Sydney Counselling, Relationship Counselling, Sex Therapy


Impotence is generally poorly understood and generally mismanaged due to ignorance, myths, guilt, and the belief that impotence is largely psychological in origin. Some have the impression that impotence cannot be cured.

There has been and studies continue in the field of sexual health into impotence and there have been giant steps forward in its treatment and in some cases impotence can be cured.

Impotence, or erectile dysfunction is a common disorder and afflicts as much as 10 percent of the male population. Some studies have indicated that nearly 50 percent of men above the age of 40 are afflicted by this disorder. To be more specific, impotence is a total loss of erectile function whereas erectile dysfunction is partial loss of erectile functioning. There are two types of impotence, primary and secondary. Primary impotence is from birth and secondary impotence is after years of normal sex. Both are treatable by either non-psychological or psychological or both non-psychological and psychological means.

Reasons for impotence can be:

Arteriogenic: the arteries supplying blood to the penis do not bring in enough blood to cause an erection due to narrowing of the arteries.

Venogenic: Where the veins of the penis leak blood and prevent the development of a rigid erection.

Neurogenic: The nerve supply to the penis is affected preventing initiation or maintenance erection.

Hormonal: This occurs when there is an imbalance or insufficiency of sex hormones in the blood stream. Hormonal changes affect the libido (or sex drive) rather than the quality of the erection. A variety of disease conditions can cause these changes.

Mixed: These conditions can include multiple physical disorders and illnesses as well as psychological issues.

Psychogenic: These conditions are generally psychological in nature.

Treatment for impotence and erectile dysfunction include counselling, oral medication, hormone replacement therapy, external vacuum devices, penile injections and penile implants.

Counsellors of Sydney Counselling and Life Coaching have undertaken extensive training in the field of men’s sexual health and take a holistic view of men’s sexual health in regard to impotence and erectile dysfunction and can advise on an appropriate course of action to address this issue however specialise in the mixed as well as psychogenic areas of treatment by way of counselling consultations.