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There are many causes of sexual dysfunction. A combination of both can lead to many sexual problems. Psychological problems, such as anxiety, depression or stress, can lead to a physical problem that may then exacerbate the problem. Some men may feel pressured to do their best sexually by their partners or put on them. Fear of failure is the result of stress if this fails. This anxiety can cause stress and reduce desire to have sexual relations.

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Normal sexual function in Men

Normal sexual function involves a complex interplay between physiological and psychological factors. The psyche is influenced by the nervous, circulatory, endocrine, and hormonal systems to produce a sexual response. These systems work together to control the male sexual response.

The desire to engage in sexual activity is called sexual desire. This can be triggered by thoughts and words, visual stimuli and smells, as well as touch. It leads to the first stage in the sexual response cycle that triggers sexual arousal. The brain sends signals through the spinal cord to the penis during sexual arousal.

The arteries that supply blood to the erectile tissues (corpora Cavernosa, corpus Spongisum) react accordingly and dilate (relaxation or dilation). These areas are expanding and bulging because of the increased blood supply from dilatedarteries. This expansion places pressure on the veins, which normally transport blood to the penis. The blood pressure rises as the veins become compressed. An increased pressure in the penis results in it becoming stiffer, which causes an erection. The entire body’s muscle tension also increases.

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The plateau Phase is when Muscle tension and arousal are Increased

Orgasm is the peak of sexual arousal. This is when the whole body experiences increased muscle tension and the pelvic muscles contract, causing ejaculation.

Ejaculation is caused by nerve impulses. This causes the muscles of the male sex organs (seminal, prostate, epididymal, vas deferens, and seminal vesicles) to contract. These contractions push the semen into urethra. The semen is pushed out of the penis by contraction of the muscles around the urethra. Semen cannot flow back into the bladder if the bladder neck contracts.

Orgasm and ejaculation can occur simultaneously but they are distinct events. Ejaculation can happen without orgasm in rare cases. Orgasms can also occur without ejaculation. This is particularly true in cases where there are side effects of antidepressants or surgery such as the removal of the prostate or colon. Orgasm can be a very pleasurable moment.

The body returns to its unexcited state during the recovery phase. After ejaculation, orgasm, the arteries of the penis and smooth muscles in the corpora spongiosum and corpora cavernosa contract. The result is that blood supply drops, blood flow increases and the penis becomes flaccid or detumescence. It takes some time after orgasm before it is possible to have a new erection (refractory period). This takes about 20 minutes for young men; it takes more time for older men. As we age, the time it takes to erect generally increases.

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Heart Disease and Sexual Activity

Men with heart disease will find it safer to engage in sexual activity because it is less stressful than heavy or moderate physical exertion. Although the risk of heart attack at rest is higher than with sexual activity, it is still very low.

However, men who are sexually active and have cardiovascular disease such as angina or hypertension, heart failure, arrhythmias, arrhythmias, or aortic valve obstruction should consult a doctor. If the condition is mild and there are no symptoms, then sexual activity should be considered safe. Tests may be required to determine the possibility of sexual activity if the condition is severe or if you have other health conditions that could increase your risk of having a heart attack. Obstructive cardiomyopathy is when the heart has enlarged and the blood flow is blocked from the left ventricle. This condition should be treated immediately.

Ask your doctor when you can resume sexual activity following a heart attack. The American Heart Association recommends that patients resume sexual activity as soon as possible after a heart attack if mild to moderate exercise does not cause chest pain and shortness of breath.

Men taking nitroglycerin should not take sildenafil or vardenafil. It can cause dangerously low blood pressure. The risk of sexual activity is often assessed by checking the heart for signs of low blood supply. This is done while the man is running on a treadmill. A heart attack is unlikely if the heart gets enough blood supply from this activity.

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German men are suffering from impotence in their millions. Erectile dysfunction can often be triggered by psychological stress and fear of failing, which can lead to stress and dissatisfaction. This vicious circle can be broken, but in most cases, there is an escape.

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Thomas Kurschner* has been going out with three people for years: a man and a woman. And then there’s the fear. It’s the fear that it won’t work again, that it won’t last long enough, and that this effort will be a failure. It was the same as last time. The time before that. As he has said many times over the past 13 years: Kurschner doesn’t like being in bed.

He doesn’t want any regrets and just wants to enjoy each attempt. Kurschner realized that sex has lost its joy and lightheartedness long ago. He says, “Every time I go to sleep with my girlfriend the alarm light goes off inside my head.” Then all the ease disappears and the pressure returns. “I realized immediately that this wasn’t going to work again. Kurschner felt so small, humiliated, lonely, and desolate in those moments. It’s a feeling that is beyond description.

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Erectile dysfunction (ED) is a trade secret that few secrets are as closely guarded. Men are prone to silence when they don’t have the ability. The silence is great. According to a University of Cologne survey, around 4.5 million Germans suffer from chronic erectile disorder. This is nearly 20 percent of men aged between 30 and 80. This does not include occasional hang-ups after a hard day. The German Society for Urology considers ED only if at least 70% of sexual intercourse attempts fail within a minimum of six months.

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It is not surprising that so many men have trouble with flaccidity. A complex biochemical interplay between brain, nerves, and blood vessels is what results in strong erection. The penis muscle fibers are tightened in a flaccid state. Although it sounds strange, this is actually quite normal. This stops blood from flowing into the spongy tissue, which prevents the penis from becoming stiffer. The brain releases stimuli when a man is sexually stimulated. This causes the penis muscle cells to relax. The corpora cavernosa becomes oxygen-rich and the penis straightens. The stiffening also constricts the veins. The blood can’t flow out and the erection is permanent.

The enzyme PDE-5 only works after an orgasm to relax the muscles and allow blood to flow from the corpora cavernosa. The penis can become the weakest link in this chain if it is interrupted at any time. It may become flaccid too quickly or not erect.

Causes

There are many reasons that can cause the system to fail, including physical conditions like diabetes, vascular disease, hormone disorders and psychological problems. Stress is a reliable way to stop erections. Tension can cause permanent depression in a man’s privates if it is too heavy. Hartmut Porst, a Hamburg urology professor, says that psychological pressure can lead to elevated levels of adrenaline and increased noradrenaline release at the nerve endings of the penis. Both occupy the alpha receptors of the blood vessels and the corpora canvernosa. This reduces blood supply to penis and causes the corpora cavernosa to contract. Erection is therefore impossible. The stress also causes the negative effects of the alpha receptors, which in turn, outweighs the neurotransmitter, cGMP, that initiates and sustains erection. This phenomenon is not limited to those who are constantly stressed but also men such as Thomas Kurschner who have to put themselves under tremendous pressure before they can have sex.

Chronic erectile dysfunction can also be a stressor. Uwe Hartmann, the head of Hannover Medical School’s Clinical Psychology Department (MHH), says that severe psychological, psychosomatic, or even physical consequences can result. The typical impotence downward spiral is described by Hartmann. If things don’t go his way repeatedly, the man worries that he will fail again when he has sex again. And then the erection fails again. This is a self-reinforcing mechanism. He becomes more obsessed with the subject, but doesn’t usually talk to his wife. He avoids the issue, and then he gets his’migraine’. Or he watches TV until his wife goes to bed. This makes him feel more and more inadequate, which often shows in his work performance. He’s less efficient and adopts an indifferent attitude. After a year of erectile disorder, he can’t handle the bad things and his world will be completely changed.

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Potency and the Psyche interact

Herbert Rosenau* has experienced painfully how potency and psyche can interact. The 54-year old recalls, “About 10 years ago I got depressed.” “And then, my potency also went downhill until seven years ago when nothing worked at all.” Rosenau was dealt a beating at every low point of his bedtime. “A failure back then could cause a bout depression.”

Rosenau was once one of those men who would literally scream in bed after failing to succeed. “I couldn’t speak that much then.” His wife gently broached the topic and he eventually learned to talk about it. This is a rare case in Germany.

Uwe Hartmann, a psychologist, says that many men feel ashamed of going to the doctor because erectile dysfunction remains taboo. “An impotent man in our meritocracy is considered a failure. He can’t bring it.” Hartmann’s patients have to wait on average four years before they can come to him. This is often four years of self doubt and dissatisfaction, and this applies not only to the men. Because impotence is often not just their problem, but also their wives’.

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The dissatisfaction Increases

Susanne Volker’s dissatisfaction increases over time. He is a man she feels like she has rejected as a woman. His ignorance makes her angry. He doesn’t talk to her. He doesn’t seem to care about her needs. She misses sex. She says, “Some days I felt like I had to burst into desire.” The relationship becomes more complicated.

Volker finally has enough and goes to bed with an old friend. She says, “That was when I felt a man wanting me again.” She continued to cheat despite her guilt. It’s not often, perhaps twice per year. It’s a process that takes place in stages for the marital relationship. She leaves her husband when she falls for someone else. After seven years of silence and evasion, she finally gave up on her husband.

What can women do if their husbands don’t want to talk? Ulrich Clement, a Heidelberg professor of medical psychology and sex therapy, says that women should be patient and continue to try to communicate with their husbands. He shouldn’t feel defeated. They could suggest what they would like to do in bed, apart from intercourse, and then offer it in a way that doesn’t make them feel like they have a second option. Men who don’t respond to the question for long periods of time need to be more specific about what they want. Clement: “In this case, plain language is better than constant soft messages that all are half as bad.”

Definition and Frequency of Erectile Dysfunction

Erectile dysfunction is the medical term for pathological erectile dysfunction. In common usage erectile dysfunction is also called potency disorder or impotence. Medical professionals do not use these terms because they have a pejorative character. Another technical term for erectile dysfunction is impotentia coeundi.

This term is derived from the Latin words for inability (impotentia) and coming together (coeundi). Coeundi is also the origin of the term coitus as an intimate sexual act. sexual act.

Erectile dysfunction (ED), or erectile dysfunction, means that more than 70 percent of the time, a man cannot get or maintain an erection to perform the sexual act. In this case, the penis slackens prematurely or does not become hard enough. These problems persist for at least six months.

Erectile dysfunction is an age-related condition. In the age group of 60- to 69-year-old German men, 34 percent experience erectile dysfunction. erectile dysfunction. In the 70- to 79-year-old age group, the figure is 53 percent.

In 40 percent of cases, erectile dysfunction is based on a psychogenic cause. Here, sex therapy is available as an option.

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Frequency of Erectile Dysfunction

Persistent erectile dysfunction is much more common than most men think. A large number of studies have come to the conclusion that on average about 20 percent of all men suffer from erection problems requiring treatment in the course of their lives.

The proportion rises sharply with advancing age. In Switzerland, according to estimates 300,000 men are affected by erectile dysfunction. Worldwide, experts estimate that there are at least 150 million – and the number is rising.

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Every person has a sexuality that is important to them. It can take many forms depending on their age, gender, culture background, and current life situation. Sexuality can be a source for suffering and insecurity.

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Each person’s personal beliefs and expectations will determine what type of sexual development is most comfortable and desirable. Sexual disorders can cause psychological or physical discomfort. On the other side, psychological illnesses and physical ailments can also affect sexual experience. To find the best path to sexual fulfillment, it is essential to identify the root cause of the sexual disorder before treatment can begin.

Disorders and Complaints

If both of you are suffering from sexual problems, or are in distress, there may be additional stress situations, such as psychosomatic illness, which can lead to a sexual disorder. The goal of treatment should be to create a satisfying sex experience for both partners.

People who were born transgender, or in the wrong body, face particular challenges. They are unable to accept their gender roles. Many people feel the need to have their gender changed. This can be a lengthy process that involves multiple surgeries and hormone treatment.

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The physical effort, as well as the psychological burdens associated with it, such as rejection from family and friends, stigmatization of society, or general anxiety, can lead to high levels of stress in those who are affected, as well as secondary or psychosomatic diseases like depression. This is where therapeutic support can be helpful. It can help you learn to deal with your difficulties, whether it’s in the aftermath or during gender reassignment.

The ultimate goal of treatment is to discover, with the patient and other patients, a path that allows for sexual development that suits the individual’s life plan and their specific life circumstances.

WHAT SEXUAL DISORDERS IS THERE?

There are many sexual desires and inclinations that may be different from the ones considered normal or average. They can express themselves in fantasies, strong sexual desires, or actions that are related to specific sexual practices (e.g. Exhibitionism, voyeurism and sadomasochism are all examples. No complaints can be raised here as long as all involved are in agreement with their sexual needs and have given their consent. But, having special inclinations can cause problems in relationships and create conflict with partners. Psychosomatic disorders that are related or associated with sexual inclination can also occur.

The treatment plan aims to achieve a sexual relationship that is mutually agreeable with the partner.

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Disorders in sexual function

Harmonious interaction between physical and psychological functions is key to a satisfying sexuality. Physical ailments and other problems can affect sexual unfolding as well as psychological disorders and issues.

These can have the following Consequences:

• Disorders of sexual desire (decreased libido or increased libido).
• Disorders of sexual arousal, such as premature ejaculation or vaginal spasms, erectile dysfunction and impotence, disturbances in lubrication (=leakage mucous lubricant),
• Orgasmic disturbances
• Pain during sexual intercourse (dyspareunia)

Although there are differences in sexual disorders for men and women, they can both occur. Some “sexual disorders” may only be present temporarily during certain life stages and do not require treatment. A specialist psychosomatic clinic may be able to help if the person is suffering from a permanent sexual disorder. It is crucial to distinguish between psychological and physical causes when diagnosing these conditions.

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Let’s cut to the chase. A psychologically-induced erectile disorder is unnecessary. You’re in bed with a gorgeous woman or man and your little friend between your legs won’t cooperate. Even worse, affected people can become complacent and avoid situations where sexual intercourse could occur. What are the consequences? Frustration, denial, rejection, loneliness. This does not mean that you have to feel this way. Psychological erectile disorder is manageable. We are the only portal in Germany that can show you an unconventional solution to your problem.

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We can assure you that 25% of all erectile problems are psychologically caused. Psychologically-induced erectile malfunction is as common as organic.

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Psychological Erectile Dysfunction: Causes

Before we get into the psychological causes of erectile disorder (ED), let’s briefly talk about the term “psychologically caused”. If you were to give a psychological explanation for your erectile dysfunction, you would likely feel the same as most men: Confused to the point where disbelief. This is where the misunderstandings and misinformation about psychological stress and other diseases are still very common.

The sequence of physical reactions that lead to erection can be recalled by recalling the brain’s processing of a sexual stimuli. The stimulus could be touch, words or the sight of a person you desire. Or even fantasy. The brain evaluates the stimulus before it sends nerve signals to initiate the process of erection. It is important to evaluate the context and the circumstances in which the stimulus was received.

A nudist beach might code an erection as unwelcome. This means that no nerve signals are sent from the brain to indicate an erection. A psychological cause of erectile disorder (ED) is when the brain fails to send the necessary nerve signals for an erection in a desired setting. The brain does not process the sexual stimuli as it should. The specific psychological reasons for this are numerous.

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Psychologically inducing Impotence is the most common Type

Erectile dysfunction can be caused by psychological stress in many different areas. However, psychologically-induced erectile dysfunction is most commonly caused by problems in the partnership. This is an example of poor, or even negative communication in a partnership. Erectile dysfunction can result from a lack of communication, whether it is due to quarrels or the inability to communicate with the partner adequately or freely. This does not always have to involve sexual needs.

• Problems with partnerships
• Different ideas regarding the partnership
• Unrealistic expectations
• It is an ingrained habit
• Depression
• Fear of failure

Another sign of a partnership problem is a rigid routine and a lack of time together. Erectile dysfunction can be caused by a lack of mutual contact and closeness, too routineized daily life, boredom, or dissatisfaction. Erectile dysfunction can occur in men even if there are different views on the partner’s plans, such as for children or marriage. Erectile dysfunction can also be caused by a weakening of affection, jealousy, or an affair.

There may also be psychological causes that arise from the sexual environment. Fear of failure and unrealistic expectations from either oneself or your partner are common. Erectile dysfunction can also be caused by sexual inexperience, particularly in young men. Erectile dysfunction can sometimes be a result of a new relationship. Erectile dysfunction may also be caused by an undiagnosed sexual orientation.

Erectile dysfunction can also be caused by serious mental illness or stress. Depression can cause erectile dysfunction. Traumatic sexual experiences can also lead to erectile dysfunction. Stress and strains that are not related to the relationship or sexual environment can also be a reason, such as fear for the job, mobbing, or financial problems.

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There are many Causes

Current medical knowledge suggests that erectile dysfunction (ED), is multifactorial. Erectile dysfunction (ED) is not usually caused by one factor. However, there may be many factors that can cause it. It is difficult to distinguish between organic and psychological causes of erectile dysfunction. Fear of failure can make erectile dysfunction worse and last longer if it is purely psychological. The vicious circle of erectile dysfunction can quickly become a trap that the affected person cannot escape.

Diabetes, a chronic condition, can have a negative impact on sexual performance. This is due to changes in blood vessels and nerves, psychological strain, reduced physical performance, and side effects. In diabetics, sexual dysfunction is a common problem. Around one in two men suffer from erectile dysfunction (i.e. The inability to erection. Also known as impotence, this condition is often referred to as a “non-functioning erection”.

More than twice the number of diabetics are affected than the average person. Females may also have sexual problems. These include decreased sexual desire and arousal and decreased vaginal moisture.

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Sexual Problems and Impotence: Causes

Diabetes can cause damage to the nervous system and vascular system over time. These systems are responsible for the functioning of the sexual organs. The interaction between blood vessels, nerves, and muscles is what makes it possible for the male to become stiff and ejaculate or for the female to have their labia swell and for the vagina to become moist. This interaction can cause the sex organs to stop responding adequately to sexual stimuli if it is disrupted.

Anti-diabetic medications and other medication that diabetics often have to take (e.g. for high blood lipids or depression) can also impact sexual life. It is often a good idea to switch to a different medication in such situations. If you suspect that your medication is the problem, consult your doctor. Under no circumstances should you change your medication by yourself!

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The psychological stress diabetes can bring is another important factor. Many diabetics who have sexual problems are affected by worries about their health, anxiety, fear of secondary illnesses, lack of physical resilience, and insecurity when taking medication. Sexual dysfunction can also lead to psychological problems like self-doubt and depression, as well as partner conflicts and fear.

There are many Treatment Options

To avoid any misunderstandings, it is important to talk about sexual issues with your partner. Talking to one another can lead to more problems. To find a solution, it is important to have open and trusting conversations. You can also contact a trusted doctor for further assistance. There are many treatment options available that can dramatically improve the quality of the person’s sexual life. Together, you and your partner should decide which therapy is best for you. Pro familia Counseling Centers can provide you with valuable support.

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There are many treatment options available for male impotence, erectile dysfunction and other conditions, such as potency-enhancing drugs or vacuum pumps, hormone replacement therapy, psychological treatment, and even psychological treatment. Each treatment option has its advantages and disadvantages. About 60% of diabetics experience an erection with potency-enhancing drugs like sildenafil and tadalafil. These active substances can have side effects or contraindications. This must be discussed with your doctor in advance. Your doctor and partner should discuss which therapy is most effective for each case.

There are less options for women. Hormone treatment and the application of lubricating oils can be used in addition to medication or psychological counseling. Vaginal and urinary tract infections that are not under control should be treated immediately with medication. Poor blood glucose control may lead to frequent vaginal infections. A better blood sugar control can also improve mucosal function. You should also consider this with your partner or doctor.

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