Psychological erectile dysfunction results from mental or emotional problems rather than physical ones. The condition is more likely in younger men and occurs in only about 20 percent of cases of erectile dysfunction. There are several causes of psychological erectile dysfunction, such as stress and depression. Past trauma or abuse is another common cause. While medications may help the physical causes of erectile dysfunction, counseling is often helpful if the causes are psychological.
In general, erectile dysfunction means a male is unable to get an erection and have sex. The condition happens to most men at some point during their lives. Some men may experience an ongoing problem related to mental, emotional, or physical conditions. In some cases, a condition may be causing the dysfunction and treating the condition will treat the dysfunction.
Psychological erectile dysfunction may occur if a man has been sexually abused at some point in his life. Trauma or a sudden loss, such as the death of a close relative, can trigger dysfunction as well. Other reasons for psychological erectile dysfunction include a feeling of low self-esteem or anxiety. If a man has trouble performing at one point, concern that he will continue to have trouble can trigger the dysfunction even more.
Stress is another common cause of psychological erectile dysfunction. The stress may be due to pressure at work or family problems. Concerns about money or any other stressers can also cause the disorder.
Men who suffer from depression may also experience erectile dysfunction. In some cases, depression affects both the mind and body. Even if a man wishes to have sex, his depression may prevent him from doing so.
Occasionally, a man may simply lose interest in sex. Some men lose interest as they grow older. Relationship difficulties and poor communication can also cause a loss of interest and diminish desire. Sometimes the lack of interest is connected to medications a man might be taking.
Psychological erectile dysfunction is more common in younger men, those less than age 40. As men get older, erectile dysfunction is more likely to be connected to a physical problem, such a high blood pressure or diabetes. Other physical causes include using drugs and alcohol and reduced testosterone levels.
Counseling and therapy is one way to help treat psychological erectile dysfunction. Reducing stress related to work or home life can also help. Couples may also want to see a counselor together to work through any issues they have.
