Association between a history of frequent masturbation and anxiety/depression in patients with psychogenic erectile dysfunction

Clinical implications suggest incorporating behavioral pattern assessment and psychological screening into psychogenic erectile dysfunction evaluations. Targeted interventions should focus on cognitive-behavioral therapy to address maladaptive beliefs, mindfulness training to reduce performance anxiety, and partner-involved support to disrupt the observed "masturbation to anxiety/depression to erectile dysfunction" cycle. Future longitudinal studies integrating biopsychosocial assessments are warranted to elucidate temporal relationships.