Psychological factors are responsible for about 10%-20% of all cases of erectile dysfunction world wide. However those males who come to me for the treatment of different types of sexual disorders , psychologically induced ED ( impotence) takes the lead followed by impotence secondary to low testosterone level. It’s very uncommon that impotence is often a secondary reaction to an underlying physical cause. There may be various causes behind psychological impotence but in some cases, the psychological effects of ED may stem from childhood abuse or sexual trauma. Does a common Pakistani women have the capacity to go into that depth, no. I don’t think so. They firstly blame the men for it and then blame themselves for it. The reaction comprises of an entire spectrum in which varies from a smile to getting hysterical. Yes, getting hysterical and blaming guys for being ” na mard” . Happens and happens very often.
However, the most common psychological causes of ED include:
Stress : Stress can be job-related, money-related, or the result of marital problems, among other factors. Have u ever asked him how stressful his day was. No ma’am most of u don’t.
Anxiety : Once a man experiences ED, he may become overly worried that the problem will happen again. This can lead to “performance anxiety,” or a fear of sexual failure, and consistently lead to ED. Or should I say self fulfilling prophesy. ” I couldn’t do last time, can I do it now? What if I can’t do it now , will I be able to ever do it” ,And this cycle goes on.
Guilt: A man may feel guilty that he is not satisfying his partner. And the partner might not be very vocal so this cycle goes on and on and the guy keeps on thinking in his head.
No romance:Yes even today, some guys want romance, hugging , foreplay and a bit of excitement and what they complain is their wives lie there like a cold fish. No response, no reply . Just get it done and move on. Now in a situation like this, the guy looses interest.
Then there is this category in which your guy is basically a closeted gay. He got married because his family and society pressurized him. Now if he is just not attracted to you how will he get it up. If he can’t get it up because he is gay , for how long will he keep on taking pills to satisfy you? This category is tremendously on the rise these days.
Depression : A common cause of ED, depressionaffects a person physically and psychologically. Depression can cause ED even when a man is completely comfortable in sexual situations. Drugs used to treat depression may also cause ED, but not all meds so ask your doctor.
Low self-esteem: This can be due to prior episodes of ED (thus a feeling of inadequacy) or can be the result of other issues unrelated to sexual performance, but maybe something that he only wants to discuss with his psychiatrist.
Indifference: This may come as a result of age and a subsequent loss of interest in sex, be the result of medications or stemming from problems in a couple’s relationship or at times they complain that their wives have let go of herself and has become physically unattractive.
All men at one time or another will experience Impotence. Pressurizing him will not solve the problem. Only if the problem becomes persistent — occurs more than half the time — or becomes a source of distress for you or your partner should you be concerned and consider seeking medical advice and treatment. For men whose erectile dysfunction is caused by psychological problems, therapy may be needed along with medications. In our population people don’t want to undergo therapy as it takes time and partner’s help. They want a quick fix. And the quick fix pill can vary from made in Peshawar to made in USA. It’s up to u what u can afford. If u would ask me. Get to the core of the problem and get things sorted out. Best wishes, Dr Faisal Mamsa.#sex#impotence#erectiledysfunction#sexiligist.