Psychogenic impotence: causes and methods of treatment

Problems of men in the genital area are manifested by a decrease in activity in sex. In this case, doctors do not exclude the development of psychogenic impotence, which is practically not treated with medications. It is paradoxical that a man experiences strong sexual attraction and arousal, but at the same time he is afraid of intimacy.

Erection problems occur in about 7% of men, whose age is less than 30 years, and at the age of 30-50 years, this value reaches 20%, in men from 60 years old, such problems are found in 37%. Statistics say that psychogenic impotence is more often detected in young men, and less often at an older age. As a rule, this type of problem develops against the background of psychological injuries received in adolescence. Erectile dysfunction is extremely rare in men who did not encounter problems in the initial stages of sexual development.

sexologist consultation

Definition

In order to understand the characteristics of psychogenic impotence, it is extremely important to know the main characteristics of the disease as a whole. Erectile dysfunction is the inability of a man to achieve a normal erection with sexual arousal, as well as the lack of the ability to continue sexual intercourse for enough time to cause ejaculation. In addition, cases can be attributed to this pathology when a man is completely absent or ejaculation occurs prematurely.

Under psychogenic erectile dysfunction, it is customary to understand a kind of disease, which is based on a personality disorder or psychological trauma, developed against the background of personal experiences at the beginning of sexual activity or childhood. This type of impotence is considered the simplest type of pathology from the point of view of therapy. This is due to the fact that the entire treatment process is based on psychosomatics, which can be adjusted without the use of drugs. So, does this mean that a man does not want sex?

psychogenic impotence

Symptoms of ailment

The patient no longer gives emotional relaxation to the patient, on the contrary, for him this is the main cause of internal stress. The problem can be difficult to recognize. If the desire disappears, and the frequency of ejaculation is violated, do not give in to panic and suspect terrible ailments in the body. Most often, impotence of a psychogenic type is characterized by a disturbed orgasm, lack of saturation of emotions, fast sexual intercourse without emotional satisfaction, increased nervousness, aggression, and internal fears.

Development reasons

From the point of view of sexologists, psychosomatics is the basis of the development of impotence of this type. This is a sequence of specific reactions of the central and peripheral parts of the NS to certain stimuli.

Occurrence of a problem

Most often, a man at the first stage does not experience problems with an erection, but any failure in the sexual sphere can start the development of pathology. This may include a woman’s too passive behavior during sexual intercourse, which prompts the man to think about his own insolvency and the small size of the penis, about the lack of sympathy for him from his partner. In addition, the same psychosomatics can become the cause of failure. For example, a man may be afraid to be discovered during sex. Such a thought greatly distracts the representative of the strong half of humanity, as a result of this, his erection ceases.

drugs for psychogenic impotence

Understanding Failures

At the second stage, the man begins to comprehend the failures that occur, to think about their causes in the intervals between sexual contacts. It is worth noting that about 3/4 of all men tend to blame not the environment, not the partner for their failures in bed, but they are looking for a problem directly in themselves, namely in their potency. As soon as this thought arises in a man, a psychosomatic process is launched and develops, the name of which is self-hypnosis. A person begins to convince himself that he has problems with potency.

Fixing a traumatic factor

At the third stage, a traumatic factor is fixed in a man. He begins to engage in introspection, to look closely at his own feelings, to an erection with every sexual intercourse. As a result, the attention of the representative of the stronger sex from the process switches to negative thoughts, which can cause another failure. It's a vicious circle. At this stage, he finally comes to the conclusion that he has problems with potency. He has an increased fear of sex, which causes closer attention to the condition of the penis and, as a result, provokes subsequent failures.

It is worth noting that during all three stages of the development of such impotence, a man does not even realize that the cause of the problem lies in psychosomatics, that is, in his own fears and thoughts, and not in violations of the genitourinary system. Already at this stage, a person needs a consultation with a sexologist.

how to treat psychogenic impotence

In-depth analysis of the causes

Psychogenic type dysfunction involves a subtle analysis of the provoking factors in the development of pathology, and they are often very diverse. For example, the process can be started by sex in extreme conditions, phobias, resentment against a particular woman, the habit of a particular partner and many other factors. All these sexual psychological injuries can become the impetus for the occurrence of an ailment, and effective treatment of the disorder is possible only if the true causes of development are identified.

Diagnostic measures

Therapy of psychogenic impotence involves mandatory diagnosis. It is important to find that a man does not have significant pathogenetic and physiological problems that somehow affect potency:

  1. The thyroid, pancreas are functioning normally.
  2. Pathological changes in the adrenal glands, prostate gland, testicles are absent.
  3. The heart and blood vessels function correctly.
  4. The anamnesis does not contain information about genital injuries.
  5. Chronic diseases are not diagnosed.
  6. The level of physical activity is good.
  7. Weight is close to normal.
  8. Hormonal background corresponds to age.

That is, there are no visible causes that can provoke erectile dysfunction, in addition to psychosomatics.

It is also important to remember how alcohol affects potency, so it is important to exclude the presence of a man of this type of dependence.

fear of sex

Specialist consultation

Why do I need a sexologist consultation? Identify psychological problems will allow a survey or an oral survey. As a rule, a specialist finds out that an erection in a man disappears in certain conditions:

  • During sexual intercourse in a certain place (this item refers to the environment, the room, the pose in which problems arise).
  • Contact with several women, while sex with a certain partner does not arise.
  • Sexual intercourse with a specific lady.

Equally important is the age limit of the development of psychogenic impotence. If the violation occurred in adolescence or childhood, you can judge the delay in the psychosexual sphere of the patient. In the event that the pathology develops after a time after successful sexual intercourse, then we can state the presence of ordinary psychogenic impotence. Therapy of these two types of erectile dysfunction differs in only a few aspects.

Therapy

If erectile dysfunction occurs, in the absence of a desire for sexual relations, periodic failures in bed, the occurrence of genophobia in men (fear of sex), you should contact a specialist to find out the cause of the violation. In the case when physiological factors are excluded, it is necessary to consult with a sexologist or psychologist who will help determine which particular trauma has become a determining factor in the development of pathology.

how alcohol affects potency

The tactics of treating the fear of sex will be determined by a specialist based on the exact stage in which a man has a failure:

  1. If the problem arose at the initial stages of acquiring sexual experience, then the doctor will emphasize on adjusting the perception of intimacy in a man, drawing his attention to the particularities of choosing a partner.
  2. If the problem arose for a man who already has experience in sexual relations, then the specialist will try to adjust his communication skills (especially if the representative of the stronger sex has been married for a long time). In this case, psychotherapy is based on attempts to resolve the conflict, clarifying the nature of the differences.

Drug treatment

The appointment of medications to eliminate erectile dysfunction occurs exclusively after psychocorrection. The use of medicines in parallel is unacceptable, since the patient must first be aware of the problem present. Only then can drug stimulation of an erection be started.

The main drugs for psychogenic impotence are: Tentex Forte, Gerimax, Speman. In addition, it is recommended that a man take general tonic and psychostimulating drugs in the morning, not necessarily multicomponent or synthetic. This can be honey, propolis, antler antler products, mummies, stone oil, ginseng. A good addition to these funds is to improve the metabolism of multivitamin preparations.

don't want sex

If there is no effect

If the desired effect cannot be achieved within a few months, when you still do not want sex, the specialist can recommend a two-week use of tranquilizers. In this case, the dosage is determined individually, and the use of the drug should be carried out a couple of hours before the alleged sexual contact. In addition, to overcome the psychological barrier allow stimulants of erection, which are based on phosphodiesterase-5.

If there is no result after applying these methods, the doctor may resort to a deep correction, which is performed by hypnotic exposure. Despite the fact that most men do not believe in this method, it is recognized as official medicine. In addition, a hypnosis session held by a certified psychotherapist will allow you to get a greater result than using folk remedies.

We examined how to treat psychogenic impotence.

Source: https://habr.com/ru/post/B9009/


All Articles