Patient's question:
Hello doctor!How should psychological impotence be treated or what should be done? Thank you!
Doctor's answer:
Psychogenic impotence is impotence caused by psychological factors, accounting for more than half of all cases. When it comes to how to treat psychogenic impotence, it can actually be addressed by eliminating some adverse psychological factors, providing active psychological treatment, and enhancing sexual education. Additionally, strengthening physical exercise and improving overall physical health can lead to the spontaneous recovery of impotence.Psychological treatment, also known as psychotherapy, generally involves mutual communication between the doctor and the patient, helping the patient to correctly understand their condition and build confidence in overcoming it. During treatment, the following points should be noted:
First, it is essential to alleviate the patient's sexual anxiety, as most impotence patients experience sexual performance anxiety. Due to impotence, they may become overly eager to improve their sexual ability, which in turn generates sexual anxiety. The best way to address sexual anxiety is to provide explanations to both partners: when sexual issues arise, neither party should blame the other. When sexual difficulties occur, the partner also plays a role. Although there are many causes of impotence, this does not affect treatment. Sexual behavior is a joint effort between both partners, and sexual activity is not limited to intercourse alone. If intercourse is unsatisfactory, strengthening emotional communication can still benefit other aspects of the relationship.
Second, avoid unnecessary verification or verbal explanations. It is important to clarify to the female partner that male impotence often stems from sexual anxiety. Through emotional communication between both partners, this sexual anxiety can be overcome, which helps reduce sexual pressure. During this process, sexual activity should be temporarily avoided until the male's sexual anxiety gradually subsides.
The couple can be taught the "sensate focus" technique. During sexual activity, attention should be concentrated on physical sensations rather than intercourse. When touching the genitalia or breasts, it is important not to dwell on external matters, engage in excessive conversation, or overthink the purpose of sexual behavior. Instead, focus entirely on one's own physical sensations. This method should be practiced repeatedly until the psychogenic impotence is successfully treated.