hardening problem, “erectile dysfunction” , “erectile dysfunction”, “ erectile dysfunction”, “ erectile dysfunction” , “inability to get an erection”, “impatance” , “erectile insufficiency” erection in men your problem are synonymous terms used to express These terms refer to male arousal disorder, which is one of the male sexual dysfunction problems.
WHAT IS SETTING PROBLEM (ERECTILE Dysfunction)?
erectile dysfunction It is a condition where there is difficulty in achieving or maintaining the hardening or there is a significant decrease in the level of hardening. This difficulty has persisted for at least 6 months.
erectile dysfunction can appear in various forms. If the male has never been able to provide the necessary set for entry, life-size type; If a man achieves successful sexual effectiveness at some point in his life, but erectile dysfunction occurs later, it is called the acquired type.
erectile dysfunction It is the most common among male sexual function problems. 50% of men who apply for sexual problems have erectile dysfunction complaints. Those who have lifelong erectile dysfunction are rare. The incidence rate increases with age. This increase is thought to be related to the simultaneous interaction of medical diseases and men’s living conditions rather than the age factor.
erectile insufficiency It may be due to organic or psychological reasons, or it may be caused by both organic and psychological causes. In young and middle-aged men who do not have any other disease, the cause is generally considered to be psychological. The most important cause of erectile dysfunction caused by psychological reasons performance anxiety.
The main feature of erectile dysfunction is the lack of adequate erection for satisfactory sexual activity. or inability to maintain rigidity. The man is almost always qualified to carry out sexual intercourse. has difficulty in achieving and maintaining hardening.
hardening problem experience can be viewed in different ways. While some men do not have an erection problem during maturation, they have problems in the relationship with their partner. While some have problems with their spouses, they do not have problems with another partner. Some get an erection from the beginning, but may lose their stiffness completely or halfway during or immediately after the introduction. Others cannot provide hardness from the start.
WHAT ARE THE PSYCHOLOGICAL CAUSES OF THE HARDENING PROBLEM?
Many psychosocial factors can cause erectile dysfunction in men. Work stress, anger towards spouse, extreme fatigue, psychological or sexual traumas in the past, serious relationship conflicts (power struggle in marriage), alcohol or substance use, coincidental failures, presence of other mental disorders such as depression, anxiety disorders, other sexual problems in the person and the spouse Many factors can cause erectile dysfunction in men.
In some cases, the erection problem persists for a long time. premature ejaculation ( pramatur ejaculation), delayed ejaculation, or sexual dysfunction problem It may be due to distress, feelings of failure, and sexual pressure. The sexual communication style of the couple, their expectations from sexuality, marital problems, inability to establish sexual harmony, non-sexual relationship quality, developmental issues in childhood may cause or predispose to psychological erection problem.
Being raised with a negative, rigid and oppressive attitude towards sexuality in early childhood returnees, a history of childhood abuse or sexual trauma, fear of intimacy, paraphilias, and sexual orientation problems are among the possible psychological causes of erectile dysfunction.
Underneath the erection problem, anxiety, anger, resentment, Many feelings such as distrust of the sexual partner, lack of self-esteem can confirm the role. These strong feelings may prevent the man from focusing on pleasure, leading to constant distraction. Although many psychosocial factors cause psychological erection problem, performance anxiety (pressure to achieve) is the most important cause of psychological erectile dysfunction.
WHAT IS SEXUAL PERFORMANCE ANXIETY (FEAR OF FAITH)?
The most important cause of erectile dysfunction caused by psychological reasons Performance is a concern . Men feel great sadness when they encounter erectile dysfunction. Generally, many tend to have very strong emotional responses of embarrassment, failure, inadequacy, anger, and anxiety. These emotional responses serve to trigger performance anxiety.
Sometimes even an accidental failure can become stubborn and repetitive, preoccupying a man with the anxiety of success. Unsuccessful sexual encounters can cause a man to lose confidence in his sexual performance and to expect failure. Anxiety is the poison of sex. An anxious expectant person cannot focus on their sensations. He can’t get ready. Over time, this turns into a vicious circle.
Because men tend to put too much emphasis on their sexual performance, even a single accidental failure can trigger anxiety about the future. Often this anxiety serves to foster another sense of failure. In this case, the person constantly thinks about his own sexual performance. This prevents him from focusing on his sexual experience and thus getting pleasure. Such a performanceWhile a man who has a problem gets hard during foreplay, he may not be able to maintain his stiffness during the vaginal penetration phase.
HOW IS PSYCHOLOGICAL Erectile Dysfunction Treated?
erectile dysfunction It is one of the most important male sexual problems affecting the lives of many men and couples. The most important reason all male sexual function problems It is the one that most affects the psychology of the man and the relationship of the couple. Men tend to attribute the cause of the erection problem to organic causes and not to accept the psychological-induced erection problem. However, as mentioned above for psychological reasons, many psychosocial factors can cause erection problems. Erectile dysfunction caused by psychological reasons responds perfectly to sexual therapy.
Sex therapy, which will be applied by a sex therapist experienced in the psychological treatment of erectile dysfunction, is very valuable and therapeutic for the couple. First of all, is the erection problem due to psychological reasons? Is it due to a medical illness, drug or substance use, or is it related to a serious relationship conflict between the couple. Making these distinctions will also determine the necessary solutions. A detailed psychosexual development history (sexual story)It is very important to make this distinction.
For example, if a young and middle-aged man achieves an erection in situations that do not require intercourse with a partner, but has difficulty in erection when he starts sexual activity with a partner, or if he cannot maintain an erection, it is very likely that there is an erection problem caused by psychological reasons. On the other hand, if the person has had a vascular or diabetes disease for many years, if the erection problem started slowly and has been going on for 5-10 years, it most likely suggests that this person has an erection problem due to medical reasons. In such a case, he should receive evaluation and treatment from the relevant medical doctors.
Psychological erectile dysfunctionIt is very important to determine and define the psycho-social factors that predispose or cause the person to this problem and to work in sexual therapy sessions. Psychological erectile insufficiencyin the treatment cognitive behavioral therapybased on methods sex therapy techniques is applied. It is preferred that the couple be taken to sexual therapy together. According to the underlying cause sexual couple therapy, individual sexual therapy, couple therapyIn some cases, individual therapy is used.
If the couple has severe relationship conflicts, couple therapy will be appropriate, and if the person’s sexual problem is caused by depression, personality disorder or sexual trauma, individual sexual therapy will be appropriate. If the sexual problem is caused by disrupted couple interaction or false sexual expectations and pressure, then sexual couple therapy will need to be applied.
Psychological symptoms of erectile dysfunction In the treatment of sexual therapy, the couple’s healthy sexual intercourse that removes pressure, expectation of failure, and performance pressure to interact Creating an emotional environment is the most important first step. Then, performance anxiety is reduced with some sexual therapy techniques. Because anxiety is the poison of sex.
Psychological treatment of erectile dysfunction The main goal of sexual therapy is to successfully restore sexual function. For this, a safe therapeutic environment is first created in sexual therapy. A positive emotional atmosphere is created by encouraging the couple’s support for each other. Sex therapy exercises are given as homework to go step by step for the couple to provide successful sexual experiences in order to eliminate the performance aspect (fear of failure). The couple is relieved of the overwhelming burden of success anxiety after providing successful sexual experiences.