Cognitive Behavioral Therapy as a Treatment for Psychogenic Erectile Dysfunction

madman

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Today, we are joined by Dr. Jenn Bossio, a highly regarded clinical and health psychologist based in Ontario, Canada. Dr. Bossio joins us today to discuss cognitive behavioral therapy as a treatment for psychogenic erectile dysfunction.

Erectile dysfunction (ED) can have various origins, including psychological and physical factors, yet many treatments tend to focus on the physical aspect alone. In clinical practice, shifting focus from achieving a “perfect” erection to enjoying intimacy can relieve performance anxiety and often leads to better sexual experiences for both individuals and couples.

Research shows that mindfulness-based therapies can effectively address ED by redirecting attention from performance to enjoyment. Particularly for those without significant physical issues, such as diabetes or cardiovascular conditions, ED often involves psychological triggers like stress or cognitive distraction. Addressing these mental patterns can improve sexual response, breaking the cycle of self-focused anxiety and restoring confidence and intimacy in relationships.
 

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Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

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The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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