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Doctor insights on: Physical Impotence Versus Psychological Impotence

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Is erectile dysfunction physical or psychological?

Is erectile dysfunction physical or psychological?

Both: Erectile dysfunction can be caused by both physical and/or psychological conditions. It is important to undergo routine testing to evaluate for a physical condition that can be treated, if identified. A good history should also be taken to identify psychological stressors that can cause erection problems. Usually, the treatment of either of these factors will improve the condition. ...Read more

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Dr. Alvin Lin
1,032 doctors shared insights

Erectile Dysfunction (Definition)

Any time a male cannot get or keep an erection long ...Read more


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What's the difference between erectile dysfunction vs performance anxiety vs impotence?

What's the difference between erectile dysfunction vs performance anxiety vs impotence?

ED = impotence: Erectile dysfunction (ed) is the new name for impotence, they mean exactly the same thing. Performance anxiety is one cause of ed, but there are many other possible causes, including medical diseases and medication side-effects. Also, performance anxiety isn't limited to sex. If you get nervous giving a speech, that's performance anxiety too. ...Read more

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Dr. Alvin Lin Dr. Lin
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Is erectile problem physical or physiological?

Dr. Alvin Lin Dr. Lin
2 doctors agreed:
Is erectile problem physical or physiological?

Both!: I think you're asking about physical vs psychological. Erectile dysfunction can be psychological (due to stress). This is common in younger men & any first time w/new partner. Also if you're not in a happy & fulfilling relationship, it can be difficult to get excited. ED can also be physical in older men especially those who smoke, drink to excess, are overweight, have medical issues or drug effec ...Read more

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Is there any medical test to tell whether its psychological erectile dysfunction or physical impotenc?

ED: There is an old fashion test called the stamp test....Old school....Put a series of stamps around the penis before you go to bed, in am if strip of stamps is broken you have psychogenic issue....Is not you have organic ed...It is all about having erections when you sleep, if you do the system works....If you don't then trouble..Lmorning erections also tell you possible mental issue. ...Read more

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Can orchitis cause erectile dysfunction and loss of sex drive?

Can orchitis cause erectile dysfunction and loss of sex drive?

Need evaluation ...: Anyone with low desire + soft "small" testes with or without orchitis should have his serum testosterone checked. If low-T was found, do luteinizing hormone (LH), follicle-stimulating hormone (FSH), & prolactin, as well as semen analysis if infertility is concerned. In practice, remember exogenous testosterone will suppress sperm production. So, see Doc timely. ...Read more

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Would female Viagra (sildenafil) help with sexual dysfunction caused by antidepressants ?

Would female Viagra (sildenafil) help with sexual dysfunction caused by antidepressants ?

Yes and no: I assume you are asking about the use of Viagra (sildenafil) for women with sexual dysfunctions caused by antidepressants. It might work, but the typical problems from antidepressants are normally not about the blood flow to the clitoris. They are lack of desire and inability to climax. For this, other medications might work better. Sorry I am limited in numbers of words for the answer. Talk to your doctor or ...Read more

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Suggest medications for sexual arousal and erectile dysfunction?

There are many: Be wary of over the counter herbal medications For the most part they can be harmful or a waste of time. At your age taking into account you have no other medical problems ,can be helped talking to a psychologist skilled in helping men with this problem. When having sex your need to feel secure, relaxed, have a pleasing & willing partner and don't be in a hurry. Keep your mind away from worry. ...Read more

Dr. James Lin Dr. Lin
1 doctor agreed:
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What causes erectile dysfunction physically ?

Dr. James Lin Dr. Lin
1 doctor agreed:
What causes erectile dysfunction physically  ?

Here are ...: Each life event is always a process of lifelong making from its many known/unknown factors, which interact together, and represents the ending result of interaction between genetic factors ; lifestyle; so is ed. Here are: aging, impaired circulation ; nerve connection, low male hormone, many diseases, drugs, surgery/injury, etc. Despite enlisting causes as physical or mental, both are inseparable. ...Read more

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Which psychological causes are there of erectile dysfunction?

Which psychological causes are there of erectile dysfunction?

Many: Stress, : can be job-related anxiety: once a man experience this , he may become worried that he may experience it again .( performance anxiety) guilt and depression. ...Read more

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Dr. James Lin Dr. Lin
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Does penile nerve damage include erection problems as iam finding it diffic. in achieving or maintaing an erection and sexual satisf. Reduced seriousl?

Dr. James Lin Dr. Lin
1 doctor agreed:
Does penile nerve damage include erection problems as iam finding it diffic. in achieving or maintaing an erection and sexual satisf. Reduced seriousl?

Here are some ...: You might have asked such question but just worded differently. A 19-yr man very unlikely has ED as described except he indeed has suffered from certain peripheral or central nerve diseases, injury affecting nerve / circulation for erection, drug-induced dysfunction, etc. So, try: Avoid sex / masturbation for 1-2 wks; engage in both later but with ...Read more

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How is male sexual dysfunction ED diagnosed?

Here are some...: Despite medical advance, all medical care today is still passive care and based on indirect evidence. So, patients bring up their concerns first and medical professionals look into patients' concern to deduce possible diagnosis. Note: Every illness is a process of lifelong making and displays itself as a pattern of full spectrum. More? To formefirst.com/eBlogList.html. ...Read more

Dr. Samuel Lee Dr. Lee
3 doctors agreed:
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What other conditions could cause erection problems, low libido, loss of penis sensation even with avg. Testosterone count - 450 ng/dl?29 yrs male

Dr. Samuel Lee Dr. Lee
3 doctors agreed:
What other conditions could cause erection problems, low libido, loss of penis sensation even with avg. Testosterone count - 450 ng/dl?29 yrs male

Organic impotence : Erectile dysfunction can be categorized into two types: organic and psychogenic. 90% of erectile dysfunction fall into to the organic category and are treated with medications and/or surgeries. One of the most common causes of organic impotence his diabetes, use of variety of medications and neurological diseases. Hypotestosteronism can be treated w androgen supplements . ...Read more

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Which physical causes are there of erectile dysfunction?

Which physical causes are there of erectile dysfunction?

Many: There are several physical causes for erectile dysfunction. These include diabetes, hypertension, and high cholesterol levels. Of course, if one has had any type of surgery in the pelvis or spine, this too can disrupt the nerves required for erection and lead to erectile dysfunction. Pelvic surgery can be for colon cancer, rectal cancer, with or without radiation to the pelvis. ...Read more

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Are there any viable treatments for post-ssri sexual dysfunction pssd (including genital anesthesia + ejaculatory anhedonia) persisting several years?

Are there any viable treatments for post-ssri sexual dysfunction pssd (including genital anesthesia + ejaculatory anhedonia) persisting several years?

Beyond my scope: Sorry i can't answer your question since it's beyond my scope of practice. I have referred your question to specialists who should be able to help you. Good luck. ...Read more

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Dose allopurinol cause impotence or erectile dysfunction?

Possibly: Never seen this. But, when it comes to side effects or adverse effects with a medication, never say it can't. ...Read more

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Could low e2 in men cause anxiety , complete loss of sex drive , and other physical mental problems ?

Could low e2 in men cause anxiety , complete loss of sex drive , and other physical mental problems ?

E2 Estradiol in men: has impact based on the level of testosterone. Normal male E1 (Estrone) and E2 levels may be associated with feminization/gynecomastia if Testosterone (T)levels are low. T maintains men's bone density, fat distribution, muscle strength/mass, facial/body hair, red blood cell production, sex drive/sperm production. Low T may impair sex drive/function, sleep, emotions, bodily functions. Best regards. ...Read more

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Is erectile dysfunction physical or psychological?

Both: Erectile dysfunction can be caused by both physical and/or psychological conditions. It is important to undergo routine testing to evaluate for a physical condition that can be treated, if identified. A good history should also be taken to identify psychological stressors that can cause erection problems. Usually, the treatment of either of these factors will improve the condition. ...Read more

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Dr. Alvin Lin Dr. Lin
2 doctors agreed:
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How do I know if my erectile dysfunction is physical or psychological?

Dr. Alvin Lin Dr. Lin
2 doctors agreed:

Ask yourself!: Are you anxious about your performance? I mean more so than average guy? Are you in a unhealthy relationship in which you're looking for a way out? Are you worried about work, money, family, friends, etc? Are you depressed? The above & more point towards a non-physical cause of ed. Smoking, drinking to excess, other illicit drugs, obesity, diabetes, high BP & cholesterol etc point to physical. ...Read more

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Is there any medical test to tell whether its psychological erectile dysfunction or physical impotenc?

ED: There is an old fashion test called the stamp test....Old school....Put a series of stamps around the penis before you go to bed, in am if strip of stamps is broken you have psychogenic issue....Is not you have organic ed...It is all about having erections when you sleep, if you do the system works....If you don't then trouble..Lmorning erections also tell you possible mental issue. ...Read more

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If impotence is from psychological factors can it be improved with the passing of time ?

If impotence is from psychological factors can it be improved with the passing of time ?

Only if in that time: You are dealing with the psychological issues. Why not see a therapist to help you through this quicker? ...Read more

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Which psychological causes are there of erectile dysfunction?

Many: Stress, : can be job-related anxiety: once a man experience this , he may become worried that he may experience it again .( performance anxiety) guilt and depression. ...Read more

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What medical exams have to be done when erectile dysfunction isn't psychological? (problem started after an accident during intercourse)

What medical exams have to be done when erectile dysfunction isn't psychological? (problem started after an accident during intercourse)

Angiograph?: make an appointment with a urologist and I believe you might be able to see if there is traumatic injury to the corpus callosum. ...Read more

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Used penis extender and drugs on top of the penis.erectile dysfunction ever since 2 years ago expert said is psychological. Analysis i should do?

Not on the internet: I am sorry to continue to report but without an examination and some testing there is no answer going to come from strangers on the internet. We do not know who this 'expert' was; what they really said or recored from the visit and what testing you have had done. Your answer will only come from an in person expert. If you do not agree with the previous expert you need a second opinion. ...Read more

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Does Psychological trauma due to distressing sexual experience causes erectile dysfunction? i have ED from 10 months after failed in sexual experience

Does Psychological trauma due to distressing
sexual experience causes erectile dysfunction? i have ED from 10 months after failed in sexual experience

It can: Yes, it can contribute but you should first see your doctor to rule out medical causes of ED, then address it's psychological consequences. Many medical conditions can be otherwise asymptomatic and yet cause ED as can many medications. You can most certainly be treated and regain normal sexual functioning along with return of your confidence. ...Read more

Dr. James Lin Dr. Lin
2 doctors agreed:
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What are causes of erectile dysfunction and premature ejaculation apart from psychological m pre diabetic?

Dr. James Lin Dr. Lin
2 doctors agreed:
What are causes of erectile dysfunction and premature ejaculation apart from psychological m pre diabetic?

Here are some…: The 400-letter space doesn't suffice to describe what you need to know. To get a glimpse on their related subjects, go to http://en.wikipedia.org/wiki/Erectile_dysfunction and http://en.wikipedia.org/wiki/Premature_ejaculation. Furthermore, to promote realistic understanding of life, please go to http://formefirst.com/eBlogList.html. Together, you will comprehend better on how to handle these. ...Read more

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Urologist says I have self limiting peyronies plague.but he didnt link it to my erectile dysfunction.he says it is psychological.can this be possible?

ED: Possible. Have you talked to your doctor about the possibility of a hormonal problem? Other issues are possible vascular problems. ...Read more

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What is the treatment of erectile dysfunction secondary to psychological trauma due to a distressing sexual experience ?

Sounds a little like: PTSD, but such a dx needs to be made by a sex therapist, or psychologist with experience with sexual trauma. ED, if all physical causes have been eliminated, is largely about anxiety, in your case probably about potentially emotionally revisiting the trauma, triggered by sexual stimuli. The tx is relaxation, sensate focus, and desensitization--standard tx's for anxiety, applied to sexuality. ...Read more

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Dr. Ramsay Kuo Dr. Kuo
2 doctors agreed:
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Urologist says my erectile dysfunction is psychological despite having mild peyronies.how is possible when my erection can fade with visual arousal?

Dr. Ramsay Kuo Dr. Kuo
2 doctors agreed:
Urologist says my erectile dysfunction is psychological despite having mild peyronies.how is possible when my erection can fade with visual arousal?

Get evaluation: Peyronie's disease causes penile curvature that in severe cases may cause pain or preclude intercourse. Sounds like you have a mild case shouldn't cause ED. To eliminate organic (medical) causes for erectile problems, your urologist does a history, exam, lab tests and assess erection after using appropriate medications. If above normal then psychological cause may be present and needs follow-up ...Read more

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Does erectile dysfunction and loss of libido can happen from a psychological trauma from failure of a sexual experience? and what is the cure for it?

Here are some ...: Possible, but I would still advise to have a comprehensive evaluation on general health, lifestyle, sex profile, drug use, etc. by stressing the quality, quantity, and sequence of events on all symptoms plus tests such T-level if testes are soft and "small" or being obese. So doing will define what may cause your current sexual concerns and reasonably propose Rx. That can be done within reach. ...Read more

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Is erectile dysfunction more psyshological than organic?

Is erectile dysfunction more psyshological than organic?

Can be : But can also be organic. Issues with blood flow or medications you are taking can impede erections But stress and psychological factors play a. If part. You can see an Md who can help you identify the issue ...Read more

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Is it possible to have complete erectile dysfunction from psycological issues for 3 days when your 16 I woke up and had a semi erection this morning?

Is it possible to have complete erectile dysfunction from psycological issues for 3 days when your 16 I woke up and had a semi erection this morning?

Possible: If you only have rigid am erections, but not during intercourse, this may be anxiety related. You should see urologist to have full workup and diagnosis. ...Read more

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Which specialist can treat impotency in men which is not psychological? Urologist? Or anyone else?

Impotence: Your family physician should be where you start so that the easy and common testing and evaluation can be done. Then it may be on to a urologist if indicated. I would just also add a caution to you that one should not pre-judge the causes of erectile problems. Most are about the brain and the mind and not about the body. Please have an open mind about this. ...Read more

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Dr. James Lin Dr. Lin
1 doctor agreed:
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What causes erectile dysfunction physically ?

Dr. James Lin Dr. Lin
1 doctor agreed:

Here are ...: Each life event is always a process of lifelong making from its many known/unknown factors, which interact together, and represents the ending result of interaction between genetic factors ; lifestyle; so is ed. Here are: aging, impaired circulation ; nerve connection, low male hormone, many diseases, drugs, surgery/injury, etc. Despite enlisting causes as physical or mental, both are inseparable. ...Read more

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Whay is the causes of erectile dysfunction physically ?

Whay is the causes of erectile dysfunction physically ?

Multiple reasons: Erectile dysfunction is a complex entity with multiple causes. Generally the etiology stems from a lack of normal blood flow to the vessels within the penis secondary to factors such as age, smoking, high cholesterol, diabetes, obesity and cardiac issues such as coronary disease. The male hormone testosterone also plays a crucial role in the function of the erectile process. ...Read more

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Which physical causes are there of erectile dysfunction?

Many: There are several physical causes for erectile dysfunction. These include diabetes, hypertension, and high cholesterol levels. Of course, if one has had any type of surgery in the pelvis or spine, this too can disrupt the nerves required for erection and lead to erectile dysfunction. Pelvic surgery can be for colon cancer, rectal cancer, with or without radiation to the pelvis. ...Read more

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Dr. Alvin Lin
316 doctors shared insights

Impotence (Definition)

Impotence = pattern of inability ...Read more