Comprehensive Intersystemic Assessment Approach to Relieve Psychogenic Erectile Dysfunction: A Review


  • Cennikon Pakpahan Department of Biomedical Sciences, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia
  • Agustinus Agustinus Department of Biomedical Sciences, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia
  • Darmadi Darmadi Department of Internal Medicine, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia



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


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.


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How to Cite

Pakpahan C, Agustinus A, Darmadi D. Comprehensive Intersystemic Assessment Approach to Relieve Psychogenic Erectile Dysfunction: A Review. Open Access Maced J Med Sci [Internet]. 2021 May 22 [cited 2024 Jun. 15];9(F):189-96. Available from:



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