Mark Reid, Marriage & Family Therapist
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Erectile Dysfunction (ED)

Erectile dysfunction is very common in the United States with approximately 18% or 18 million men over the age of 20 living with this disorder.  This is when a man can't get, or keep, an erection, and the causes can be physical or psychological. 

Physical causes:
  • Lack of physical activity
  • Cardiovascular risks including diabetes
  • Kidney disease
  • Nerve and brain neurological diseases
  • Injury to the spinal cord, penis, pelvis or bladder
  • Side effects of medication
  • Low levels of testosterone
  • Alcohol and substance abuse
  • High cholesterol and blood pressure
Psychological causes:
  • Stress
  • Anxiety
  • Depression
  • Guilt
  • Poor self-esteem
  • Interpersonal conflict
  • Performance anxiety
  • Porn use
Find out more about erectile dysfunction.

Treatment options include:
Erectile dysfunction vacuums
Penile prosthesis
Natural remedies
Medications

Ejaculation Issues

​Premature ejaculation is regarded as one of the most common sexual dysfunctions among males. It is estimated to occur in 24% of men and is defined as ejaculation with minimal sexual stimulation before or shortly after penetration and before the person wishes it. The condition is persistent or occurs frequently and causes significant distress. 

Lifelong PE starts early on, usually when you are a teenager experiencing first sexual contact. It is harder to treat and often has deeper psychological causes. Bad habits may also contribute (such as masturbating to ejaculate as fast as possible in order to avoid getting caught).

Acquired PE happens later in life and is usually triggered by either psychological (stress or relationship issues) or physical causes (diabetes or high blood pressure).

USA News.com reported that the average length of a sex act is 7.3 minutes but an astonishing 43 percent of men finish in under two minutes.

More information on premature ejaculation