Erectile Dysfunction: Psychological Causes and Treatments. They are usually only recommended for men who have not responded to other treatments

Psychological causes of erectile dysfunction

Erectile dysfunction can be caused by a variety of physical and psychological conditions. Physical causes include:

  • cardiovascular disease
  • diabetes
  • hormonal imbalances
  • injuries to the nerves or blood vessels
  • kidney disease
  • low testosterone levels
  • multiple sclerosis
  • Parkinson’s disease
  • Peyronie’s disease (scar tissue in the penis)
  • side effects of prescription medications
  • sleep disorders
  • spinal cord injury
  • stroke
  • surgery

Psychological causes include:

  • anxiety
  • depression
  • performance anxiety
  • stress

Erectile dysfunction can also be a side effect of some medications. If you think your medication might be causing ED, talk to your doctor about other options.

Treatments for erectile dysfunction

Treatment for ED depends on the underlying cause. In some cases, medication or surgery may be necessary. Other times, lifestyle changes or therapy may be all that’s needed.

Some common treatments include:

  • Oral medications. These include drugs that relax the muscles in the penis (such as sildenafil [Viagra], tadalafil [Cialis], and vardenafil [Levitra]) and increase blood flow (such as alprostadil [Caverject, Edex, Muse]).
  • Injections. These drugs, such as alprostadil (Caverject, Edex, Muse), papaverine (Pavabid), and phentolamine (Regitine), are injected into the side of the penis. They work by relaxing the muscles in the penis and increasing blood flow.
  • Implants. These are devices that are surgically implanted into the penis. They are usually only recommended for men who have not responded to other treatments.
  • Vacuum devices. These devices are placed over the penis and use suction to draw blood into the penis. They then use a rubber band to keep the blood in the penis until an erection is achieved.
  • Psychotherapy. This may be helpful for men who are anxious about having sex or who have relationship problems. It can also be helpful for men who have erectile dysfunction that is caused by psychological factors.

If you have erectile dysfunction, talk to your doctor about treatment options. With proper treatment, you can enjoy a healthy, fulfilling sex life.

Psychological Impotence or Psychological Erectile Dysfunction is a condition in which men struggle to get or hold penile erection due to psychological factors such as depression, stress, etc.

While physical erectile dysfunction can happen due to physical conditions such as aging or medicines that affect blood flow in your penis, cardiovascular problems, diabetes, etc., can be the reason behind them. On the contrary, factors such as relationship issues, guilt, anxiety, body image issues, etc., pave the way for psychological impotence.


Why? What is it that went wrong? Why are you facing psychological impotence in your life? What triggered it? If you are physically fit, don’t lack any nutrition in your body or are not on any medication that is altering your ability to hold an erection, below are some obvious reasons that experts conclude on for psychological ED:

Performance Anxiety – Men who continuously fear their performance or stamina in bed are most likely to suffer from performance anxiety. It is a fear of failure that simply may arise due to your daunting thoughts about yourself and your body like the size of your penis. This fear of failure can be so overwhelming on you that it directly paralyzes your sexual ability at that moment when you are experiencing it.

Stress & Anxiety – Life in the 21st century is filled with reasons to be stressed about either due to your work, financial issues, unfavorable life events, or conflict in the family. Mental stress is actually body hormones released into your bloodstream, and in the event of this, you will have problems with erection. It doesn’t matter whether you are occasionally stressed, mildly stressed or suffering from chronic stress; they act on your body to kill your erection ability. Anxiety disorder is no different, either. It also acts as a culprit.

Depression – Gravity starts pulling you down more when you are experiencing depression in life with all the weight on your heart and mind. Research claims that as many as 75% of people with depression experience terrible sex life. As a matter of fact, how would you perform when you are not happy, and something is bothering you inside? Depression changes the way your mind works by fiddling into the chemistry and nervous system of your brain. It just leads the way for a potential erectile dysfunction.

Relationship Issues – Troubling times in your relationships can wound the sex-life and often you don’t even look at it as a cause. It needs to be addressed because only then you as a couple can have satisfying sex. Conflicts make couples bring distance, and the feeling of safe heaven among each other’s embrace is lost. You won’t be able to get an erection as it severely impacts your intimacy, desire of sex, and how you feel about each other.

Pornography dependency/addiction – When you rely on porn for fun to satisfy your occasional quench, it turns into an addiction or habit. Likely, you wouldn’t even realize when this happens. You have trained your brain to get arousal only when a certain level of neurochemical activity happens in your brain as a perk of watching porn. In the absence of porn, when you are actually with a partner, it would be hard for you to get an erection. On the other hand, you may have developed the desire for unrealistic sexual expectations either from yourself or from your partner just because you have been watching all sorts of pornographic content.

Guilt – Guilt about anything, in general, disconnects your performance ability from your brain. It is almost like a feeling of being trapped inside where you are being punished. The reason for guilt or let’s say that punishment can be anything, and it is most evident in the case of illicit affair where the man feels guilty due to being unfaithful. Guilt stops you from getting the hardness for the erection. Guilt can straightaway be the cause of ED in cases, and culture where sex is seen as a taboo or something to be shameful about.

Low Self-Esteem – A study conducted in Brazil claims that 75% of men with ED had low self-esteem. If you see your self as less sexy, less desired by your partner or feel inadequate for her, you are blowing up your ability of erection. A person with low self-esteem fear, have depression, anxiety and get the feeling of rejection. All of these together interrupt your sexual health and wellbeing.

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