physical symptoms such as palpitations and sweating. Clinically, anti anxiety drugs such as paroxetine hydrochloride tablets and lorazepam tablets can be used as adjunctive therapy, but cognitive behavioral therapy should be used to correct misconceptions.

2. Depressive state

Continuous low mood can reduce libido and erectile function, and abnormal levels of serotonin in depressed patients may directly affect sexual response. Such patients often have symptoms such as decreased interest and sleep disorders. Antidepressants such as fluoxetine hydrochloride capsules and mirtazapine tablets may improve symptoms, but it should be noted that some drugs themselves may cause sexual dysfunction, and doctors should adjust the medication plan after evaluation.

3. Relationship Conflict

communication barriers or emotional distance between partners can cause difficulty in sexual arousal, and long-term accumulated resentment may suppress erectile function subconsciously. Characterized by erectile dysfunction occurring only when interacting with specific individuals. It is recommended to improve the interaction mode through marriage counseling. In the short term, PDE5 inhibitors such as Tadalafil tablets can be used to build confidence, but resolving fundamental conflicts still requires relationship repair.

4. Psychological trauma

Previous experiences of sexual abuse and humiliation may lead to conditioned erectile dysfunction, and patients may trigger defense mechanisms in similar situations. This type of situation is often accompanied by avoidance behavior or post-traumatic stress response. Psychological therapy requires desensitization therapy to gradually eliminate fear memories, and if necessary, combined with medications such as escitalopram oxalate to control anxiety symptoms.

5. Fatigue stress

Long term work stress or physical exhaustion can increase cortisol levels, inhibit testosterone secretion, and weaken sexual response. Patients often have sub-health conditions such as insufficient sleep and decreased energy. Improvement mainly requires adjusting lifestyle, supplemented by testosterone undecylate soft capsules to regulate hormones, but organic causes must be ruled out before using androgen replacement therapy. Patients with psychogenic erectile dysfunction should maintain a regular daily routine, engage in 3-5 aerobic exercises per week to improve blood circulation, and increase their diet with zinc rich foods such as oysters and nuts. Partner pressure may worsen symptoms, it is recommended to participate in the treatment process together. If self-regulation is ineffective or accompanied by persistent emotional problems, it is necessary to seek timely medical attention from a psychiatric or urology department, and determine the cause through professional assessments such as the International Erectile Function Index to avoid blindly using aphrodisiacs to mask potential problems.