Over the years, I have helped hundreds of men with Erectile Dysfunction (ED). Most of the time the problem is multi-determined with performance anxiety, substances (medications, drugs, or alcohol), illness, and advancing age being the predominant causal factors.
Men often assume that all the difficulties they and their partners experience in the relationship will disappear when they can have reliable erections again. Many men are thrilled about the possibilities that medications such as Viagra, Cialis, and Levitra offer them. They and their partner look forward to the restoration of their erectile function, and their relationship, to youthful levels.
ED is such a big concern for both men and women, that it often masks non sex-related problems in the relationship. Having overcome their sexual dysfunction, both men and their partners may feel frustrated and resentful that their relationship does not improve despite the improved erections.