Can Psychological Erectile Dysfunction Improve by Reducing Stress? - Urology

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Erectile dysfunction


I would like to ask the doctor that I am currently having difficulty achieving an erection, and even if I do manage to get an erection, it becomes soft if I am not careful.
I had a blood test a year and a half ago that came back normal, and I am currently taking anti-anxiety medication.
If my erectile dysfunction is psychogenic, will eliminating the sources of stress allow my erectile firmness to recover on its own?

X, 20~29 year old female. Ask Date: 2022/03/31

Dr. Xu Wencang reply Urology


Follow-up outpatient diagnosis and treatment.

Reply Date: 2022/03/31

More Info


Psychological erectile dysfunction (ED) is a common issue that can significantly affect a person's quality of life and intimate relationships. It often arises from a combination of psychological factors, including stress, anxiety, and depression. In your case, it seems that you are experiencing difficulties with maintaining an erection, which you suspect may be linked to psychological stressors, especially since you have been on anti-anxiety medication.

To address your question, yes, reducing stress can indeed improve psychological erectile dysfunction. Stress is known to have a profound impact on sexual function. When a person is under significant stress, the body produces higher levels of cortisol, the stress hormone, which can interfere with the hormonal balance necessary for sexual arousal and performance. Additionally, stress can lead to anxiety about sexual performance, creating a vicious cycle that exacerbates erectile dysfunction.

When the sources of stress are identified and effectively managed, many individuals report improvements in their erectile function. Techniques such as cognitive-behavioral therapy (CBT), mindfulness, and relaxation exercises can help reduce anxiety and stress levels. Engaging in regular physical activity, maintaining a healthy diet, and ensuring adequate sleep can also contribute to overall well-being and improve sexual function.

Moreover, open communication with your partner about your feelings and concerns can alleviate some of the pressure you may feel during intimate moments. This can foster a supportive environment that may help you feel more relaxed and less anxious, further aiding in the recovery of erectile function.

It's also important to consider that while psychological factors play a significant role in erectile dysfunction, other underlying medical conditions can contribute to the problem. Since you mentioned that you had blood tests done a year and a half ago that came back normal, it may be worthwhile to consult with a healthcare provider again to rule out any new or previously undetected medical issues that could be affecting your erectile function.

In summary, addressing and reducing stress can lead to improvements in psychological erectile dysfunction. It is advisable to explore various stress management techniques, maintain open communication with your partner, and consult with a healthcare professional for a comprehensive evaluation and tailored treatment plan. Remember, recovery is often a gradual process, and being patient with yourself as you work through these challenges is essential.

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