the Key Differences Between Organic and Psychogenic Erectile Dysfunction

Q: the Key Differences Between Organic and Psychogenic Erectile Dysfunction

Hello, sir： <br>1. <br>Organic erectile dysfunction indicates that there are issues with your erectile tissue or nerve supply, which prevents you from achieving an erection. <br>Factors such as aging, various medical conditions (like diabetes, hypertension, heart disease), and in

The main difference between organic erectile dysfunction and psychogenic erectile dysfunction lies in their underlying causes. Organic erectile dysfunction is primarily due to physiological factors, such as vascular, neurological, or hormonal issues, while psychogenic erectile dysfunction is related to psychological factors, including stress, anxiety, or

Hello Doctor: Due to my insufficient understanding of sexual knowledge, I have always felt guilty about masturbation.
Recently, I have experienced difficulties with erections and even thought it was due to excessive masturbation.
After reading some responses from Taiwan's e-hospital and some credible articles online, I have gradually come to a correct understanding of masturbation.

1.
I have been feeling very anxious due to my recent erectile difficulties.
I found information stating that erectile dysfunction can be categorized as psychogenic or organic.
I would like to ask if the information online is correct in stating that organic erectile dysfunction is characterized by the absence of spontaneous erections in any situation (even during the night or when the bladder is full), while psychogenic erectile dysfunction includes spontaneous erections?
2.
Additionally, I have difficulty achieving an erection (even during masturbation), but I can observe spontaneous erections when taking a nap or waking up at night, sometimes firm and sometimes soft.
Morning erections are less frequent.
I understand that a physical examination is necessary for a proper diagnosis, but could you please tell me how likely it is that this is organic in nature? I will not be able to see a doctor for a while, so I am quite worried in the meantime.
3.
Does the urology clinic provide a paper-based erectile strength test that allows patients to self-assess nocturnal erection function at home?
4.
As a 24-year-old young man who does not smoke or drink and has no history of hypertension, diabetes, or hyperlipidemia, what is the likelihood of having organic erectile dysfunction? I apologize for the many questions, and I appreciate your help!

Diao Bao Xia, 20~29 year old female. Ask Date: 2016/05/10

Dr. Chen Jiansheng reply Urology

Hello, sir:
1.
Organic erectile dysfunction indicates that there are issues with your erectile tissue or nerve supply, which prevents you from achieving an erection.
Factors such as aging, various medical conditions (like diabetes, hypertension, heart disease), and injuries to the perineum can all affect erectile function, often requiring medication to achieve an erection.
Psychogenic erectile dysfunction is usually influenced by emotions or stress, and once the underlying causes are resolved, improvement is often observed.
2.
Based on personal experience, I have rarely heard of a "paper-based erection strength testing device."
3.
In young, healthy men, erectile dysfunction is mostly psychogenic.
Chen Chien-Sheng, Department of Urology, New Taipei City Hospital.

Reply Date: 2016/05/10

More Info

Understanding the differences between organic and psychogenic erectile dysfunction (ED) is crucial for addressing concerns about sexual health, especially when experiencing difficulties with erections. Let's break down your questions and provide a comprehensive understanding of the topic.

1. Distinguishing Organic from Psychogenic ED:
Organic erectile dysfunction is primarily caused by physical or physiological factors. This can include conditions such as diabetes, cardiovascular disease, hormonal imbalances, or neurological disorders. In contrast, psychogenic erectile dysfunction is related to psychological factors, such as anxiety, depression, stress, or relationship issues. The distinction you mentioned regarding spontaneous erections is generally accurate. Individuals with organic ED often do not experience spontaneous erections, such as during sleep or when waking up, while those with psychogenic ED may still have these occurrences.

2. Your Symptoms and Concerns:
Given that you experience spontaneous erections during sleep or when waking up, this could suggest that your erectile difficulties may be more psychogenic in nature. However, it is essential to note that the presence of spontaneous erections does not completely rule out organic causes. Factors such as anxiety about performance, guilt regarding masturbation, or stress can significantly impact erectile function. Since you mentioned that you are a 24-year-old male who does not smoke, drink, or have chronic health issues, the likelihood of organic ED is relatively low, but not impossible. It is wise to consult a healthcare professional for a thorough evaluation, which may include physical examinations and possibly blood tests to rule out any underlying conditions.

3. Home Testing for Erectile Function:
There are indeed home tests available for assessing nocturnal penile tumescence (NPT), which measures spontaneous erections during sleep. These tests typically involve a device that is worn around the penis at night and records the number and rigidity of erections. However, these devices may not be widely available in all clinics, and it is best to discuss this with your urologist or healthcare provider to see if they can provide you with one or recommend a suitable alternative.

4. Risk of Organic ED in Young Adults:
The risk of organic erectile dysfunction in a healthy 24-year-old male is generally low, especially if you maintain a healthy lifestyle and have no significant medical history. However, psychological factors can play a significant role in erectile function, particularly in younger individuals. Anxiety, especially performance anxiety, can lead to difficulties in achieving or maintaining an erection, even if there are no underlying physical issues.

In summary, while your symptoms may lean towards psychogenic erectile dysfunction, it is essential to seek professional evaluation to rule out any organic causes. Addressing psychological factors, such as anxiety or guilt related to masturbation, can also be beneficial. Open communication with a healthcare provider can help alleviate concerns and guide you toward effective treatment options. Remember, erectile dysfunction is a common issue, and seeking help is a positive step towards improving your sexual health and overall well-being.

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