depression

Decreased libido and loss of interest in sexual activity are common symptoms of depression. ED, in itself, is a frustrating experience for many men. Many men accept a decline in sexual function as a natural consequence of aging. Because of shame or embarrassment, they do not discuss the problem with their health care provider. It is unfortunate that it is often possible to determine the cause(s) of sexual problems and there are many options available to treat ED.

Performance anxiety – Performance anxiety can develop in men who suddenly experience one or more erectile dysfunctions during intercourse. The focus of the sexual act shifts from a sensual experience to one of anxiety. During subsequent attempts to have sex, the inability to achieve and maintain an erection becomes a focus of the sexual experience.

Sexual history –
The doctor will ask the patient personal questions about his or her sex life to help determine the cause of the condition. It is important that the patient answer the questions honestly and provide as much detail as possible.

The doctor will want to know:
• Did ED develop slowly or occur suddenly.
• Erections occur during the night or early morning when he first wakes up.
• Have similar ED with masturbation.
• Have interpersonal problems with a spouse, girlfriend or sexual partner.
• Have any risk factors for impotence, such as smoking, diabetes, obesity, high blood pressure, high cholesterol levels, alcohol or drug abuse, or a history of depression.

Resuming sexual activity after a long period of inactivity is similar to starting a new exercise routine.