Erectile dysfunction is defined as a persistent and recurrent lack of adequate erection in the penis. Failure of the penis to maintain sufficient hardness before and during intercourse negatively affects the relationship.
There are 3 subtypes of erectile dysfunction;
Primary:
strong> The type that lasts from the beginning of sexual life.
Secondary: The type that occurs after a period of sexual life.
Situational: Type depending on the effect of place, time and life events.
Spontaneous erections (during the day), morning erections, erection during foreplay may indicate that there is no physical condition.
It may seem like a healthier situation to be checked by a urologist before starting sexual therapy and to start sexual therapy if there is no physical condition.
In order to be diagnosed with erection, the erection problem must continue for 6 months.
In general, you may be asked to attend the sessions as a couple. This situation can be seen as the man's problem.
But this is the couple's problem. Participation of both partners contributes to a healthy solution to the problem.
Reasons:
· Lack of sexual knowledge
· Upbringing
· Relational problems
· The obligation that the man assumes on himself: I must manage the sexual relationship
· Seeing sexuality as a matter of coit
· Traumas
· Psychological problems (depression, anxiety, stress)
Treatment
Treatment of erectile dysfunction varies depending on the cause.
Limiting smoking and alcohol intake, diet, exercises, hormonal treatments, and surgical interventions can be listed.
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In sexual therapy, psychoeducation is given according to the reason for admission. If there is any deficiency in terms of self-confidence, discussions regarding this situation are held. Relationship problems may also be worth talking about in this sense. knows. Then, behavioral steps are applied gradually. Information is given about oral and manual stimulation without erection, erotic pleasure, and the pleasure of making love outside of coitus.
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