A man holding his head discouraged from his erectile dysfunction problem.

Published On January 22, 2020

Psychological causes of ED

Psychological erectile dysfunction is a real thing.
In fact, psychological ED is much more common than you might think. Whether due to anxiety, stress, expectations or personal worries, it’s normal for men of all ages to experience ED symptoms at some point in their lives. Thankfully, there are many solutions available to help men address the problem.

What is Psychological Erectile Dysfunction?

psychological ed

Psychological ED (also known as psychological impotence) is a condition in which men struggle to get or maintain an erection due to psychological factors.

For example:

  • Stress
  • Depression
  • Low self-esteem
  • Relationship issues
  • Anxiety
  • Indifference to sex

Though psychological E.D. affects millions of men all over the world, it can still be very difficult to cope with. Regardless of how much we hear about it in the media, no matter how many studies show us that erectile dysfunction is a common condition, it remains an embarrassing and awkward situation, a taboo topic most guys would prefer to avoid talking about altogether. If possible, for their entire lives.

Nobody wants their intimate sexual problems out in the open. No man wants to admit he routinely fails to satisfy his partner. Ironically, however, the first two steps to treating psychological E.D. are (1) recognizing you have a problem and (2) talking about it with someone. That includes your partner, a doctor or a therapist.

For most men, psychological ED problems are usually caused by anxiety. Prescription medicine such as BlueChew, Viagra and Cialis can help fix the issue, quickly and painlessly, but they won’t take you to the root of the problem: understanding why your penis isn’t getting hard in the first place.

Coping with Performance Anxiety


Performance anxiety and erectile dysfunction are connected in many ways. Where you find one, you will usually find the other.

Men who experience sexual performance anxiety possess a deep fear of failing to meet expectations in the bedroom. This fear could be due to several things: penis size, durability, inability to satisfy your partner and, of course, erectile dysfunction itself.

Performance anxiety is a unique psychological occurrence that can manifest itself simply because one believes it will. If you feel worried about your body or lack of sexual ability, these negative feelings can put you on the road to chronic ED. The more you stress yourself out during sex, the more likely you are to experience ED-like symptoms.

Why does this happen?

When the brain and body perceive danger (in this case, fear of being unable to perform), they do not have the resources to concern themselves with sex. They are fighting for survival. Stress hormones are released into the blood stream, preventing our bodies from achieving and maintaining an erection.

Considering its causes are rooted in negative thoughts, performance anxiety is capable of affecting men of all ages. Men are programmed to believe that, when it comes to sex, it’s always their responsibility to please their partners. Nevertheless, a wide variety of external factors can trigger episodes of performance anxiety.

Causes of performance anxiety include:

  • Relationships
  • Work
  • Money
  • Family
  • Bad sexual experience

Depression and Erectile Dysfunction

Depression and ED are also closely related – one often leads to the other, and many times, they feed off each other. Men with erectile dysfunction symptoms tend to feel frustrated, angry, sad, and lacking in confidence. Despite the many medical and physical causes of ED, studies have determined that men with erectile dysfunction are twice as likely to suffer from clinical depression.

The most common symptoms of depression are:

  • Fatigue
  • Low self-esteem
  • Loss of appetite
  • Loss of interest in hobbies and activities
  • Sleep disorders
  • Apathy
  • Anger

Without treatment, these symptoms can last indefinitely. If you suffer from psychological ED due to depression, or vice versa, you need not suffer alone in silence. Talk to a doctor and begin your road to recovery, and remember, you are neither the first nor last man to go through ED and depression.

The solution is out there. It’s up to you to find it.