ERECTILE DYSFUNCTION WITH LOSS OF SEXUAL DESIRE: DESCRIPTION AND POSSIBLE MEDICAL PROBLEMS
Any man who tells me that he’s never had a problem achieving and then maintaining an erection is lying. Whether it’s due to stress, illness, fatigue, or medication, it’s actually not unusual for a man to have trouble with getting and/or keeping his erection.
I define erectile dysfunction as the inability to achieve or maintain your erection 50% of the time. Impotence, on the other hand, I regard as the almost total absence of sexual activity because of the inability to maintain your erection all the time.
Once you have a problem achieving and/or maintaining an erection on even a single occasion, a vicious cycle can begin. For instance, one night your partner wants to have sex, but you don’t because you’re preoccupied with an argument you had at the office that day. But you try anyway because you want to make your partner happy. You get an erection, but you can’t maintain it because your mind is a million miles away and, after all, you really didn’t want to have sex in the first place. So you apologize and figure you’ll make it up to your partner the next night.
When the next night rolls around, what frequently happens is that because you’re so focused on doing everything right this time, it doesn’t. If this happens a few more times, you may start to doubt your sexual ability and whether you are able to please your partner at all! Soon every sexual encounter is fraught with tension. You may even statt to believe that your inability to maintain an erection is due to a physical problem.
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