Can psychological factors lead to erectile dysfunction?

Patient's question:

Lately, I've been under a lot of stress, and we've had sex twice with my girlfriend. Our sex life has been particularly harmonious, but during the most recent encounter, I suddenly found myself unable to get hard. I've been worried every day... As a result, I really couldn't get hard during sex. There's nothing wrong with my body because the first time I was too nervous to get hard, leaving behind a psychological shadow. Now, I can't stop thinking about it. I want to consult a doctor for advice on how to stop this. I feel that as long as I don't think about it, everything will be fine, but the more I fear it, the more I think about it.

Doctor's answer:

Ejaculation occurring during sexual arousal or due to excessive shock and restlessness can lead to premature ejaculation, and there are various reasons for this psychogenic premature ejaculation. Premature ejaculation is essentially a condition where psychological factors primarily contribute to difficulties in penile erection. For premature ejaculation caused by psychological factors, it is important to fully restore confidence in sexual ability. It is recommended to maintain a healthy routine and avoid overtime work as much as possible. Actively participate in outdoor activities to relax your mind. Do not put too much pressure on yourself, and learn to properly detoxify. Proper exercise can improve blood circulation, which can stabilize conditions such as blood stasis and qi deficiency. In terms of diet, it is advisable to consume more foods that nourish yin and boost yang.

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