The primary basis of substandard erections may be psychological factors. In men with erectile disorders frequently observed changes in the psyche. Sometimes the question arises, in which cases they are the cause, and in what – a consequence of impotence. For the distinction between primary and secondary psychological factors in the impaired erectile require special examination.

The physical basis of impotence caused by a primary psychological factors, is inadequate stimulation kortikosakralnogo way. It can be attributed to many causes, in particular the effects of symptomatic hyperstimulation as a result of anxiety, depression, feelings of aggression or guilt during sexual stimulation. In these patients, there are psychological factors of the disease, but the majority still do not, they are the primary etiologic cause. Regardless of the presence of organic disease with impotence manifest such feelings as depression, aggression, his own guilt, decreased self-esteem and loss of self-respect. Patients with impotence caused primarily by psychological factors, as a rule, relatively young (45 years), noted the sudden appearance of the disease, which is usually associated with a very definite occasion. Sometimes they are experiencing a “situational” impotence – the inability to have sex in certain circumstances. In patients with impotence have been some mental disorders, which is understandable, since the self-esteem, self-esteem and awareness of one’s self is often closely linked to the implementation of adequate sexual function. It is therefore necessary to gather information on the manifestations of anxiety, aggressiveness, depression, feelings of guilt, inferiority. However, it is sometimes difficult to determine whether these factors are the primary cause of impotence or a consequence of it. For psychological impotence is characterized by clinical polymorphism, variations in the degree of sexual function disorders have emerged, the presence of success in any particular situation, with persistent disability in other contexts. Thus patients are observed decreased sex drive and dominance of braking torque while maintaining libido.

Patients with low sexual desire to celebrate sexual weakness, but detailed surveys is that they have saved and erection and ejaculation, but there is no desire for sexual intimacy or the desire expressed incompletely, and dimly realized on debt rather than on need. Some patients have an erection does not arise even if the relevant circumstances. Others do not get satisfaction, despite the full implementation of sexual intercourse with the physiological side.

When you save the sexual appetite of patients have a variety of symptoms: lack of erection, sometimes its absence, too fast ejaculation or, conversely, a phenomenon aspermia. The most characteristic should be considered as the disappearance of an adequate erection at the most crucial moment, before sexual intercourse, while the preparatory period took place normally. Also characteristic spontaneous erections in the morning, with erotic fantasies, along with its disappearance in the real world of convergence.

There are patients with a decrease in sexual desire, stemming from years of sexual abstinence, negative or distracting influences, hobby work, negative attitudes towards his wife because of her sexual frigidity, general state of fatigue, long-term concern, and emotional depression. The cause of sexual disorders, may be inadvertently insulting spoken word, for example, the reproaches of his wife about her husband’s sexual disorders are pathological stimulus, significantly aggravating the already existing disease that causes profound inhibition of erections. Consequently, any negative emotion, even indirectly affect the integrity of sexual impulse of man, may acquire pathogenic character and fortitude to fix the disorder arose. Osobennosilny experiences with failures during casual sex. Even more severe are the experiences with the crisis in the first wedding night, when an unexpected setback threatens the future relationship between the spouses.

Dramatically influenced by the traumatic loss of an adequate erection, leading to the impossibility of convergence. Highly pathogenic significance is suddenly experienced by ejaculation before intercourse, especially if it occurred before the first proximity. Pathogenic effects of this experience can be so strong that a man for a long time (sometimes several years), considering themselves inferior, does not dare to start sexual life.