Taking part in group psychotherapy can help men who have erectile dysfunction to overcome their problem, and adding sildenafil to group therapy was more effective that sildenafil alone. In addition, group psychotherapy was more effective than taking sildenafil on its own, a Cochrane Systematic Review has found.
Normal sexual function relies on the coordination of psychological, endocrine, vascular and neurological factor. Recent research has increased attention on the role of psychological issues. In particular, depression, low self-esteem, anxiety and other psychosocial stresses can play a large role in erectile dysfunction.