Skip to content

    Erectile Dysfunction Health Center

    Font Size
    A
    A
    A

    Those Wedding Night Blues

    continued...

    Impotence expert William Steers, MD, who chairs the department of urology at the University of Virginia Health System in Charlottesville, has another view of honeymoon impotence. He says erectile dysfunction at first sexual encounter is not uncommon in this country, and the cause is usually psychological.

    "I work in a university town, and we do see a significant number of students who are seeking medical attention for this problem," Steers tells WebMD. "The vast majority of the time it is due to performance anxiety."

    He says depression is a major cause of sexual dysfunction among younger males, but fear of AIDS and other sexually transmitted diseases is also a common culprit. Inexperienced males may also have performance problems if they believe their partner has much more experience.

    "I have guys in their 20s walk in the door who are convinced there is something physically wrong with them, even though the tests don't show this," he says. "Nobody wants to hear that the problem is psychogenic, and if you tell them this they will run, not walk, to another physician to find out what is 'really' wrong."

    Steers says tests measuring penile blood flow are notorious for producing false positives. For this reason, the findings of Usta and colleagues may exaggerate the physical origin of impotence problems in the young males included in the study.

    "The thing is, unless someone has very severe [psychological] problems or a serious medical condition, the range of therapies you offer are pretty similar no matter what the origin of the problem," he says. "But you have to do a reasonable workup to rule out these dangerous problems."

    1 | 2

    Today on WebMD

    handsome midadult man
    11 tips to protect your erection.
    man and woman on beach
    How much do you know about ED?
     
    stress in bed
    Things that can deflate erections.
    senior couple hugging
    How medications work.
     
    concerned man
    Article
    stress in bed
    Slideshow
     
    Life Cycle of a Penis
    Article
    Mens Body Problem
    Slideshow
     
    bored man
    Article
    Lamm Erections Over Life
    Video
     
    Food Men 10 Foods Boost Male Health
    Article
    senior couple hugging
    Article
     

    WebMD Special Sections