Topic: depression

Question: Why am I experiencing dfficulty maintaining an erection?
A few years ago I was making love to my wife when for no known reason I lost my erection,    Now I'm In my early 30s and my problem has become more and more frequent. This is causing major problems for my ego and it's diminishing my self esteem. This has resulted in ongoing depression and tearing apart my marriage.    I am devastated and cannot find a cause for these issues. I am very attracted to my wife and want to express it in the bedroom like I used to.    What could be causing this, and what can I do about it?

Answer (from Sherry Katz, LCSWCouples and Family Therapist, LCSW):
First step always is to do a medical rule out so that you're sure the problem is psychological and emotion based, not a medical condition which requires care and attention.If you are medically clear in the reasons for losing your erection, then reflect on what may be creating a loss in confidence in either who you are and what you're doing with your life, or whether your wife has these sort of problems within herself.Often a problem transfers ownership of who shows it.If you are a sensitive person its possible your erection problem reflects your wife's insecurities and self-doubt.  If she is someone who is reluctant to talk about feeling unsure then in a certain way by you showing a problem, she can avoid looking at herself.There may not be a direct cause such as usually exists in a medical problem.Medicine looks for symptoms to treat.Our emotional lives are much more indirect.If you feel stress at work or are unhappy in the place you live, for example, then your frustration may show up in your sex life.Basically, do a broad inward search of your life and what it holds and maybe ask your wife to do the same.You may clear the air within yourselves and between each other so the problem goes away.

Answer (from Kelly Mulroy, LMHC, NCC, DCCClinical Hypnosis and Psychotherapy):
When I'm working with men with this type of situation, I always suggest a medical examination to rule out any type of organic reason for a difficulty in maintaining interaction. In cases where there is no medical reason for the loss of erection, I find that many men have a similar situation in experiencing negative intrusive thinking during lovemaking. My counseling approach for this situation is to incorporate the use of mindful sex.

Answer (from Marissa TalaricoSex and Relationship counseling):
For starters, know that this is a normal experience for many men at some point in their lives. While this can certainly cause some embarrassment, a diminished sexual esteem or relationship problems, it is important to know you are not alone. I am going to move forward assuming that you have already checked with a medical professional to rule out any medical problems that may be related to this. Assuming that is the case, for most this happens for two primary reasons. It is either a short term biological shortage of blood flow to the penis. This can be caused my diet, lack of exercise, even stress. Another primary reason for loss of erections are anxiety. Have their been recent relationship issues? Are you feeling as though you aren't satisfied in the bedroom? These are just a few aspects that can cause subconscious anxiety and loss of erection. My suggestion to you would be to seek out a counselor that specializes in sexuality that can assist you in moving forward with this.  Best of Luck!

Answer (from Dr. Meredyth LawrynceServing Clients Nationwide):
This issue could come from
any variables. The pressure of being satisfying, or if you have experienced any
tension. Do you have any uncomfortable thoughts or is anything from your past
coming up?  Had you been socialized to believe
certain things or did new beliefs come up? 
What were your models of healthy relationships?  Was anything of substance coming up around the
time this began? Some have found acupuncture to be helpful or even the Emotional Freedom
Technique (EFT).

Answer (from Brandon CoussensCouples Counseling, Premarital Counseling and Sex Therapy):
Most men believe that getting an erection is just a given. However, research shows that men, even in their 20's and 30's can start to lose an erection sometimes. Unfortunately, what tends to happen is that men don't know this and become extremely upset and fearful after losing an erection because they don't know that it is normal and happens sometimes. Anxiety, depression and stress are the biggest culprits to losing erections at an early age. Anxiety or nervousness constricts the blood vessels, decreasing the amount of blood flow to the penis, thus diminishing an erection. Other reasons may be possible also, especially, when this first happened. My assumption would be that anxiety and fear of being able to keep your erection is contributing to continued difficulty with erections, but the initial cause would need to be explored more deeply.Initial causes of losing an erection could be many things. Anxiety, depression, stress, tiredness, or any negative emotion can cause you to lose your arousal and thus lose an erection. Also, I would encourage you to make sure that you see a doctor to check off that their are no medical concerns. Diabetes or weight issues might contribute to the loss of erection and so can other medical concerns. If it is causing relationship difficulties, the last thing you and your wife need to do is argue about it or get angry or frustrated with each other. I would encourage marriage counseling to make sure your relationship and COMMUNICATION is strong, especially around the topic of sex. I good sex therapist can probably assess what the initial contributing factor could be. A doctor to do a full medical check-up to make sure there are no physical issues (especially testosterone levels). Finally, one thing I encourage is to get back to the basics. Make sure your relationship is strong, keep excitement and dating and spontaneity a large part of your relationship. Bring enjoyment back into your relationship everyday. And, don't stress about the erection. Focus more on ENJOYING your wife, her body, and the all the experiences that come with "MAKING LOVE" to her. I have known men that can't get an erection, but still enjoy sex with their wife. With that said, if their are no physical concerns, then it is all in your head. So, learning how to relax and ENJOY the action is key!

Answer (from Dr. Timothy Paul'man'; Online - "Natural Health Consultant and Coach"):
Erection maintenance is caused by connective tissue weakness as well as lymphatic stagnation of the area and accompanying channels.  A proper detoxification is necessary to reverse the stagnation and get things flowing again.Lower circulation and pituitary might also be indicated.Medical will likely not recommend anything useful in the long term (pharmaceuticals do not solve a problem, only suppress it; and, it will return again later and worse than before);Certain herbal protocols and natural protocols would be very warranted in getting things going again :)