The inability to attain or maintain an erection sufficient to achieve and maintain penetration, erectile dysfunction is present in almost 50% of men over 40. 26% of men under 40 seeking help.
Five to twenty percent of men in the general population have moderate to severe erectile dysfunction. Like most psychosexual disturbances, erectile dysfunction has at its roots in a multiplicity of causes. With repeated episodes, one develops performance anxiety, which only enhances the problem. Diagnosed via a thorough history taking and the exclusion of physiological or organic etiology and risk factors, erectile dysfunction is treatable via psychotherapy. Treatment focuses more on the root cause and assists the man in being more present in the sexual experience.
Erectile dysfunction can be primary (never having achieved an erection sufficient to complete the sexual act) or secondary (having had a prior completed sexual act). Both can have physiological and/or emotional etiologies.
Porn Induced Erectile Dysfunction (PIED) is rapidly becoming a prevalent problem today. An addiction, PIED is precipitated by the repetitive masturbation to images that are accessible, anonymous and, most of all, able to be manipulated. Before boys will experience a real physical relationship, many of them are becoming hardwired to function inadequately; it happens with older men as well however given that they have typically had successful sex prior to the onset of PIED, their prognosis may be better and their recovery quicker.
Sex therapy can help; often there is assistance from a medical doctor, typically a urologist, who can provide short and long term options as well.