Back to stir it up: Erectile dysfunction in an evolutionary, developmental, and 
clinical perspective

Nicolini, Ylenia; Tramacere, Antonella; Parmigiani, Stefano; Dadomo, Harold

doi:10.1080/00224499.2018.1480743

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Back to stir it up: Erectile dysfunction in an evolutionary, developmental, and clinical perspective

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Tramacere, Antonella
Linguistic and Cultural Evolution, Max Planck Institute for the Science of Human History, Max Planck Society;

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Citation

Nicolini, Y., Tramacere, A., Parmigiani, S., & Dadomo, H. (2018). Back to stir it up: Erectile dysfunction in an evolutionary, developmental, and clinical perspective. The Journal of Sex Research, 56(3), 378-390. doi:10.1080/00224499.2018.1480743.

Cite as: https://hdl.handle.net/21.11116/0000-0007-91DD-C

Abstract

In this review, we analyze erectile dysfunction (ED) in the context of sexual selection. We highlight that ED is a specific human male characteristic linked to the loss of the baculum or penile bone and results from a range of physical and psychological factors. We discuss evolutionary interpretations that consider dysfunctional penile erection as an honest signal of a low-quality male. We further emphasize the importance of considering psychosocial context and early attachment dynamics for understanding the etiology of some types of ED. Finally, we suggest that the integration of developmental factors for understanding the emergence of this sexual disorder is instrumental for the calibration of more effective therapies.