Therapy for Erectile Dysfunction -
Though you might think of erectile dysfunction as an older man's problem, statistics Stress; Anxiety; Relationship problems; Depression; Performance anxiety. stress, performance anxiety, relationship problems, depression, and more. Only if the problem becomes persistent -- occurs more than half the time -- or For men whose erectile dysfunction is caused by psychological. PDF | Erectile dysfunction (ED) affects approximately 30 million American men and is an issue that should not be ignored. Understanding the psychosocial as.
Loss of arousal and interest in sex Relationship issues Low self-esteem and body image Unrealistic sexual expectations Previous traumatic sexual experiences If left unaddressed, psychologically-borne ED can lead to a vicious cycle, whereby fear of embarrassment and failure eclipse pleasure, sexual intimacy is increasingly avoided, and relationships breakdown.
It is important to understand the nature of your ED in order to get the right treatment. If the cause of your ED is psychological, using medication targeting physically-induced ED alone may not always be very effective.
Viagrafor example, will only work if you are sexually aroused. Many men might also prefer a non-invasive means of approaching their ED, as an alternative to penile injections.
The good news is that there are a multitude of different therapies available for addressing ED. These can also be very beneficial for patients with predominantly physical ED, when used in conjunction with erectile dysfunction medication. Cognitive behavioural therapy CBT Overview CBT is perhaps one of the most useful forms of therapy for addressing ED, especially related to performance anxiety, low self-esteem, and loss of sexual arousal.
CBT is a proactive and actionable therapy targeted at helping you change the way you think and behave. It privileges the idea that thoughts, feelings, and physical sensations are all interlinked. Following this method, you work to understand how specific triggers can evoke thoughts, feelings, sensations and behaviours.
As a result, you can adopt a more positive and realistic approach to sex more generally, and take the focus off getting an erection. Sexual education, developing communication methods, and undoing negative thought patterns are essential to this therapy. Discussion is structured rather than free-form — as in the case with many other forms of therapy — so you can tackle specific goals and have a clear sense of direction and progress. An individual treatment plan will then be worked out collaboratively, and between appointment sessions you will be encouraged to practice strategies and techniques to overcome certain issues.
The focus is very much on current problems and feelings, as opposed to a more traditional therapy approaches of delving into your past. Ask your GP for a referral to ensure you get the right therapist for you. Outcomes CBT is a shorter form of talking therapy than psychosexual therapy and can be completed relatively quickly if you commit yourself to it.
The strategies for managing negative thought cycles are extremely practical and can affect real change in terms of breaking down overwhelming feelings of failure, hopelessness, depression and anxiety. Armed with new structure and strategies, you can reach a point where you can deal with your issues without a therapist. It offers a great opportunity for you and your partner to communicate and express very difficult feelings in a managed environment.
Erectile dysfunction ED is a major psychosocial problem resulting in profound distress in men. The objectives of this study were to determine the prevalence as well as psychosocial factors associated with erectile dysfunction in the Niger Delta Region of Nigeria. A cross-sectional study involving respondents attending the general outpatient clinic of University Of Uyo Teaching Hospital UUTH between January and March were randomly assessed for ED as well as psychosocial factors associated with it, using abridged version of international index of erectile function IIEF-5 and the twelve-item version of general health questionnaire GHQ The prevalence of erectile dysfunction in this study was Respondents who reside in the rural areas had higher prevalence of ED Findings from this study show that ED affects men both physically and psychosocially.
Health care providers must realize and be sensitive to the fact that sexuality is an essential part of our lives.
Keywords Psychosocial factors; Erectile dysfunction; Niger delta region Introduction Erectile dysfunction is presently one of the commonest sexual dysfunctions among men in the world [ 1 ]. The National Institutes of Health NIH defines erectile dysfunction ED as the consistent inability to maintain a penile erection sufficient for satisfactory sexual intercourse [ 2 ].
The global prevalence of ED has been on the increase and it is currently projected that by the yearabout million men will experience erectile dysfunction [ 3 ].
Psychosocial and relationship issues in men with erectile dysfunction.
The ability to perform sexually is important to a man. Erectile dysfunction EDresulting in the loss of sexual function can lead to feelings of dissatisfaction with life and may result in stress [ 4 ].
Erectile dysfunction does not only affect the man but his partner as well including how the man interacts with friends and co-workers [ 5 ]. Men with ED tend to emotionally and physically withdraw from their partners.
Not being able to physically achieve or maintain an erection may cause a man to lose his confidence, his enjoyment in life and morale.
Seeking professional health care for ED is a Herculean task for many men for a number of reasons ranging from lack of support, fear or denial of the issue and barriers that they place in front of themselves [ 7 ]. There is a documented association between ED and depression and treatment of ED has been reported to improve depression scale scores in men [ 8 ].
Psychosocial and relationship issues in men with erectile dysfunction.
Erectile dysfunction ED is not necessarily dependent on age but as a man gets older his risk of developing ED increases [ 9 ]. Studies have shown that ED can be caused by such chronic medical conditions as hypertension, diabetes mellitus as well as adverse effects of therapies used for these conditions [ 9 - 11 ].
In the Niger Delta region of Nigeria however, because of poorly developed health infrastructure and high level of poverty, it means that men with this problem may not have access to adequate care. It is therefore necessary to take note of the various psychosocial issues associated with ED in the region.
This study will therefore add to the pool of knowledge currently available from the developing world on erectile dysfunction. UUTH is the only tertiary and referral health institution in the state and its environs and serve a population of about 3. Data collection This was a cross-sectional study conducted on subjects aged between 20 and 70 years. A total of male patients attending the general outpatient clinic for medical problems between January and March where randomly assessed for erectile dysfunction, the presence of co-morbid psychopathology as well as beliefs and attitudes about erectile dysfunction.
Using the above formula, the calculated sample size wasbut a total of respondents were recruited at the end of the 3-month study period. They were recruited using a systematic random sampling method with a sampling interval of seven. Erectile function status of each respondent was assessed using the abridged five-item version of the international index of erectile function IIEF-5 [ 14 ]. IIEF-5 is an efficient and accurate screening tool to identify the presence and severity of erectile dysfunction in clinical practice.
Based on the scores on IIEF-5, the classifications of erectile dysfunction were as follows: The presence of co-morbid psychopathology among respondents was assessed using the item general health questionnaire GHQ [ 15 ].
The GHQ is a self-administered screening questionnaire designed for use in clinical settings for the purpose of detecting individuals with a diagnosable psychiatric disorder.
The GHQ is the most extensively used screening instrument for common mental disorders in addition to being a more general measure of psychiatric well-being. The GHQ- 12 is a measure of current mental health and focuses on two major areas — the inability to carry out normal functions and the appearance of new and distressing experiences. The most common methods of scoring the GHQ are bi-modal and the Likert scoring style [ 16 ]. For the purpose of this study, the bi-modal scoring method was used.
Since the GHQ is a brief, simple, easy to complete questionnaire, its application in research setting is well documented in many countries including Nigeria [ 1718 ]. Data analysis The result of the study was analyzed using the statistical package for social sciences SPSS Comparisons of categorical data were done using the chi-square test. The P-Value of equal to or less than 0. Results A total of four hundred respondents were recruited into the study, 71 One hundred and fifteen A total of A total of 65 Of the 65 Of the 32 8.Erectile Dysfunction In Young Men
Of the 45 Of this number