It’s very common in my practice that patients come in wanting to discuss one issue, when in fact, what really brought them in is to find out if they have erectile dysfunction. Social stigma would have it that men don’t feel comfortable discussing their performance, especially if it’s a story of under-performing. Rarely do men sit around discussing what they believe to be their inadequacies. It feels shameful and embarrassing. But the truth is, it’s a fairly common issue and there is no reason to feel uncomfortable discussing the matter with your partner or friends, the same way you would your mortgage rates or car preferences.
There is a strong connection between the body and mind, and sex is no exception to this relationship. If it’s happened to you that you’ve lost your erection, what’s the first thing that pops into your mind? So, first body, then mind. Often what happens is an erection is lost for unknown physiological reasons and you’ll get in your head about it, further compounding the issue with anxiety or stress about potential future loss of erection. That’s the body/mind sequence. There is also the other way around: your mind is somewhere else, you’re stressed, or just generally not in the mood, and so your erection is lost. The next time you try to get it up, your brain tells you it ain’t gonna happen.
Getting a general understanding for what’s been going on is my way of gathering personal history so that I can properly treat each patient to personalized care.
Medical intervention can sometimes be the only way to properly treat the issue, but treatment doesn’t always mean medication. If you think you have ED, a consultation would take us through the steps of ruling out some of the potential psychological causes:
- Were you in the mood?
- Do you suffer from anxiety?
- Are you stressed out at work, home, financially?
- If this is an ongoing occurrence, is your partner supportive? Do you feel pressure to perform?
I might also want to check for diabetes, hormone levels, nerve damage, and blood flow to the penis. Getting a full picture on the issue will allow me to better prescribe treatment. There is no one treatment for everyone, as the causes for each patient are varied. I have a holistic approach to treatment which includes everything from nutrition and counselling to Shock Wave Therapy, the P-Shot, and prescribing PDE inhibitors like Viagra, Levitra, or Cialis. I might prescribe one of the above or a combination of the above. What’s important to know is that sexual performance can be restored. Once you open up about the issue, it can only go up from there!
Once you’ve experienced a loss of erection, whether it’s a one-time-thing or an ongoing occurrence, the stress of it all starts to build. You get in your head in anticipation of whether everything will work down there. Sex is supposed to be enjoyable, and having that added pressure of preparing for equipment failure only exacerbates the issue.
There is absolutely nothing to be ashamed about when it comes to your physical or mental health. No matter the issue, you should always #HaveTheBallsToTalkAboutIt, that’s how things get resolved.