Erectile dysfunction usually has a physical cause, but in between 10 and 20 percent of cases the cause of ED is psychological. In addition, even when erectile dysfunction is caused by a physical factor, psychological issues such as stress, fear, guilt, anger, and depression can play a significant role in preventing men from achieving an erection. These factors are often a secondary reaction to an underlying physical cause.
For example, if you have been experiencing erectile dysfunction, you may become overly worried and anxious that the problem will not go away, which can result in performance anxiety and thus consistent ED. Or if you have been experiencing financial or marital problems, the stress can negatively affect your ability to get an erection. Depression is another factor in ED, and the catch—22 here is that some antidepressants and other drugs can also cause ED.
Erectile dysfunction that has a psychological cause may be eliminated by counseling and/or sex therapy by a professional counselor or psychologist who has experience in sexual issues. Some men are reluctant to seek this type of help, but if you have an understanding and cooperative partner, it can be a very positive part of your relationship. You should see a doctor to determine whether your ED has a physical cause as well. Read more on getting help with ED
