Extramarital affair-related erectile dysfunction: hard inside but weak outside; psychological burden is the main cause.

**Article 27**

**Extramarital Affair Leads to Erectile Dysfunction and a Seductive Demeanor**

**Case Study**

**Name: Zhang Feng (pseudonym), 41 years old**

**Region: Changsha, Hunan**

**Occupation: Business Owner**

When Zhang Feng is mentioned, his friends all give him a thumbs up: in his early forties, his company is thriving and his assets are approaching nine figures; what's even more remarkable is that at home, he is also a truly good husband and father. Because her husband is busy with his career, his wife quit her job to focus on being a good wife and mother at home; their son is also very promising, attending the top class of a key high school in Changsha, and is determined to get into Tsinghua or Peking University.

Normally, Zhang Feng spends all his free time with his family, and he hands over all his earnings to his wife for safekeeping. The family lives a harmonious and happy life. However, recently, Zhang Feng has been looking rather gloomy, often sighing and groaning, leaving everyone puzzled. It turns out that through work, he met a young and beautiful woman named Xiao Li. Xiao Li seemed to have fallen for Zhang Feng at first sight and tried every means to seduce him. One day, while having dinner with clients, Zhang Feng got drunk and finally couldn't control himself, having sex with Xiao Li. Although he felt guilty and fearful afterward, feeling he had let his wife down and worried that the affair would be exposed and affect his son who was about to take the college entrance exam.

But once they started, they started again, and the two secretly met several times. However, each time in bed, Zhang Feng felt like he was carrying a heavy burden, his mind racing with uncontrollable thoughts, and his erections were much weaker than before. He even began to wonder if he had erectile dysfunction.

Dr. Zhang Sixiao, Chief Physician of Urology and Andrology at West China Hospital of Sichuan University: In modern society, with the development of transportation and communication technologies, people have more and more opportunities to interact, and the chances of infidelity are also increasing. When it comes to infidelity, people first think of how it damages marital relationships and affects family harmony. But who would have thought that infidelity can also cause erectile dysfunction in men, medically known as extramarital erectile dysfunction? Such cases are not uncommon in the gynecology outpatient clinic of the hospital.

However, this kind of extramarital affair-related erectile dysfunction is different from regular erectile dysfunction. These men have normal sexual relations and good erectile function with their wives, but become impotent during extramarital affairs. Of course, there are also the opposite cases; some men are excellent in extramarital sex but cannot achieve an erection when having sex with their wives. These situations arise after the partner changes. While it may seem that poor erectile function with a particular partner is indeed a symptom of erectile dysfunction, strictly speaking, this selective erectile dysfunction is not true erectile dysfunction.

When these patients engage in extramarital sexual activity, they are often in an abnormal mental and psychological state due to various reasons. They feel anxious, tense, and worried. Moreover, their betrayal of their wives can cause them to feel guilty and remorseful. Under the interference of these negative psychological states, they are prone to experiencing a lack of sexual performance.

Furthermore, betraying one's family and spouse can lead to feelings of guilt and remorse. These negative psychological states can severely interfere with brain function, making erectile dysfunction more likely during intercourse. Once erectile dysfunction occurs, the resulting anxiety and belief that there is a problem with one's sexual function exacerbate the psychological pressure, ultimately leading to failed intercourse with the partner.

Of course, most men with extramarital affairs experiencing erectile dysfunction do not experience erectile dysfunction during sexual intercourse with their partners because they do not have the aforementioned mental burdens. However, for these men, "letting go of the burdens and going into battle lightly" and attempting to have successful extramarital sex is not so easy. Complex psychological activities can affect specific sexual function. Therefore, the best approach for men with extramarital affairs experiencing erectile dysfunction is to abstain from extramarital sex to prevent their sexual function from completely collapsing.

However, there's a Chinese proverb that says, "The one who tied the knot must untie it." A patient's psychological barriers, lack of self-esteem, and excessive worry can all cause erectile dysfunction. Conversely, repeated erectile dysfunction can destroy a man's confidence, worsen the condition, and even transform psychogenic erectile dysfunction into pathological erectile dysfunction. Therefore, restoring erectile function and rebuilding self-confidence in a short period is crucial. Viagra's most prominent feature is its ability to provide patients with high-quality erections, a key factor in satisfying their partners and boosting their self-confidence.

An American newspaper once exaggeratedly stated, "A man in his fifties or sixties might carry a small blue pill (Viagra) with him wherever he goes, just as he carried a condom when he was younger."