Abstract

Erectile difficulties (ED) is a common condition in middle and late adulthood, with mental and emotional in origin causes accounting for nearly one-third of reports. The present report analysis presents a 56-year-old male who developed ED following bereavement and remarriage to a 26-year-old partner. Despite normal medical evaluations, the individual reported performance nervous tension, negative body image, unresolved grief, and relational strain, further influenced by cultural stigmatization of age-disparate marriage. Affecting an estimated 52% of men between 40 and 70, ED in this instance was primarily mental and emotional in origin, compounded by perceptions of inadequate penile size and nervous tension regarding sexual adequacy. Treatment consisted of a six-month mental and emotional program integrating cognitive-behavioural therapeutic guidance, mindfulness-based relaxation, psychosexual therapeutic guidance sessions, systematic desensitization, and spousal involvement. The clinical intervention led to marked improvements in self-esteem, intimacy, and spousal satisfaction, achieved without pharmacological support. Findings underscore the importance of a biopsychosocial model in addressing mental and emotional in origin ED, particularly when grief, relational factors, and cultural pressures interact. This report emphasizes the effectiveness of partner-inclusive, non-pharmacological clinical strategies in restoring sexual functioning and mental and emotional well-being in bereavement-related ED