I suffer erectile dysfunction – when my wife and I go to have sex my brain just switches my penis off. Help!

OUR nonmigratory specializer and NHS GP, Dr Zoe Williams, shares her adept advice.

Today, Dr Zoe helps a scholar who has erectile dysfunction.

Q) I SUFFER from erectile dysfunction.

When maine and my woman spell to person sex, it feels arsenic if my encephalon switches disconnected my penis.

It’s similar I person got into a vicious cycle. What benignant of assistance tin I get for this? I americium 58 and person nary health issues that I americium alert of.

A) We thin to abstracted erectile dysfunction into 2 main groups of causes.

Firstly the psychological causes, which are conscionable similar you picture – the brain, emotions oregon accent are liable for the inability to get oregon support an erection.

The 2nd radical is carnal causes specified arsenic mediocre humor circulation from ­cardiovascular illness oregon diabetes, oregon successful immoderate cases debased testosterone, but this tends to person further symptoms.

To effort to differentiate bet­ween the two, we often inquire if you are inactive getting mean greeting erections.

If these are absent oregon weaker than before, it could springiness a hint towards determination being a carnal cause.

If you consciousness assured that your issues are psychological, the archetypal happening to bash is beryllium unfastened and honorable with your spouse astir what is going on.

Sometimes conscionable the anxiousness astir not being capable to get an erection tin beryllium the lone origin and the champion mode to code this is to beryllium honest.

That removes the “power” of the anxiety. If issues tally deeper than this, approaches specified arsenic cognitive behavioural therapy and counselling would beryllium the adjacent step.

Of course, it is imaginable to person elements of carnal and intelligence causes, truthful it’s mostly champion to person a check-up, specified arsenic an NHS Health Check if you are aged 40  to 74.