Is erectile dysfunction all in your head? | Psychogenic ED

Did you know that you can get ED from psychological factors, such as having performance anxiety, relationship issues, and even mental health disorders like depression?!? In this video, we'll talk all about Psychogenic Erectile Dysfunction. Watch until the end to learn whether or not you have it, and to know what you can do about it!

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References:
Evaluation of young men with organic erectile dysfunction

**Treatment of male sexual dysfunction**

Epidemiology and etiologies of male sexual dysfunction

Psychogenic Erectile Dysfunction

Rena Malik, MD is a urologist and pelvic surgeon on youtube to educate people about all things urology including erectile dysfunction, how to increase testosterone, problems with sex, premature ejaculation, urinary leakage, or incontinence, overactive bladder, urinary tract infections, prostate issues and more.

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DISCLAIMER: This video is purely educational and does not constitute medical advice. The content of this video is my personal opinion and not that of my employer(s). Use of this information is at your own risk. Rena Malik, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of the information contained in this video including but not limited to economic loss, injury, illness, or death.

0:00 Introduction
2:43 Depressive Symptoms Pessimistic Outlook on Life
4:34 Stress
4:48 Poor Performance
5:14 Relationship Issues
5:27 Guilt
5:37 Self-Esteem Issues
5:58 Previous trauma
6:06 Excessive Pornography use
7:27 Performance Anxiety
7:48 Normal Nighttime Erections
9:43 Cognitive Behavioral Therapy
10:01 Sensate Focus Exercises
10:39 Treat other mental health disorders
11:17 Medications for Erectile Dysfunction

[carlosgranah]

Performance anxiety is a factor. I was so nervous about performing rather than enjoying the moment.

[betmynamespookedyou]

Remember boys. *YOU ARE HIM!* Get in there and give her the time of her life!

[Igotstaknowit]

Sleep and proper nutrition are very important. Not just any sleep, but good sleep. Stay away from computers, tablets, and phones hours before you go to bed. You'll experience the difference.

[EmpowermentEdge]

You are absolutely right. I went through this for a long time, and it repeats itself when during the intercourse my mind recalls my previous low performance. I just want to cease this opportunity by saying that women need to be educated about this as well because word and behaviors can linger in man's mind for a long time. In many cases women tend to be angry and disappointed, thinking that they are not attractive enough. The words and mood will hunt the man for the rest of his live. I have spoken to many men, and this is what they told me: She was rude, she gets up very quick and dress up. Please make a video for us, educating women on how to treat a man who fail to perform. They should support and motivate their men instead of blaming them. I don't care how long it takes but I will watch your vides one by one to share your expertise with the world. Thank you so much.

[bobbruce]

Important topic. Cynicism of love (knowing it's fake or transactional) can lead to the emotional - depressive elements. Dysthymic PTSD due to marital failure may be common. Passion (infatuation) and Intimacy (both wanting same things) are necessary for true romance. Finding the right partner is often a problem. Peace.

[FlavioMarceloSousa]

I battled sexual performance anxiety for almost a decade, back then I didn't even know this was a medical condition. Things changed when I turned 30 because I started to do some reading on this subject. Information is essential: the more you know about sex, the less stressful it will be. Read books, talk to doctors, visit informative websites.

[scottjackson]

This is a fact. Not to dismiss that us fellas can take longer to get going many times. But the thoughts or fears of performance are a huge problem. They have been for me. I'm 58 and am just now finding this out. The loss of the basics seems to be a big part. Romance, erotic thought, slowing down and enjoying the moment. A patient and understanding partner is key as well. I could get it up, and keep it up, untll drum roll please. the actual act was about to take place and I was like a popped tire.

[charlenemack]

I believe I’m the only female subscribed to this that there’s anything wrong with that!!! Dr. Malik, very informative video! 👍💖😎

[latinaalma]

Self esteem is huge...loss of a job, loss of or drop in income for a man is difficult...that is a major source of depression in men and very common..one I have treated OFTEN..Sybil Francis PhD CLINICAL psychologist /professor

[carolinesexplosion]

You are amazing Rena, you explain things in a very easy way to understand. Better than any other doctors.

[johnseromoz]

Thanks to *Super Long Night 72* I've regained control over my intimate life. No more ED! 💥🎉

[honeychilerider]

Man, it really is nice to see these videos from a Real Doctor. As a physician myself I get so frustrated watching people, many of whom have actual MDs but are really more in the business of peddling brands (products as well as their own), spouting great-sounding nonsense and bs.
This sounds like I'm talking to a real, practicing physician, not some TV-doc who's teetering on the edge of pseudoscience to get rich or get by.
Nice work, Dr. Malik.

[ramu]

It should not be last video, you must educate as long as possible. Stay with us, post many videos on health and sexual life. Your videos are so useful. Love you❤

[keithshivers]

As always, really solid and helpful information presented in a very clear way. Great job Doc!

[dmitriuswatley]

I wish I could have a doctor like this person.

[donaldmoser]

You provide such great, real life data and information about anything relating to below-the-belt physiological and/or psychological matters. Being a 50+ male with a host of comorbitities, I sincerely appreciate your videos and its informative content.

[rickm]

Amazing video. Thank you Dr. !!! This is exactly what I needed. Sooo informative!!

The last time my wife and I tried to do the deed… I couldn’t maintain an erection.
I have been too apprehensive to try again …. That was 4 yrs ago.

From this video I now know that there are a number of factors attributing to this.

[vonfields]

ED, is often a mind-body conflict, complex, profound, often hard to resolve, particularly after age of 40.

[billhaar]

Erectile dysfunction causes my depression.

[jaydubbyuh]

Dr. Malik, we know that u r so honest, & diligent, that u could tellus that the sky is falling & we would still love & appreciate u & those of us with minimal ED would immediately begin to get rock hard.