This week on BackTable Urology, Dr. Jose Silva invites Mark Goldberg, a certified sex therapist, to discuss psychogenic erectile dysfunction and his role as a sex therapist for patients and couples.

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SHOW NOTES

First, Mark shares his expertise on how to address performance anxiety in patients. He explains that performance anxiety can present in different ways for different people and that it is important to understand the unique thoughts and feelings associated with each individual's manifestation. He recommends what is best for patients who are insistent on immediate relief and emphasizes the importance of finding a balance between a challenging lifestyle and having enough mental bandwidth to have the desired sexual function.

Next, they speak about the causes of premature ejaculation, which can be lifelong or acquired and across the board or situational. He outlines the two general areas of focus to address premature ejaculation, which are over-excitation and performance anxiety. He then discusses the different methods to treat the different causes, such asl medications, and cognitive and behavioral interventions.

Then, Mark speaks about the difference between men and women's expectations of sexual performance. Men tend to have higher expectations of themselves, while women oftentimes feel like they are not living up to the bar. Mark also discusses the role of telehealth, as it is easier for therapists to work with people outside of the United States than across state lines. Mark also shares his experience of starting his radio podcast during the COVID-19 pandemic.

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RESOURCES

Center for Intimacy, Change, and Connection

https://centericc.com/team/

Erectile Dysfunction Radio Podcast

https://podcasts.apple.com/us/podcast/erectile-dysfunction-radio-podcast/id1529816999