What you must know about erectile dysfunction


Talk with Pamela

Email: talkwithpamela@gmail.com WhatsApp: +2349085688899

In the recent past, I have been inundated with clients complaining about erectile dysfunction. Sometimes a female client complains about marital conflict, and during assessment, I discover that one of the factors causing the conflict is sexual dissatisfaction arising from her spouse suffering from premature ejaculation. Another scenario is a guy who immerses himself into work. He leaves home early, returns very late and sleeps off without performing one of his husbandly duties. Marital conflict ensues.

The complaint during assessment is SPOUSAL NEGLECT! “Guy, why are you neglecting your wife na?” Sexual history reveals that the husband has erectile dysfunction. Another man tells me, “I just can’t have an orgasm with her. I have tried it for years. I satisfy her, I then masturbate to satisfy myself. I know I have a problem.” Yet another: “Aunty Pam, instead of him to have an orgasm and get off he will want to stay there forever.”

All the above are cases of erectile dysfunction described mainly by the time duration it takes for ejaculation to occur. Note that there are two major types; premature and delayed ejaculation. Premature ejaculation can be described as being unable to maintain or keep an erection adequate for sexual activity to be satisfying to both partners. It was formerly known as impotence in men.

Occasional erectile dysfunction is common and acceptable. However, frequent erectile dysfunction is a sign of a medical or psychological health problem.  It might be a sign of relationship difficulties that need to be addressed by a professional.


Premature ejaculation can be caused by anxiety, fear, stress, depression, dysfunctional relationship, substance abuse, certain medications for diabetes, high blood pressure, vascular causes, lack of interest in sex, large vagina preventing adequate sensation and so on.

That it increases with age is a myth. There are men who are still sexually active well into old age. They might not be as agile as they used to be when they were younger expectedly, but they still perform for their ages.


Treatment should depend on causes. Erectile dysfunction can also be a symptom of another psychological disorder. Please don’t self-medicate out of shame. Or follow another person’s treatment plan. Get a proper assessment of your own presenting complains. Effective therapy can only occur after clinical assessment.

If you or your sexual partner is suffering from erectile dysfunction, please reach out to me.