Urological Health Penis Health Erectile Dysfunction Coping With Erectile Dysfunction By Elizabeth Boskey, PhD Elizabeth Boskey, PhD Facebook LinkedIn Twitter Elizabeth Boskey, PhD, MPH, CHES, is a social worker, adjunct lecturer, and expert writer in the field of sexually transmitted diseases. Learn about our editorial process Updated on November 15, 2022 Medically reviewed by Matthew Wosnitzer, MD Medically reviewed by Matthew Wosnitzer, MD LinkedIn Twitter Matthew Wosnitzer, MD, is a board-certified urologic surgeon and physician scientist. He specializes in male infertility. Learn about our Medical Expert Board Print Table of Contents View All Table of Contents Emotional Relationships Physical Social Practical Erectile dysfunction occurs when you can not get an erection that is firm enough to have a satisfying sexual experience. It can also be defined as when you can not keep an erection for long enough to have a satisfying sexual experience. Because everyone's expectations for sex are different, there is not a specific time or firmness requirement for diagnosis. It's all about whether your erection allows you to meet your sexual needs and desires as well as those of your partner. Shannon Fagan / Getty Images The first thing to do if you are experiencing symptoms of erectile dysfunction is to talk to your healthcare provider. There are a number of medical conditions, as well as medications that you may be taking for those conditions, that have the potential to cause problems getting or sustaining an erection. Erectile problems can also occur as a function of age and stress. Therefore, it's useful to know what's most likely to be causing your erectile dysfunction so that you're aware of the options for treating it. However, identifying potential treatments for erectile dysfunction is only part of learning to cope with the condition. It can also be helpful to change how you think about, and talk about, sex. 1:32 6 Lifestyle Changes to Treat Erectile Dysfunction Emotional For many people, sex is intimately intertwined with well-being. Therefore, erectile dysfunction and other types of sexual health problems can make people feel less manly (or womanly). They can also lead to feelings of anxiety and depression. Feeling sad or anxious is normal when you are learning to cope with erectile dysfunction, and these feelings do not mean anything else is wrong. However, it's important to find ways to constructively address those feelings, such as by talking with a therapist. Anxiety and depression may be a natural side effect of erectile problems, but they can also make those problems worse. Fortunately, addressing these concerns with cognitive behavioral therapy , mindfulness, and other techniques may be able to help some people with erectile dysfunction. These therapeutic techniques can also make it easier to cope with some of the more difficult types of erectile dysfunction treatment, such as intercavernosal injections. It's also important to remember that erectile dysfunction isn't about masculininity or attractiveness. It's a medical condition that can be caused by both physical and psychological factors. More than that, it's a medical condition that may affect as many as half of all men over the course of their life span. Relationships Erectile dysfunction affects sexual interactions. For someone with erectile dysfunction who is in a relationship, that means their relationship may be affected as well. This is particularly a concern when erectile dysfunction leads to sexual avoidance. When a person starts to avoid sex, and doesn't communicate about their reasons, their partner may assume that the avoidance is about them or something they did. They may start to blame themselves, or change behaviors in a way that can cause further problems in the relationship. That's why it's important to talk to your sexual partners if you're dealing with erectile dysfunction. Although that may be difficult to do, talking about sexual dysfunction makes it less likely that blame or other forms of negativity are brought into the relationship. Talking about sexual dysfunction can also reduce performance pressure, which can make it easier to talk about alternatives for sexual pleasure that may not need as firm, or as long, an erection. If you have trouble talking about sex with your partner, or if your erectile function has been going on for a long time, it may help to seek out a couples therapist or sex therapist. A therapist can help make these conversations easier, and also help you come up with coping skills within your relationship. In addition, someone who is trained in sex therapy can help you explore different ways to have a satisfying sex life in the context of erectile dysfunction. Physical For many people, engaging in healthy exercise and having a healthy diet can improve symptoms of erectile dysfunction, or at least keep them from getting worse. This is because, where there is a physical cause for erectile dysfunction, it often has to do with the cardiovascular system. Therefore, good cardiovascular health helps with good erectile function. In addition, regardless of the cause of erectile dysfunction, it's often made worse by stress. Light exercise, meditation, and similar types of activities can be great stress reduction techniques. These too can help improve your sexual function. Social Although many people don't feel comfortable discussing erectile dysfunction, attending a support group—either online or in person—can be helpful. Talking to a local urologist who specializes in erectile dysfunction may help you find a support group near you. Partners of individuals with erectile dysfunction may also benefit from looking for support. These support groups can be harder to find, but local healthcare providers may have good resources. In addition, if your erectile dysfunction occurred after you experienced prostate cancer, there may be additional resources available that you find helpful, including information about penile rehabilitation. Practical The most important practical coping technique for erectile dysfunction is remembering that neither your sexual pleasure, nor your partner's, is dependent on your being able to get an erection. It is possible to have a satisfying sexual life that does not require an erection firm enough for penetration. However, that requires communication and a willingness to explore. In many ways, communication is key when dealing with erectile dysfunction. Many treatments, medical and otherwise, are taken during or near the time of a sexual interaction. People may also use sexual aids like constriction rings (cock rings) or vacuum devices. These can interrupt sexual interactions, but with good communication they don't have to. Instead, techniques for helping with erectile dysfunction can become a joyful component of sexual play. Erectile dysfunction doesn't change who you are, and coping with it shouldn't either. Yes, it can change how you have sex, but those changes aren't always permanent. They also aren't always for the worse. For some people, learning to cope with erectile dysfunction opens their eyes to options for better sex. CBD Oil for Erectile Dysfunction: Does It Work? 5 Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Khan S, Amjad A, Rowland D. Potential for Long-Term Benefit of Cognitive Behavioral Therapy as an Adjunct Treatment for Men with Erectile Dysfunction. J Sex Med. 2019;16(2):300-306. doi:10.1016/j.jsxm.2018.12.014 Allen MS. Physical activity as an adjunct treatment for erectile dysfunction. Nat Rev Urol. 2019;16(9):553-562. doi:10.1038/s41585-019-0210-6 Nehra A, Jackson G, Miner M, et. al. The Princeton III Consensus recommendations for the management of erectile dysfunction and cardiovascular disease. Mayo Clin Proc. 2012 Aug;87(8):766-78. doi:10.1016/j.mayocp.2012.06.015 Fergus KB, Gaither TW, Baradaran N, Glidden DV, Cohen AJ, Breyer BN. Exercise Improves Self-Reported Sexual Function Among Physically Active Adults. J Sex Med. 2019;16(8):1236-1245. doi:10.1016/j.jsxm.2019.04.020 Sari Motlagh R, Abufaraj M, Yang L, et. al. Penile Rehabilitation Strategy after Nerve Sparing Radical Prostatectomy: A Systematic Review and Network Meta-Analysis of Randomized Trials. J Urol. 2021 Apr;205(4):1018-1030. doi:10.1097/JU.0000000000001584 Additional Reading Chambers SK, Chung E, Wittert G, Hyde MK. Erectile dysfunction, masculinity, and psychosocial outcomes: a review of the experiences of men after prostate cancer treatment. Transl Androl Urol. 2017;6(1):60-68. doi:10.21037/tau.2016.08.12 Dorey G. Partners' perspective of erectile dysfunction: literature review. Br J Nurs. 2001;10(3):187-95. doi:10.12968/bjon.2001.10.3.5382 Kessler A, Sollie S, Challacombe B, Briggs K, Van hemelrijck M. The global prevalence of erectile dysfunction: a review. BJU Int. 2019. doi:10.1111/bju.14813 Wassersug R, Wibowo E. Non-pharmacological and non-surgical strategies to promote sexual recovery for men with erectile dysfunction. Transl Androl Urol. 2017;6(Suppl 5):S776-S794. doi:10.21037/tau.2017.04.09 By Elizabeth Boskey, PhD Elizabeth Boskey, PhD, MPH, CHES, is a social worker, adjunct lecturer, and expert writer in the field of sexually transmitted diseases. See Our Editorial Process Meet Our Medical Expert Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit