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Erectile dysfunction (ED) can have a negative impact on self-esteem, quality of life, and interpersonal relationships. It is very important that men discuss any concerns or problems with their health care provider so that appropriate evaluation and treatment can be provided. Do not allow embarrassment or shame to interfere with obtaining proper medical care for this common condition.

Men who suffer from depression commonly experience ED and, conversely, men with ED often experience depression. Erectile dysfunction associated with depresion is a treatable condition that should not be ignored. If you are depressed and also have ED, talk to your health care provider about your treatment options. Studies have shown that sildenafil (Viagra) is effective for the treatment of ED in men with mild to moderate depressive illness.

Life stressors such as change in social status, divorce, death of partner or spouse, loss of job, or family problems can not only have a negative effect on sexual desire but can also lead to ED. Psychogenic ED associated with life stressors can usually be treated successfully with a variety of psychological interventions including:

• Anxiety reduction and desensitization techniques
• Cognitive-behavioral therapy
• Guided sexual stimulation techniques
• Relationship (couples) counseling

It is also important for men with ED to learn as much as possible about the various treatment options and understand the risks and benefits of each treatment modality. Because ED also affects the patient's partner, it is equally important to involve their partner in the decision making process.