Impotence
Often men experience difficulty obtaining or
maintaining an erection sufficient for penetration. Sometimes there is an
organic basis for this dysfunction; a urologist should be consulted prior to
contacting a sex therapist. Most often, however, the dysfunction has a
psychological basis. Primary impotence refers to a man who has never been able
to maintain an erection for purposes of intercourse either with a female or a
male, vaginally or rectally. In secondary impotence a man cannot maintain or
perhaps even get an erection, but has succeeded at having either vaginal or
rectal intercourse at least one time in his life. The occasional failure to get
an erection is not to be confused with secondary impotence. Familial, societal,
and intrapsychic factors contribute to primary impotence. Some of the more
common influences are
(1) performance anxiety,
(2) a seductive relationship with a mother,
(3) religious beliefs in sex as a sin,
(4) traumatic initial failure,
(5) anger toward women, and
(6) fear of impregnating a woman.
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