Twenty to forty percent of men experience erectile dysfunction at some point in their lives, with 50% of men over age 60 affected. Psychogenic ED accounts for 85.2% in men under 40 years and 40.7% in older men.
Sexual Performance Anxiety affects 9-25% of men. Among men with ED/PE, 23.4% had comorbid anxiety disorders and 12.5% had depressive disorders. ED is associated with 3-fold increase in risk of subsequent depression diagnosis. Men with ED show lower relationship satisfaction with more conflict in partnerships.
Sexual problems are often psychological, not just physical. Stress, anxiety, depression, relationship issues, and trauma all affect sexual function. Performance anxiety creates a vicious cycle—worry about performing makes the problem worse.
We address both medical and psychological factors, working collaboratively with physicians when needed.
Difficulty getting or maintaining erections. Can be caused by stress, anxiety, depression, medication side effects, or medical conditions. Performance anxiety often makes it worse.
Ejaculating sooner than desired. Often driven by anxiety, hypersensitivity, or learned patterns. Behavioral techniques and anxiety management help.
Reduced interest in sex. Depression, stress, low testosterone, relationship issues, and medication can all contribute. Requires understanding underlying causes.
Worry about sexual performance creates a feedback loop of anxiety and dysfunction. Breaking this cycle requires addressing both the thoughts and the behaviors.
Sexual health issues often require both medical and psychological treatment. We work with your physician to ensure you're getting appropriate medical evaluation while addressing psychological factors.
This includes managing anxiety, addressing relationship dynamics, processing past trauma, and building healthier patterns around intimacy.
Address both physical and psychological factors affecting sexual function.
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