Psychogenic erectile dysfunction (ED) is a very common condition in men. About 40% of ED cases are psychogenic. Many of the psychogenic ED patients are young men. The causes of psychogenic ED can be generalized as well as situational. Psychogenic management approaches are different from organic ED. In patients with psychogenic ED, an intersystemic approach is needed for both the patient and his partner. This intersystemic approach will inspect the real cause of the problem. Intersystemic approach: The intersystemic approach not only focuses on the patient side but also on his partner. This approach provides space for partners to explore and understand their sexual life. In this article, we focus to explore a research that conducts intersystemic principle in ED management. We conclude that in psychogenic ED, an intersystematic approach is important for determining the root cause of the problem. Finding the right core cause will determine the right treatment. This therapy can combine with pharmacologic treatments. These therapies can give a better outcome for psychogenic ED.

Original languageEnglish
Pages (from-to)189-196
Number of pages8
JournalOpen Access Macedonian Journal of Medical Sciences
Publication statusPublished - 2021


  • Cognitive behavioral therapy
  • Intersystemic approach
  • Psychogenic erectile dysfunction
  • Psychological therapy
  • Sex therapy


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