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A 26-year-old male asked:

what is the treatment of psychological erectile dysfuncion? how is it diagnosed?

2 doctor answers3 doctors weighed in
Dr. Djamchid Lotfi
Neurology 58 years experience
Number of ways: Erectile dysfunction has many causes the most common is possibly psychogenic one has to rule out physical causes, diabetes, some drugs and narcotics, a number of neurological conditions affecting the spinal cord endocrinological illnesses especially low testosterone etc. Psychotherapy and medications such as viagra (sildenafil) or localized injections may work.
Dr. Robert Donato
Urology 25 years experience
Cognitive Therapy: In years past, psychological causes for ED were considered the rule; we now know they make up a small minority. Men who are unable to achieve erection on demand but still maintain normal firm am or nocturnal erections likely harbor psych issues such as situational or performance anxiety. Reassurance and, occasionally, ED drugs help to restore confidence, after which the ED drugs may be stopped.

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Last updated Mar 9, 2017

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