What psychological disorders do men with sexual impotence have

Male sexual dysfunction may be accompanied by psychological problems such as anxiety disorders, depression disorders, personality disorders, sexual psychological disorders, and physical form disorders. Sexual dysfunction is usually related to psychological factors, physiological factors, or a combination of both. It is recommended to seek medical evaluation in a timely manner.

1. Anxiety Disorder

Male sexual dysfunction often presents with generalized anxiety or specific situational anxiety, manifested as excessive worry about sexual performance, fear of failure, and avoidance behavior. These patients may experience physical symptoms such as palpitations and sweating. Cognitive behavioral therapy can be used for psychological treatment, and anti anxiety drugs such as paroxetine and escitalopram can be used according to medical advice. Organic diseases such as hyperthyroidism should also be ruled out.

2. Persistent sexual dysfunction in depression

may lead to depressive symptoms such as low mood and decreased interest, and some patients may exhibit biological characteristics such as early awakening and changes in appetite. Depression and sexual dysfunction may form a vicious cycle, and treatment should be combined with psychological counseling and medication intervention, such as antidepressants like sertraline tablets and mirtazapine tablets. However, it should be noted that some medications may exacerbate sexual dysfunction.

3. Personality disorders

Patients with some borderline or avoidant personality disorders may exhibit sexual dysfunction, often accompanied by difficulties in intimate relationships, emotional instability, and other characteristics. This type of situation requires long-term psychological treatment to establish a healthy interpersonal model. Medication is only used as an auxiliary measure, and mood stabilizers such as quetiapine tablets can be used cautiously. At the same time, it is necessary to cooperate with couples for joint counseling.

4. Sexual psychological disorders

Sexual aversion disorder or decreased libido disorder belong to specific psychological problems, which may be related to childhood trauma and erroneous sexual concepts. It is manifested by continuous rejection or lack of interest in sexual activities. Desensitization therapy combined with sex education is required for treatment. In serious cases, testosterone gel and other hormone preparations can be used for a short time, but the hormone level must be strictly monitored.

5. Physical form disorder

is a common manifestation of converting psychological conflicts into physical symptoms, and patients may firmly believe in the presence of organic lesions but have no abnormalities on examination. The focus of treatment is to help understand the connection between mind and body. Medications such as escitalopram oxalate can be tried to improve symptom cognition, and mindfulness training can be used to reduce excessive attention to physical sensations.

It is recommended to maintain a regular schedule and moderate exercise, and avoid excessive drinking and smoking. Partners should provide understanding and support rather than blame, and participate in the treatment process together. Diet can increase the intake of foods rich in zinc and vitamin E, such as oysters and nuts, but attention should be paid to psychological issues that may affect gastrointestinal absorption function. If the symptoms persist for more than 3 months or are accompanied by suicidal thoughts, it is necessary to immediately seek medical attention at a psychiatric and psychological department, and develop a personalized treatment plan after comprehensive evaluation.