Post Date April, 15 2023
Psychogenic ED patients are not uncommon: Erectile Dysfunction (ED) refers to the inability of men to continuously obtain and maintain enough penis erection to complete satisfactory sexual life. It has been reported in the literature that the incidence rate of people over 40 years old is about 52%, and the incidence rate and severity of ED are increasing with age. There are various reasons for ED, and many factors may cause damage to erectile function. Among them, the more common ones include cardiovascular diseases, various central and peripheral nerve injuries, penis deformity caused by congenital development and acquired trauma, hormone level disorder and mental and psychological abnormalities. According to this, ED can be roughly divided into three types: organic, psychological and mixed, of which mixed is more common.
In recent years, due to the continuous promotion of sexual health education, the population's understanding of sexual physical health has been deepened, which has also caused some men to label themselves with ED according to their performance in sexual life due to their limited understanding of the disease itself, and thus increased the psychological burden, but further induced or aggravated ED symptoms.
Psychological ED patients can be known by a check
Psychological factors are the main cause of psychological ED, so such patients often have a history of psychological trauma, such as anxiety, depression, fear and high mental pressure.
Night erectile function test (NPTR) is an effective method to distinguish psychological ED from organic ED. The patient fell asleep after wearing the NPTR measuring instrument, and the instrument automatically recorded the spontaneous penile erection during sleep. According to the guidelines of the European Society of Urology, if the time of erectile rigidity of a single penis head exceeds 60% in two consecutive nights of testing reaches or exceeds 10 minutes, the erectile function is considered normal, and the diagnosis of psychological ED can be considered. In addition, there are drug tests, color ultrasound examination, etc.
The diagnosis of psychological ED must also exclude a series of diseases that can induce organic ED, including diabetes, hypertension, cerebrovascular diseases and central and peripheral nervous system diseases. At the same time, it is also necessary to rule out the history of taking drugs that may cause sexual dysfunction.
Use "heart" medicine to solve heart disease
ED itself is a chronic disease that affects both physiology and psychology. Therefore, in terms of treatment, it is necessary to comprehensively consider education level, social background and other factors, and targeted treatment of individualized comprehensive treatment plan.
Psychological counseling is an important means to treat psychological ED. Because patients with psychological ED have psychological problems such as decreased self-confidence and self-esteem due to disharmony in sexual life, reasonable psychological counseling and counseling will help to recover their sexual function.
Psychological counseling mainly includes several parts: 1. Understand the causes of psychological ED. 2. Eliminate or improve anxiety, depression and other adverse mental states. 3. Through sex life guidance, guide the couple to fully communicate, build confidence and encourage both parties to try more. In addition to psychological counseling, drug treatment can enhance patients' erectile confidence. For example, taking drugs 0.5 to 1 hour before sexual intercourse can not only help erection, but also help eliminate the psychological burden of men.
