A Case Report of Psychogenic Erectile Dysfunction with Ego Dystonic Sexual Disorientation: Is Still Relevant to Treat?

Indonesian Andrology and Biomedical Journal Pub Date : 2023-06-10 DOI:10.20473/iabj.v4i1.44619

Geraldo Laurus, Cennikon Pakpahan, W. William, Raditya Ibrahim

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Abstract

Background: Converting Ego-dystonic homosexual to heterosexual is still controversial. homosexuals are encouraged to be accepted and do not require conversion. Currently, many cases of homosexuals are required to accept their identity and do not require conversion. However, there are times when patients want to be heterosexual and experience sexual dysfunction because of this orientation. Then, how a medical professional deal with such a case especially in the era of ease of information and technology? Choose to demand that the patient accept their sexual orientation or help the patient to become heterosexual. Objective: Here we present the case of a man, 44 years old, with a psychogenic erection with ego-dystonic homosexual disorientation, along with a review of the literature related to the case. Method: A case report with literature review Case/Result: We report 44-year-old man who has been married for six years complains of difficulty and decreased erection for 5.5 years. This man had a history of sexual intercourse with men during college but decided to become a heterosexual man and married his current wife. For the first six months, the patient performed oral sex with his wife. Then afterwards, the patient has difficulty getting an erection and even fails. The patient feels guilty toward his wife until their relationship becomes a crisis. The patient wants to commit to being a heterosexual man. So, the patient came to the andrology clinic for therapy. We applied intersystemic assessment approach to the patient. There is progress in the patient’s condition until now. Conclusion: Many experts say that homosexuality should be accepted and should not be converted. But in the end, the choice is returned to the patient, whether to choose to convert or not. Physicians only need to support the patient's therapy and choices so that he does not experience any mental disorders that ultimately endanger his life. Keywords: , , , ,

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心因性勃起功能障碍伴自我张力障碍性取向障碍1例:是否仍需治疗?

背景:将自我张力障碍的同性恋转化为异性恋仍然存在争议。鼓励同性恋者被接受，不需要改变信仰。目前，许多同性恋者被要求接受他们的身份，而不需要改变。然而，有时患者想成为异性恋者，却因为这种取向而经历性功能障碍。那么，一个医疗专业人士如何处理这样的情况，特别是在信息和技术的便利时代?选择要求病人接受他们的性取向或者帮助病人成为异性恋者。目的:在这里，我们提出的情况下，一个男人，44岁，心因性勃起与自我-张力障碍同性恋取向障碍，以及文献综述有关的情况下。方法:病例报告及文献回顾病例/结果:我们报告一名44岁男性，已婚6年，自诉勃起困难及勃起功能减退5.5年。这名男子在大学期间曾与男性发生过性关系，但他决定成为一名异性恋男子，并与现任妻子结婚。在最初的六个月里，病人和他的妻子进行了口交。然后，病人很难勃起，甚至失败。病人对他的妻子感到内疚，直到他们的关系陷入危机。病人想要成为一个异性恋男人。所以，病人来到男科诊所接受治疗。我们对患者采用了系统间评估方法。到目前为止，病人的病情有所好转。总结:许多专家说同性恋应该被接受，而不应该转变。但最终，选择还是回到了病人身上，是否选择转换。医生只需要支持病人的治疗和选择，这样他就不会经历任何最终危及生命的精神障碍。关键词:，，，，

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Indonesian Andrology and Biomedical Journal

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