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Personally, people with truly similar sexual problems almost always come to the office. In the case of men, it is almost always subject to problems of anxiety, stress, lack of being able to sleep well. Below we will be able to better illustrate these situations and their possible causes.
The first is perhaps the simplest and can be summed up in anxiety and the anxious circle. When a person experiences erectile dysfunction or premature ejaculation for the first time, it can be caused by being sleepy, being stressed by work or having an argument with their partner. Problems, rush, stress or fatigue are factors that generate anxiety, and if there is anxiety, there can be no sex.
But why does this happen? The answer is in human evolution. When the brain detects stress, it does not know well if it is internal or external, but what it does understand is that there is a danger. If cavemen and women had ignored their anxiety and engaged in sexual intercourse, an animal would most likely have eaten them, which does not seem very suitable for the survival of the individual or the species. Although it seems that this can no longer affect us because we do not live with that level of danger around us, the brain does not evolve as fast as society, and that is why if there is anxiety the Sympathetic Nervous System is activated (internal system that mobilizes us ) which is the opposite of what we need to maintain an erection.
Now that we understand how everything is handled in our brain and we have a greater understanding of it because so many changes occur at the level of sexual libido, we can continue to mention other influencing factors.
This really serves to explain the first episode of sexual dysfunction, but… What happens the next time the man goes to have sex and is no longer tired, stressed or angry with his partner? Here is what is known as the circle of anxiety. Having had a first sexual dysfunction, the man generates anticipatory anxiety, that is, fear that the episode will be repeated. It is likely that you have been thinking about it for days, thinking that you have a problem, and you are terrified that it will happen again, as this would corroborate that you are "powerless." The man goes to sex as if it were an exam, and the fear of the repetition of the problem generates the problem (as I said before, if there is anxiety, there can be no erection). And there the man stays, anchored in the idea that he has erectile dysfunction, premature ejaculation, etc. This is how a single event of little importance creates a lasting problem, which is difficult to get out of without external help.