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If the cause of your erectile dysfunction (ED) is psychological in nature, seeing a sex counselor or sex therapist may help. In general, sex counselors and sex therapists tend to get specific training about sexual issues that sabotage sexual satisfaction, like erectile issues.
ED is a regular inability to get and keep an erection. It may only happen in some situations; for example, you may be able to get an erection when masturbating, but canât keep an erection when youâre with your partner.D can have physical and psychological causes. Sometimes it's a combination of both. Examples of physical causes include: 1  narrowing of the blood vessels in the penis â this is commonly linked with cardiovascular disease, high blood pressure or diabetes. 2  hormonal conditions â such as thyroid problems.