What Causes Psychogenic Erectile Dysfunction In Young Men? Know Treatment Options

Even though erectile dysfunction mostly comes with age as testosterone levels fall, a huge number of cases among young men are being reported. According to doctors, psychogenic erectile dysfunction is high among younger males due to factors like stress, excess weight, and some underlying health conditions. Read on to know more.
erectile dysfunction

Factors including stress, anxiety, depression, guilt, low self-esteem, or relationship concerns – perils of a modern lifestyle affect your bedroom performance greatly

Erectile dysfunction, or the inability to achieve or maintain an erection during sex, is a common condition that men across the world suffer from. However, according to experts, growing stress and psychological factors have increased the number of psychogenic cases too.
Doctors say factors including stress, anxiety, depression, guilt, low self-esteem, or relationship concerns – perils of a modern lifestyle affect your bedroom performance greatly.
According to statistics, more than 40 per cent of ED cases are considered psychogenic, and while the condition can affect men at any age, many psychogenic ED cases occur in young men.

How does stress cause psychogenic ED?

Being an underlying medical condition, psychogenic ED usually happens when your sexual function is impacted due to mental health problems.
Doctors say psychological causes that contribute to ED include:

Stress

When you are anxious or stressed, becoming aroused or holding an erection can be extremely challenging.

Performance anxiety

Many men worry about sexual performance or being able to satisfy a partner, which often leads to anxiety that highly impacts the ability to have and keep an erection.

Depression

Depression causes a lack of interest in activities, which include sex. Those who experience depression may find it extremely hard to connect with others, including in sexual relationships.

Feelings of guilt

Emotional stress or similar issues can lead to depression and anxiety and ultimately ED.

Low self-esteem

According to doctors, low self-esteem is related to performance during previous sexual activity and can cause feelings of inadequacy or shame.

Trauma

A history of sexual abuse or trauma also leads to emotional responses during sex and in sexual relationships.
Doctors say psychogenic erectile dysfunction works in a vicious cycle as mental health issues precede the condition and cause problems when you engage in sexual activity.

How is psychogenic ED diagnosed?

To find out the root cause of any type of ED, it is important to see a doctor and undergo a thorough evaluation to get your medical and sexual history, past substance use, and overall health and vital signs.
A few important tests for diagnosis include:

Blood tests

These help you identify underlying physical causes that may be contributing to ED like heart issues, anemia, or hormonal abnormalities

Nocturnal penile tumescence (NPT) test

This test is conducted to measure erectile function when you sleep.

Urine tests

It helps evaluate blood sugar levels or diabetes as an underlying condition.

Thyroid tests

Thyroid helps regulate sex hormones and a deficiency can cause ED.

Ways to treat psychogenic ED

Your doctor may be able to treat psychogenic ED by addressing the psychological factors involved, like:

Psychotherapy

According to doctors, therapy is among the most useful ways to help patients identify their thoughts and feelings related to sexual activity and impotence.

Counseling

Counseling helps create an opportunity for you to improve communication about intimacy and sex with your partner and examine your sexual relationship.
It also helps gain insight and understanding of your sexual functioning.

Relaxation techniques

It is important to implement breathing strategies, meditation, or visualization may promote calm and relaxation.

Medication

Doctors prescribe medication like Viagra to physically help a patient achieve an erection or medication for managing psychological symptoms, including antidepressants or anti-anxiety medication.
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