By Psychologist Jasmina García Velázquez - Specialist in Psychology and Sexuality.
For years, men's mental health has been a silenced topic. Social pressure to "be strong" and "solve problems alone" has led many men to delay seeking professional help. However, scientific evidence shows that untreated emotional disorders directly impact physical health, sexuality and the quality of relationships.
In urological and andrological consultations it is common to see patients who, in addition to a physical symptom, have anxiety, stress or emotional problems that aggravate their situation. Male sex therapy, combined with the medical approach, offers a complete path to wellness.
Table of Contents
- Warning signs: when to ask for help?
- Relationship between mind and male sexual health
- Benefits of psychological therapy in intimate life
- Interdisciplinary approach: medical and psychological work together
- Debunking common myths
- Clinical example: the failure spiral
- Practical tips to improve your intimate life
- How we accompany you in GUA
- Make an appointment today
Warning signs: when to ask for help?
Going to therapy does not mean weakness, but responsibility and self-care. Here are some signs that you could benefit from psychological help:
- Anxiety or depression: insomnia, irritability, lack of concentration and persistent discouragement.
- Chronic stress: work or personal burden affecting sexual and urinary performance.
- Couple problems: frequent arguments, lack of communication or intimacy difficulties.
- Sexual dysfunctions: premature ejaculation, erectile dysfunction or low desire when not explained only by physical causes.
- Difficult medical processes: infertility, urological cancer or surgeries affecting body image.
Recognizing these signs early can make the difference between a problem that becomes chronic and a successful recovery.
Relationship between mind and male sexual health
Mind and body form an inseparable binomial. In male sexuality, emotional factors play a decisive role:
Erectile dysfunction and performance anxiety
Many men experience the so-called "failure spiral": after an episode of erectile difficulty, there is a fear of repeating it. This anxiety generates more tension and perpetuates the problem. The intervention of a psychologist for erectile dysfunction helps to break this vicious circle.
Premature ejaculation
Up to 30% of men suffer from it at some point in their lives. The psychological component - anxiety, hyperarousal, anticipatory thoughts - is usually decisive and responds very well to sex therapy.
Low sexual desire
It is not always hormonal. It is often related to depression, chronic fatigue or relationship conflicts. In therapy, both emotional causes and relationship patterns are addressed.
Male infertility
Receiving a diagnosis such as oligozoospermia or azoospermia generates a strong emotional impact. Feelings of guilt, low self-esteem and tension with the partner arise. Here, psychological help for men in sexuality is essential to sustain the process.
Benefits of psychological therapy in intimate life
The benefits of psychotherapy are not limited to emotional symptoms. Its effects reach sexual, couple and social life:
- Improved communication in couples: learning to express fears, desires and expectations.
- Anxiety and stress management: relaxation techniques and cognitive restructuring.
- Strengthening of self-esteem: regaining personal security and sexual confidence.
- Prevention of isolation: encourage the search for social and family support.
- Accompaniment in medical processes: emotional support in situations such as prostate surgery or vasectomy.
Interdisciplinary approach: medical and psychological work together
The integrated approach combines the vision of the urology/andrology specialist with that of the clinical psychologist:
- Urologist/andrologist: rules out organic causes (vascular, hormonal, neurological).
- Clinical psychologist/sexologist: works with emotional and relationship factors.
- Multidisciplinary team: the patient receives global care, without fragmenting his or her problem.
Debunking common myths
- "Therapy is for the weak" → False. Seeking help is a sign of maturity.
- "Sexual problems are only physical" → False. More than 50% have a strong psychological component.
- "Going to a psychologist involves years of sessions" → False. Many specific dysfunctions improve in a few weeks.
Clinical example: the failure spiral
A 45-year-old man comes to the clinic for erectile dysfunction. After ruling out organic causes, a great anticipatory anxiety is identified: "it will fail me again". This belief reinforces the problem. The combined treatment -medication and cognitive-behavioral therapy- achieves better results than those obtained separately.
Practical tips to improve your intimate life
- Take care of rest and nutrition: poor sleep and excess alcohol affect sexual function.
- Talk to your partner: sharing concerns reduces tension.
- Do not self-medicate: a specialist must assess each case.
- Integrate physical exercise: improves self-esteem and erectile function.
- Seek professional help: the sooner, the better the prognosis.
How we accompany you in GUA
At GUA Urology and Andrology we understand that sexual health is not only physical. Our medical and psychological team works in a coordinated way to offer you:
- Medical diagnosis of sexual dysfunctions.
- Psychological and sexological therapy specialized in men.
- Continuous follow-up to ensure lasting recovery.
Also explore our male dysfunctions section and our blog articles for more information.
Make an appointment today
If you notice that your intimate life is affected by stress, anxiety or sexual dysfunction, don't let it go. Take the first step toward a fulfilling life:
"Taking care of your emotional and sexual health is investing in your well-being. We are here to help you."
