A 35-year-old man experienced persistent guilt and anxiety after a "massage with extra services," leading to erectile dysfunction and avoidance of intimacy with his wife.
A 28-year-old man sought medical help because he couldn't engage in sexual intercourse with his new girlfriend, despite being able to achieve orgasm through pornography.
A 40-year-old businessman sought medical help when he realized he could only achieve 50-60% arousal with his wife, while at VIP massage parlors, his arousal was much stronger.