Q: What is erectile dysfunction?

"Erectile dysfunction is a disorder in which a person with a penis may not be able to get or maintain an erection to have/complete (usually penetrative) sex. The cause of erectile dysfunction can be physical ailment, psychological, or both. If it is a physical problem, a doctor may be able to help to get to the root of the issue, and it can be resolved. If it is psychological, a sex therapist can help a client address the problem, and it can also be resolved. However, it has the potential to ebb and flow in a person's life depending on the cause and how well/if it can be fully resolved."

Q: Why can’t my partner get it up?

"Many things can impact a person's ability to get and maintain an erection including nerve or other damage to the penis. There could also be a blood-flow problem, which can be exacerbated by excessive drinking, smoking, etc. Lack of hydration in a person's system can also impact erections because water is necessary to have optimal blood flow—so drink up. Aside from the physical, there can be psychological reasons for not being able to get or maintain an erection. Stress, anxiety, depression, etc. can impact a penis bearers ability to get it up and keep it up."

Q: Should I take the fact that my partner can’t get it up personally?

"It should NOT be taken personally if your partner is not able to get or keep it up. It's likely not about you, per se. It might really be that they are worried about pleasing you, so much so, that they cannot get an erection---performance anxiety. If there is a lack of connection in the relationship, that could be a factor, but you can have a conversation with one another and try to resolve the root of the issue."

Q: How can I stop myself from taking their ED personally?

"I have told clients that their partner's issue with getting an erection is not really about them. There are too many factors at play for anyone to be blamed for a partner's flaccid penis. Chances are, when those issues are addressed, they will be standing at attention once again! However, if you are truly concerned that it is you, take the time to have a conversation with your honey and let them know what you have been feeling and thinking."

Q: What are some ways to address the fact that I have an issue with his ED?

"I myself tend to be more direct, but I also recognize having this conversation can feel super sensitive and awkward. So start there! You can say something along the lines of, 'So, I feel really awkward saying this, but I feel like we are tiptoeing around the issue we seem to be having around sex. Are you in a mental space to talk about it right now?' Telling them how you feel with an 'I' statement, and ending with asking if they are ready to talk about it gives them a chance to give their consent to have an open and honest dialogue. It also means they are in a mental space to accept your feedback."

Q: How can we treat erectile dysfunction and engage in physical intimacy without medication?

"Creating a no-pressure sex environment can really help with reducing erectile dysfunction-based performance anxiety. Just explore each others bodies without the pressure or expectation for sex. Sex is a whole lot more than simply penetration. There are a whole bunch of other things that can be done including oral sex, using hands to sexually stimulate, or using toys. Experiment! You might just find something else you really enjoy."

To learn more about Dr. Donna's work or to book an appointment, check out her website here.