Impotence

Often men experience difficulty obtaining or maintaining an erection sufficient for penetration. Sometimes there is an organic basis for this dysfunction; a urologist should be consulted prior to contacting a sex therapist. Most often, however, the dysfunction has a psychological basis. Primary impotence refers to a man who has never been able to maintain an erection for purposes of intercourse either with a female or a male, vaginally or rectally. In secondary impotence a man cannot maintain or perhaps even get an erection, but has succeeded at having either vaginal or rectal intercourse at least one time in his life. The occasional failure to get an erection is not to be confused with secondary impotence. Familial, societal, and intrapsychic factors contribute to primary impotence. Some of the more common influences are (1) performance anxiety, (2) a seductive relationship with a mother, (3) religious beliefs in sex as a sin, (4) traumatic initial failure, (5) anger toward women, and (6) fear of impregnating a woman.

• What is Sex Therapy?
  Sex Therapy Impotence
  Premature Ejaculation
  Low Sexual Desire
  Erectile Dysfunction
  Sexuality and Sex Therapy, an article by Dr. Dreyfus

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