Psychogenic erectile dysfunction

Will Viagra Help with Psychogenic E.D.?

Regardless of the cause, it is important for couples to address the issue of a sexless marriage in order to prevent it from causing further problems. One way to do this is by talking openly and honestly about the issue.
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By: Mark Goldberg, LCMFT, CST

Psychogenic erectile dysfunction (ED) is a type of ED that is caused by psychological factors rather than physical ones. It can be caused by stress, anxiety, depression, or relationship problems, and it can be difficult to treat because the underlying issues need to be addressed.

Viagra (sildenafil) is a medication that is commonly used to treat ED, but it may not be effective for everyone, especially those with psychogenic ED. In this article, we will discuss how Viagra works and whether or not it can help with psychogenic ED.

Viagra is a phosphodiesterase-5 (PDE-5) inhibitor. It works by inhibiting the enzyme PDE-5, which breaks down a compound called cyclic guanosine monophosphate (cGMP). cGMP is important because it helps to relax the smooth muscle cells in the blood vessels of the penis, allowing blood to flow into the penis and causing an erection. When PDE-5 is inhibited, the levels of cGMP in the blood vessels of the penis increase, which can lead to an improved ability to get and maintain an erection.

Viagra is generally taken about an hour before sexual activity, and it can be taken with or without food. It is important to note that Viagra does not cause an automatic erection – sexual stimulation is still required for the medication to be effective.

Viagra can also have side effects, such as headache, flushing, and dizziness, and it may not be suitable for everyone.

What is psychogenic ED?

Psychogenic erectile dysfunction (ED) is a type of ED that is caused by psychological factors, rather than physical ones. It is important to note that psychogenic ED can occur in conjunction with physical causes of ED, and that many men experience both physical and psychological factors that contribute to their ED.

Psychological factors that can contribute to psychogenic ED include:

  • Stress: Stress at work, school, or in personal relationships can interfere with the body’s ability to relax and get an erection.
  • Anxiety: Performance anxiety or anxiety about sexual encounters can make it difficult to get or maintain an erection.
  • Depression: Depression is a common cause of psychogenic ED. It can cause changes in the brain that make it difficult to get or maintain an erection.
  • Relationship problems: Conflict or issues within a relationship can cause ED.
  • Other mental health issues: Other mental health conditions, such as bipolar disorder, schizophrenia, or post-traumatic stress disorder (PTSD), can cause ED.

Can Viagra help with psychogenic ED?

The short answer is that it may be able to improve the ability to gain and maintain an erection in some people with psychogenic ED, but it is not a cure-all. For some men, performance anxiety can be alleviated when they experience a full, solid erection with the help of medication. By breaking the anxiety cycle, they are able to relax and engage in the more pleasurable components of sexual activity with less concern and worry. However, for many men, in order to effectively treat psychogenic ED, the underlying psychological issues need to be addressed. This may involve therapy, counseling, or other types of treatment.

Do I have to worry about dependency on Viagra if I don’t need it physically?

Viagra (sildenafil) is not considered to be an addictive medication. It is generally well tolerated and is not associated with physical dependence or withdrawal symptoms when treatment is stopped. However, as with any medication, it is possible to develop a psychological dependence on Viagra or to become obsessed with the idea of using it.

If you are experiencing psychogenic ED, it is important to speak with a healthcare provider. They will be able to evaluate your symptoms and determine the cause of your ED, as well as recommend treatment options. In some cases, Viagra may be a viable treatment option, but it is important to keep in mind that it may not be effective for everyone. In addition, it is important to address the underlying psychological issues in order to fully resolve the problem.

In conclusion, Viagra is a medication that can be used to treat ED, including psychogenic ED. It works by inhibiting the enzyme PDE-5 and increasing levels of cGMP in the blood vessels of the penis, which can lead to improved ability to get and maintain an erection.

However, it is important to note that Viagra is not a cure-all for psychogenic ED, and the underlying psychological issues need to be addressed in order to fully resolve the problem. If you are experiencing ED, it is important to speak with a healthcare provider to determine the cause and appropriate treatment options.

Wanna Learn More?

To start your in-depth approach to resolving the psychological issues that come with premature ejaculation or ED, try our online learning course called BEYOND THE LITTLE BLUE PILL, The Thinking Man’s Guide to Understanding and Addressing ED. 

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Ready to talk to an expert?

Erection IQ founder Mark Goldberg helps men and their loved ones resolve issues in the bedroom and relationship problems. He is a certified sex therapist and offers individual, one-on-one services to men throughout the world through a secure, telehealth platform. It’s 100% confidential. You can visit the Center for Intimacy, Connection and Change website to schedule a free consult with Mark.

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Article Updated – May 2023

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