Anxiety and erectile dysfunction: a global approach to ED enhances results and quality of life

Int J Impot Res. 2003 Apr;15 Suppl 2:S16-9. doi: 10.1038/sj.ijir.3900994.


Anxiety plays a major role in the development of the problems associated with erectile dysfunction (ED). Psychological and behavioural responses to ED can lead to a vicious cycle of increased uneasiness, distance and conflicts. This in turn leads to a lower frequency of sexual encounters, less time spent together and lack of communication between partners in a relationship. In this review, methods to decrease sexual anxiety are discussed. Primary care psychosexual counselling including a detailed explanation of ED, reassurance to the patient and proposal of a solution for ED are outlined. A multidisciplinary approach to ED therapy is recommended using psychosexual counselling in conjuction with pharmacotherapy.

Publication types

  • Review

MeSH terms

  • Anxiety / psychology*
  • Apomorphine / therapeutic use
  • Dopamine Agonists / therapeutic use
  • Erectile Dysfunction / drug therapy
  • Erectile Dysfunction / psychology*
  • Humans
  • Male
  • Psychotherapy
  • Quality of Life*


  • Dopamine Agonists
  • Apomorphine