Depression and anxiety: Psychological factors may be responsible for erectile dysfunction. These factors include stress, anxiety, guilt, depression, widower syndrome, low self-esteem, posttraumatic stress disorder, and fear of sexual failure (performance anxiety). It is also worth noting that many medications used for treatment of depression and other psychiatric disorders may cause erectile dysfunction or ejaculatory problems.
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In answer to your question, many women shut down to their sexuality at some point in their lives and some where never really open to it in the first place, just offering sex as a way to maintain relationship as opposed to ever exploring what is really in it for them. There are both physiological and psychological reasons why women shut themselves down around their sexuality. Physiologically, it may be that they are exhausted from lack of sleep or self-care or that they have a hormonal imbalance, however, we believe that, much more often, there are psychological factors at work. Because our culture does not celebrate women’s sexuality, women are told that sex is wrong, bad and not for them, and that they will be a slut if they really enjoy themselves, are overt about their desires and ask for what they want. This usually means that any sex they do have is not particularly satisfying and, eventually, the simply decide sex is not for them. One way that we work with women all the time is to help them find out more about their own needs and desires around sex so that sex can become something that they do for themselves and from which they can get deep enjoyment and satisfaction.

You must be willing to look at what is going on between the two of you. You may want to have a discussion with your clothes on about the way you guys are going about being sexual. Are you satisfied with the frequency? Are you pleased with the script of what you are doing in bed (kissing, foreplay, and intercourse)? Do you feel like you guys are connecting during a sexual experience? Are we reading each other's cues correctly? When couples have sex less than twice a month you are guaranteed to have an anxiety laden experience. The reason is that you fall out of a routine of intimate touch and then it becomes very anxiety producing to get back into bed with each other. If you are not able to be sexual at least twice a month than at minimum you should spend time laying in bed and holding each other so as not to move too far away from intimacy and touch as a part of what we do. Couples with bad frequency set themselves up to be nervous that each experience has to "knock it out of the park". Since that can't be guaranteed you are better off to have more frequent experiences and learn how to handle "natural failures" by discussing this, confronting your anxiety about failures and learning how to being intimate in other ways than penetration with your penis.
Difficulty maintaining an erection happens from time to time and often has no underlying causes. It’s very common and doesn’t always mean that anything is wrong. Sometimes all it takes is trying new things with your partner(s) and focusing on ways to help sex work for you. Focusing on past experiences of losing erections can increase feelings of anxiety.
Alprostadil self-injection. With this method, you use a fine needle to inject alprostadil (Caverject Impulse, Edex) into the base or side of your penis. In some cases, medications generally used for other conditions are used for penile injections on their own or in combination. Examples include papaverine, alprostadil and phentolamine. Often these combination medications are known as bimix (if two medications are included) or trimix (if three are included).

A sexual impotence problem in men has always been a problem which has caused marriages as well as romantic relationships to be broken. This is regarded as a problem, but it can be solved with just a few methods. Online Silagra 100mg is the potent medication in the group of anti-ED medicines. Silagra 100mg contains Sildenafil Citrate which belongs to the PDE-5 blocker class of medicine. Male impotence or ED in men can be treated with the help of this drugs. By suppressing the action of PDE-5 enzyme on the blood vessels, this medicines helps in correcting the blood vessels flowing to the penis and keeps it steady till the organ attains perfect hardness. Man can become potent for many hours post-consumption of the medicine. It is possible because of the best activity of the drugs on the root cause of the problems. For more about you can visit: http://www.assertmeds.com/silagra.html


Psychological issues can affect more than just your mental health. Depression, anxiety, stress, and relationship problems can have a tremendous effect on your sexual function. If you’re experiencing ED along with psychological issues, talk with your doctor. Together, you and your doctor can find a cause and a treatment to bring your sexual health back to normal.

Talk with your doctor about going to a counselor if psychological or emotional issues are affecting your ED. A counselor can teach you how to lower your anxiety or stress related to sex. Your counselor may suggest that you bring your partner to counseling sessions to learn how to support you. As you work on relieving your anxiety or stress, a doctor can focus on treating the physical causes of ED.
Research is mixed on the effectiveness of acupuncture as an erectile dysfunction cure, but one study published in November 2013 in the Journal of Alternative and Complementary Medicine found that acupuncture can be beneficial for men experiencing erectile dysfunction as a side effect of antidepressants, including selective serotonin reuptake inhibitors (SSRIs) and serotonin noradrenaline reuptake inhibitors (SNRIs).
It is common for men with erectile dysfunction to have an underlying physical basis for it, particularly in older men. However, psychological factors may be present in 10% to 20% of men with erectile dysfunction. Experts say stress, depression, poor self-esteem, and performance anxiety can impair the ability to have an erection. These factors can also make erectile dysfunction worse in men whose sexual dysfunction stems from something physical.
Other medical therapies under evaluation include ROCK inhibitors and soluble guanyl cyclase activators. Melanocortin receptor agonists are a new set of medications being developed in the field of erectile dysfunction. Their action is on the nervous system rather than the vascular system. PT-141 is a nasal preparation that appears to be effective alone or in combination with PDE5 inhibitors. The main side effects include flushing and nausea. These drugs are currently not approved for commercial use.
The various PDE5 inhibitors for the treatment of ED share several common side effects, including headache, flushing, nasal congestion, nausea, dyspepsia (stomach discomfort), and diarrhea. Differences exist in side effects of the different PDE5 inhibitors, and thus it is important to be familiar with the prescribing information of the PDE5 inhibitor you are prescribed.
It’s important to look after your psychological and emotional health. Being honest and open about what you are going through is a good first step, particularly if you’re experiencing symptoms of depression or anxiety. Speaking with your GP is a good idea because they can help you find treatment options and may refer you to a mental health counsellor.

One reason erectile dysfunction becomes more common with age is that older men are more likely to be on some kind of medication. In fact, an estimated 25% of all ED is a side effect of drugs, according to the Harvard Special Health Report Erectile Dysfunction: How medication, lifestyle changes, and other therapies can help you conquer this vexing problem.
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There aren’t any specific medical treatments for a low sex drive, although medication can sometimes be a factor in a change to your libido. The best way to boost your sex drive is to examine the root of the issue, if there are any, and to practice self-care and to seek support from your GP. Getting stressed or worried about sex won’t help, and usually only leads to more difficulties. 
Whether patients report their sexual problems depends on several factors, including whether the patient is comfortable disclosing these problems, and whether the clinician is willing to ask about sexual issues and does so in a sensitive way.7,8 Patients on long-term medications may not be aware that their sexual problems have developed as a result of their treatment. Conversely some may blame their drugs for sexual problems which are due to relationship difficulties or other stressors. Some doctors consider that asking patients if they had noticed any sexual adverse effects from their drugs may 'suggest' them to the patient, and possibly result in non-adherence. Patients attributing their sexual problems to their drugs are less likely to continue the treatment even when necessary for their health.9 The consultation should include discussion of the patient's sexual issues so these can be considered in treatment decisions.

I have been suffering from this problem since a teen and I am in my mid 40's now. Its a snowball effect because you are already telling yourself you will not get hard or what happens if you cannot get hard. Then when the time comes you are now thinking about the disappointment to her and even if you do get hard you think to yourself what happens if I cannot stay hard and then go soft while in the act.
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