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In recent decades, research in the field of sexual medicine, and in particular erection and its disorders, has grown exponentially. Erectile dysfunction as a disease or condition is becoming increasingly interdisciplinary in the context of the new specialty "Sexual Medicine". Fundamental discoveries in the field of neuroscience and behavioral sciences are relevant to the development of the study of the problem and the search for and identification of not only organic but also psychological changes.


The purpose of more precise diagnostic clarification is to clearly distinguish the disease lesions in the body that limit or make erection impossible. For example, absent or terminated erection in completely healthy people who are in unfavorable conditions for sexual activity (stress, anxiety).


This clearly differentiates the areas of professional activity of different medical professionals - those in the field of sexual medicine (urologists, endocrinologists, vascular surgeons), from those who have qualifications and experience in the field of psycho-sexual therapy (sexologists, psychotherapists, family therapists). This, in turn, avoids the iatrogenic effect of mind-boggling prescribing .



In this case, erectile function is defined as a man's ability to "get and / or maintain an adequate erection."


If we assume that the term dysfunction means impaired function, then it is ridiculous to define as erectile dysfunction cases when the erection is normally blocked or terminated as a result of the body's natural protective function to temporarily exclude sexual activity in the presence of adverse conditions - such as is stress.


Blocked or terminated erections are normal psycho-physiological reactions in circumstances that create a feeling of insecurity and anxiety, as well as in the absence of adequate erotic experiences and stimuli. Such situations arise in everyone’s life when our previous intention and desire to have sexual intercourse differs from the real possibilities for full-fledged erotic communication in a safe environment.


Thus, we unnecessarily focus on the erection, instead of focusing on clarifying the experiences and the cognitive interpretation that gives rise to them in the context of the partnership.


Many men and their partners tend to interpret this as a sexual failure, especially when they have a poor emotional self-report of their own experiences or are unaware of the contribution of stress and other negative circumstances to missing or changing erections.


Thus, each subsequent "failure" increasingly suppresses sexual desire and creates even greater anxiety, in which an erection becomes more and more impossible. In particularly severe cases of sexual anxiety, it is possible for a man to lose any erection, which is combined not only with a lack of desire, but even with fear and aversion to the idea of ??intercourse. 비아그라 판매 of the partner are usually added to this vortex.


The original model of the so-called Sex therapy was developed in the 60s of the twentieth century in the United States. They accept that sexual problems are not so much an individual medical problem as a challenge in the interaction of sexual partners.


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