Since the dawning of the ‘little blue pill’ era it has become commonplace for doctors to prescribe the ‘wonder drug’ or one of its fast expanding family for virtually any and all sexual problems that are presented at the general practice.  In some cases this is helpful and appropriate but in many cases is not, and in such cases more harm than good is done in the longer run by re-enforcing a view suspected by the patient that something is physically wrong rather than offering the patient hope that he, or she, has every right to look for and expect a natural resolution to the difficulties being experienced.  What are these anxieties?  What are the attending dysfunctions?  How do they affect individuals?  How do the insecurities arise? How do they affect relationships?

Most psychogenic sexual problems can be traced back to some form of sexual repression, obsessive thoughts, based on self-judgements having no basis in truth:

  • “I’M NOT GOOD ENOUGH”
  •  “I DON’T KNOW ENOUGH”
  • “I DON’T GET HARD ENOUGH”
  • “I DON’T LAST NOT LONG ENOUGH”

You could add to that list the more modern, media fuelled neurosis, “I’m not big enough” and, for women specifically you could add:

  • “I’M NOT ATTRACTIVE ENOUGH”
  • “I’M NOT SEXY ENOUGH”
  • “I DON’T GET WET ENOUGH”
  • “I DON’T PLEASE HIM ENOUGH”

We call these psychogenic causal issues:

  • PERFORMANCE ANXIETY
  • SEXUAL INSECURITY
  • FEAR OF INTIMACY

Lurking beneath those anxieties and nervous states hide feelings and memories of:

  • JUDGEMENT
  • GUILT
  •  SHAME
  • CONDEMNATION
  • FEAR

Symptoms or Sexual Dysfunctions

The common physical sexual dysfunctions that are effects, or symptoms, of these underlying causal factors in men are:

  • Non-Consummation / Sexual Inexperience (Adult ‘Virgins’)
  • Inability Or Difficulty In Achieving An Erection
  • Inability Or Difficulty Maintaining An Erection
  • Premature Ejaculation
  • Inhibited Ejaculation
  • Gender Disorientation / Confusion

In women, the most common effects are:

  • Non-Consummation / Sexual Inexperience (Adult ‘Virgins’)
  • Orgasmic Dysfunction
  • Arousal Desire Disorder
  • Painful Sex