Anxiety is a well-known etiological factor that leads to the development of Erectile Dysfunction (ED). There are three key conditions a physician must consider while treating anxiety and impotence in men. Firstly, impotence usually results from a combination of different causes that shall comprise of organic and psychogenic factors that might occur in the same period of a man's life. Secondly, anxiety might be quite confused with the condition of depression or sexual desire disorder. This can be prevented by discussing the key issues with each patient. Finally, anxiety is a normal response for some of the personal and health conditions; and not any sort of pathological response. It is essential for physicians treating impotence to consider a global approach to ED therapy that deals with anxiety in men. Central initiators like apomorphine SL are of use in helping to break some of the failure cycles that might be a part of ED. The resulting physiological erection shall help to normalize the sexual situation of the couple for alleviating anxiety levels.
Causes of Anxiety
There are multiple life stressors that might eventually lead to anxiety and in turn it might induce secondary Erectile Dysfunction. Such stressful events might be job-related (stress, traveling, responsibility), couple related (divorce, widower's syndrome, conflicts), age-related (feeling old, fear of death), health-related (illnesses, surgery) or side effects from other drug therapies. Some of these situations are a part of everyday life that in some instances might lead to anxiety. In case several of these events occur simultaneously the consequences might be multiplied.
Explaining ED
The physician/urologist must completely explain the mechanism that is involved in penile erection and erection failure. This explanation must be fairly detailed, which shall also discuss the role of vasculature, neurotransmitters, and central mechanisms. The use of metaphors and simple language shall ensure that the patient completely understands the mechanisms behind impotence. An explanation of the mechanism of action of this medicine is to be prescribed as an essential successful therapy.
