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Fizza Mahmood
27 Feb 2024
Do you wonder can stress and anxiety cause erectile dysfunction? Learn if and how it contributes to the condition.
Erectile dysfunction is a condition in which males have trouble getting or maintaining an erection good enough for sexual intercourse. It can happen because of narrowing of blood vessels causing insufficient blood flow to the penis or impaired nerve function.
This is a common condition, and if left untreated can cause stress and anxiety, low self confidence and relationship problems. It has psychological factors which need to be understood for effective diagnosis and treatment for erectile dysfunction.
Erectile dysfunction can be experienced by 50% of men between the ages of 40-70 and about 70% of men aged 70 and above may have ED. Studies have been conducted to show that 85% of men under 40 years of age had a psychological reason for developing ED. Whereas above the age of 40 most men begin experiencing ED physical factors such as medical conditions.
The symptoms of ED include:
There can be many causes of ED. Some may be as a result of an underlying condition and in others it could stem from childhood trauma or any other sort of trauma. Usually if ED has developed suddenly then it's a symptom of a mental health problem and may resolve once the mental state improves.
In most cases a psychological cause is more likely especially when there are times one can maintain an erection e.g. during masturbation or in the morning when they wake up.
In many cases individuals wonder can stress and anxiety cause erectile dysfunction? The simple answer is yes it contributes to it.
Individuals may experience such symptoms of ED during times of high stress. This could be due to job, money or relationship problems. It could result in a low sex drive which can then contribute to the stress of not being interested in sex, and the cycle continues.
Individuals may suffer from anxiety as a condition or sometimes as a one off experience. Once the feeling of not performing occurs, men may overly worry about it happening again and develop sexual performance anxiety. When this happens frequently it can form a fear of sexual failure resulting in erectile dysfunction.
This could further go into guilt of not being able to satisfy the partner which can also lead into progressive anxiety.
Experiencing depression can have both physical and psychological effects. Low self esteem can occur due to previous episodes of inability to achieve an erection or as a result of any other factor in life. These feelings can also happen due to problems with relationships. Also could be as a result of age and loss of interest in sexual activity.
Treating the underlying reason could help completely reverse the dysfunction. However sometimes individuals get even more stressed, anxious or depressed when they experience ED which then creates a vicious cycle.
It is important to seek medical advice and get a proper evaluation for an accurate diagnosis. People with concerns about sexual problems, especially those who may have diabetes, heart disease, or other linked health conditions, should consult their doctor for a discussion.
Causes, assessment and management options for erectile dysfunction (tg.org.au)
Psychological Factors Related to Impotence as a Sexual Dysfunction - PMC (nih.gov)
Fizza is a registered pharmacist with APHRA and has been with Simple Online Doctor since 2023. With a Bachelor of Pharmacy and 8 plus years of experience as a pharmacist, Fizza has a strong passion to improve patient care via enhancing the quality and continuity of care delivered through digital health platforms.
Tyson is a clinical pharmacist in charge of the development and improvement of patient services. He provides clinical support to our team of healthcare professionals and ensures patient health and wellbeing are at the centre of all our services.
Last Reviewed : 27/02/2024
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