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Unpacking Erectile Dysfunction

11/9/2022

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Feature by Nikita Fernandes
Picture
Image via Freepik
Penis holders might encounter sexual dysfunction at some point in their lives. Erectile dysfunction is common and affects a large number of people. Erectile dysfunction symptoms include being unable get or hold an erection firm enough for sexual penetration. Erectile dysfunction can be lifelong or acquired through the lifetime. It can also be either situation or generalized. What this means is that penis owners can encounter erectile dysfunction in any sexual situation or specifically in certain instances. For example, a penis owner might encounter erectile dysfunction while having sex with a partner but not have any challenges masturbating themselves. 
Erectile dysfunction causes can be psychological or biological. For example, it is can be caused by abnormalities in the penile arteries and  veins. Erectile dysfunction can also be caused by sleep disturbances, anxiety or hormone levels. For example, the trauma caused by COVID-19 can contribute to sexual dysfunction that people experience.

It is crucial to examine the role of culture and society in sexual dysfunction. The psychosocial factors of experiencing erectile dysfunction are powerful but silent ones. Erectile dysfunction can impact nonsexual relationships. There is a lot of shame tied to sexual dysfunction. People that are socialized as men are raised to believe that their masculinity is tied to their penis. They experience stigma and embarrassment around feeling emasculated. People experiencing erectile dysfunction might therefore start sex therapy to unpack why they are experiencing erectile dysfunction. 

For treatment, penis owners are advised to see a doctor to undergo testing to rule out biological causes. For example, someones level of hormones in their body can effect their sexual desire and performance and so it's important to rule out causes. 
Therapeutic treatments for erectile dysfunction includes using sex therapy and psychodynamic interpretations to uncover any psychological causes. Other treatments include systemic desensitization, sensate focus, sex education and sexual skills training. People that do not have a sexual partner can also work with a surrogate partner through the treatment. It is important to normalize that many penis owners experience erectile dysfunction as it is a human condition. 

Author

Nikita Fernandes is a mental health therapist in New York City. She is currently being trained as a sex therapist through the Modern Sex Therapy Institute.You can contact Nikita at nikita@mwr.nyc and read more blog posts at www.mwr.nyc.
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    Authors


    Sara S. Schapiro LMHC, PhD
    Providing affordable psychotherapy and individual therapy in NYC. Bringing awareness to mental health related issues and advocating for liberal and liberating sex values.

    Nikita Fernandes, M.A., MHC-LP
    Providing affordable couples and individual therapy in NYC. Integrating culturally sensitive, poly & kink-friendly, and gender-affirming therapy while partaking in advocacy work in the therapy room.

    Simran Bharadwaj, M.A., MHC-LP
    Providing affordable couples and individual therapy in NYC. Bringing awareness to minority mental health issues and culturally competent approaches to therapy.

    ​Shira Keller-Ohana, LMHC
    Providing affordable psychotherapy and couples and family therapy in NYC. Taking an integrative positive approach toward mental health and therapy.

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