Prevalence :
Prevalence 7% Under 30
18% Over 50
Laumann, 1999
Observations :
Observations Highly Prevalent in Aging Men
Degree of Bother is Inversely Related to Aging
ED is Highly Correlated with Risk Factors and Comorbidities
Smoking, Obesity & Exercise Predict ED
Classification :
Classification Generalized Unresponsiveness
Situational
Partner Related
Performance Related
Psychological Distress
Psychological Factors :
Psychological Factors Immediate
Performance Anxiety
Lack of Adequate Stimulation
Relationship Conflicts
Remote
Childhood Sexual Trauma
Sexual Identity
Religious Issues
Intervention :
Intervention Anxiety Reduction
Cognitive-Behavioral
Sexual Stimulation
Couple Communication Training
Relapse Prevention
Implications :
Implications Couples with Severe Relationship Conflicts are Unlikely to Benefit from Medication
Couples Should be Encouraged to Communicate About Sexual Issues
Suggestions to Increase Physical & Emotional Intimacy
Suggestions to Develop a Romantic Sexual Script