Those Wedding Night Blues
"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."