Psychogenic erectile dysfunction arises from psychological factors such as anxiety, depression, or relationship conflict. Unlike organic causes, nocturnal and spontaneous erections are often preserved.
Assessment involves detailed psychosocial history and exclusion of organic pathology. Management includes cognitive behavioral therapy, stress reduction techniques, and couples counseling.
Clinical recommendations from the European Association of Urology support integrated management combining psychological and pharmacological strategies when necessary.
Addressing emotional and relational factors restores confidence erotic and sexual function.
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