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Can anxiety cause erectile dysfunction and low libido?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have been facing erectile dysfunction for the past couple of weeks, and low libido, a decrease in sexual desire. Before that, everything worked fine. I have performance pressure.

Please help.

Thank you.

Hello,

Welcome to icliniq.com.

Please elaborate on what kind of issues you are facing.

  1. Do you have any ongoing stress?
  2. Any history of hypertension or diabetes?
  3. Any medicines you started recently?
  4. How does the problem develop?

Kindly revert back.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

I am stressed out a bit. Means my mind remains tense without any reason. I do not have a history of hypertension or diabetes. I have tried to use Manforce 50 mg at the time of action, which helped me earlier with erection maintenance for extra time, but now, it does not even create an erection for me.

Two years back, my wife and I planned for a baby, and we were blessed with a baby boy. Until pregnancy was detected, everything worked smoothly and fine, but after the baby's birth, there was a gap of almost a year. Till then, my mind had practiced staying away from sex. After that, I started observing a decline in my sexual desire. Not at all thinking of having sex. Sometimes, I used to get midnight erections, but now, no such erections.

Then, whenever we tried to have sex, most of the time it was premature ejaculation with performance anxiety, and later slowly started facing erectile dysfunction for a couple of weeks.

Please help.

Thank you.

Hi,

Welcome back to icliniq.com.

The history clearly shows that there is no organic cause of your problem.

The problem is psychological and is a learned response. This will improve with time and with proper medicines.

  1. Apart from Manforce (Sildenafil), have you tried any other medicine?
  2. Did you get your serum testosterone levels done?

Kindly revert in case of further queries.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

No, I did not try any other medicine apart from Manforce, as I do not try medications without proper advice. I would like to add that I was diagnosed with thyroid three years back, which was on the higher side, and also I had my serum testosterone levels done, which came on a very low side.

After that, I never got them checked again. I do not want to face any embarrassment in front of my wife. I want to regain my manhood.

Please help.

Thank you.

Hello,

Welcome back to icliniq.com.

If your weight is in the obese range, then try to reduce your weight and start doing exercise daily. This will boost the testosterone levels. Your main problem is due to anxiety, which is more specifically performance anxiety. Try not to think again and again that you will perform badly. If your erection was good in the past, then how can it become less when there is no apparent reason?

Try to regain the lost confidence. You can try tablet Tadalafil 5 mg daily at bedtime for around four weeks. Also, start taking supplements containing L-arginine. You can find this in any good nutrition or supplement shop. This will help to improve erections. In some cases, you will see improvement, and you will come out of erectile dysfunction.

I hope this helps.

Kindly revert in case of further queries.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

Can you give me this on prescription? It will be much helpful.

Thank you.

Hello,

Welcome back to icliniq.com.

For the prescription, you have to visit a psychiatrist in person.

Take the medicine regularly, and you will see improvement.

I hope this helps.

Kindly revert in case of further queries.

Thank you.

Medically reviewed byiCliniq medical review team

Published At May 24, 2018
Reviewed AtJune 4, 2026

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