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En estos casos la mente del individuo abandona los pensamientos sexuales entrando en un círculo vicioso compulsivo de preguntas a sí mismo como: no voy a poder, creo que no tengo erección, que vergüenza, que pensará ella, etc. Un estudio ha demostrado que los tratamientos con receta como Viagra pueden mejorar los casos de disfunción eréctil en varones deprimidos y, hasta cierto punto, aliviar sus síntomas depresivos.
En cambio, si se origina por causas psicológicas, la impotencia suele producirse durante un periodo de tiempo concreto (mientras dure la situación de estrés, por ejemplo).
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La dimensión sexual forma parte de la vida, así que no hay que renunciar a ella. Por ansiedad de rendimiento en el caso de disfunción eréctil se entiende como la presión psicológica para “rendir” adecuadamente durante el sexo.
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Existen otras causas de disfunción eréctil, entre ellas, traumas en la región pélvica, quimioterapia, radioterapia en la región pélvica, cirugías contra el cáncer de próstata, cirugías en la región pélvica y andar en bicicleta por demasiado tiempo (ciclistas profesionales). Existen 4 niveles o fases en el proceso de erección, la fase de iniciación, llenado, rigidez y mantenimiento.
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