To educate healthcare professionals on the historical aspects, clinical diagnosis, and current treatment methods of psychogenic erectile dysfunction.
A topic review of current literature was performed. Data from clinical studies, trials, and review articles concerned primarily with psychological aspects of the arousal erectile function phase of the male sexual response cycle were collected, analyzed, and summarized in this review article. There has been a shift in how erectile Acid pauli wife sexual dysfunction has been perceived and treated over the past 30 years.
With the current focus now on the very prevalent organic causes of ED, psychological factors are increasingly overlooked, though they remain important to the treatment of the patient as a whole.
This article provides a complete, concise review of the interplay between psychological components "Acid pauli wife sexual dysfunction" erectile function, reviews the work-up and diagnosis of psychogenic ED, and discusses treatment methods.
Erectile dysfunction is a prevalent problem that can affect, and can be by, psychosocial aspects of a man's life. Medical or pharmacological interventions are often appropriate to treat ED, but the psychosocial aspects should not be ignored. It has become easier for practitioners to put aside patients' psychosocial and interpersonal concerns regarding sexual health.
Clinicians provide the best possible treatment if they recognize that erectile dysfunction is a complex, multifactorial disorder, and treat accordingly.
Twenty patients with psychogenic erectile dysfunction received the drug enerion Hungary. After a day course of enerion erectile function improved in 16 of the above patients. A mean value of the international index of erectile function IIEF increased in them from Improvement of cavernous arterial blood flow after the treatment was seen in 3 of 6 patients with arterial disorders.
As shown by electromyographic examinations, cavernous electric activity normalized in 8 patients. Thus, psychogenic erectile dysfunction can be effectively treated with enerion.
Resolution of erectile dysfunction after an andrological visit in a selected population of patients affected by psychogenic erectile dysfunction. The aim of this study was to ascertain whether some patients with psychogenic erectile dysfunction PED who chose psychotherapy spontaneously improved their sexual function immediately after diagnosis.
Two hundred eighty-five patients with PED were Acid pauli wife sexual dysfunction studied. Complete resolution of PED was analyzed regarding age, primary or secondary PED, marital status, domestic status, prevailing attitude of the female partner to the dysfunctionduration of their partnership, social status, duration of PED, International Index of Erectile Function score, and prevailing attitude of the patient after a diagnosis of PED.
The data were analyzed using post-hoc tests. PED was resolved in These patients were older, more frequently affected by secondary ED, more frequently living with their partner, and more frequently resigned or happy with the diagnosis of PED than the patients who did not resolve their PED.
The other variables did not influence PED resolution. Our data showed that a clear-cut diagnosis of psychogenic erectile deficiency and some psychosocial factors were critical for the management of some patients with PED. Effects of moclobemide on sexual performance and nocturnal erections in psychogenic erectile dysfunction. We tested the hypothesis that the selective reversible MAO-A inhibitor moclobemide has a specific therapeutic effect on erectile dysfunction independent of its antidepressive properties.
a double-blind placebo controlled study, 12 male outpatients suffering from psychogenic erectile dysfunction without any other psychiatric disorder were investigated. Based on comprehensive diagnosis before the beginning of the study, organic factors relevant for sexual function were excluded.
The treatment period was 8 weeks. Half the patients received mg moclobemide during the first week, and mg afterwards; the others received placebo. Apart from assessment of erectile function by means of the Clinical Global Impression CGI scale, nocturnal erections were measured under polysomnographic control at baseline and at the end of the treatment period. The evaluation of the CGI scale revealed a clearly stronger improvement under moclobemide compared to placebo during the study period.
The therapeutic efficacy found on the subjective level had no clear correlate on the neurophysiological level.
No alterations of nocturnal erectile parameters were obvious under treatment, neither were clinically relevant alterations found regarding sleep EEG parameters. The medication was well tolerated without serious adverse events. The findings support the hypothesis that moclobemide has a specific effect on erectile dysfunction.
Thus, patients Acid pauli wife sexual dysfunction from psychogenic erectile dysfunction who are not depressed might benefit from moclobemide without relevant side effects. Brain structural network topological alterations of the left prefrontal and limbic cortex in psychogenic erectile dysfunction. Despite increasing understanding of the cerebral functional changes and structural abnormalities in erectile dysfunctionalterations in the topological organization of brain networks underlying psychogenic erectile dysfunction remain unclear.
Here, based on the diffusion tensor image data of 25 patients and 26 healthy controls, we investigated the topological organization of brain structural networks and its correlations with the clinical variables using the graph theoretical analysis.
Patients displayed a preserved overall small-world organization and exhibited a less connectivity strength in the left inferior frontal gyrus, amygdale and the right inferior temporal gyrus. Moreover, an abnormal hub pattern was observed in patients, which might disturb the information interactions of the remaining brain network.
Additionally, the clustering coefficient of the left hippocampus was positively correlated with the duration of patients and the normalized betweenness centrality of the right anterior cingulate gyrus and the left calcarine fissure were negatively correlated with the sum scores of the item Hamilton Depression Rating Scale. These findings suggested that the damaged white matter "Acid pauli wife sexual dysfunction" the abnormal hub distribution of the left prefrontal and limbic cortex might contribute to the pathogenesis of psychogenic erectile dysfunction and provided new insights into the understanding of the pathophysiological mechanisms of psychogenic erectile dysfunction.
Brain networks during free viewing of complex erotic movie: Psychogenic erectile dysfunction ED is defined as a male sexual dysfunction characterized by a persistent or recurrent inability to attain adequate penile erection due predominantly or exclusively to psychological Acid pauli wife sexual dysfunction interpersonal factors.
Previous fMRI studies were based on the common occurrence in the male sexual behaviour represented by the sexual arousal and penile erection related to Acid pauli wife sexual dysfunction of erotic movies. However, there is no experimental evidence of altered brain networks in psychogenic ED patients EDp. Some studies showed that fMRI activity collected during non sexual movie viewing can be analyzed in a reliable manner with independent component analysis ICA and that the resulting brain networks are consistent with previous resting state neuroimaging studies.
In the present study, we investigated the modification of the brain networks in EDp compared to healthy controls HCusing whole-brain fMRI during free viewing of an erotic video clip. However, between-group differences in functional connectivity were observed in the DMN and in the SN. In the DMN, EDp showed decreased connectivity values in the inferior parietal lobes, posterior cingulate cortex "Acid pauli wife sexual dysfunction" medial prefrontal cortex, whereas in the SN decreased and increased connectivity was observed in the right insula and in the anterior cingulate cortex respectively.
The decreased levels of intrinsic functional connectivity principally involved the subsystem of DMN relevant for the self relevant mental simulation that concerns remembering of past experiences, thinking to the future and conceiving the viewpoint of the other's actions. Moreover, the between group differences in the SN nodes suggested a. New Insights on Psychogenic Erectile Dysfunction.
Erectile dysfunction is a multidimensional but common male sexual dysfunction that involves an alteration in any of the components of the erectile response, including organic, relational and psychological.