I. ED is not one problem. It is a profile.
Psychogenic, reflexogenic, and nocturnal erections each test a different layer of the system. If you don’t separate them, you will prescribe the same intervention to three different mechanisms.

II. Arousal has phases, and the phase that fails is the treatment target.
Warm, hot, fire, explosive. Some men cannot initiate. Some cannot maintain with movement. Some stall near the edge and never cross. The chart tells you whether you are treating arousal, maintenance, or completion.

III. Movement is not optional in sex, so screen the spine like it matters.
Some men lose erection with pelvic or spinal motion. Others live in flexion during masturbation and wonder why extension work helps. If posture changes symptoms, posture belongs in the plan.

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I. Alfred Korzybski: “The map is not the territory.”
Your patient’s story is the map. The Sex ROM chart gets you closer to the territory.

II. Werner Heisenberg: “What we observe is not nature itself, but nature exposed to our method of questioning.”
Ask better questions, and the mechanism changes in front of you.

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Which phase fails first for this patient: initiation, maintenance with movement, or completion?

With care,

Team IPC