Psychological Cause For Erectile Dysfunction

The sexual dysfunction in a man, where he is unable to keep an erection firm for sexual intercourse is called erectile dysfunction. 10 to 20 % of ED is caused due to psychological reasons. These causes include stress, anxiety, the guilt of not satisfying the partner, low self-esteem, depression, and loss of interest in sex.

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I lose erection and do not feel pleasure during sex. Why?

Query: Hello doctor, On having sex I start to lose my erection, when I wear condoms also I do not feel anything after wearing condom. It was my first time and I did not feel any pleasure while entering a vagina. Is this a major issue? Should I get it checked?  Read Full »

Dr. K V Anand

Psychiatrist, Psychologist Counsellor, Sexologist

Answer: Hi, Welcome to First of all, you should understand erectile dysfunction. You are just 23. At your age ED will never come unless you are in some influence of liquor or drugs. Other than these two reasons, ED can also happen due to performance anxiety. Anyone can feel anxiety and appreh...  Read Full »

Why does my penis go flaccid right before ejaculation?

Query: Hello doctor, I had a minor bike accident four years back. A couple of days later, I realized that I was not getting erections. I consulted a urologist and was diagnosed with ED and was administered medicine (in sachets) to be emptied into a glass of water and consumed. That brought back interest in...  Read Full »

Dr. Shahil Khant

Andrologist, General Surgeon, Urologist

Answer: Hello, Welcome to Relax and do not worry. If possible, please send me color doppler report. Also, do you watch porn or addicted to porn? If your penis doppler test is normal, then the cause is psychological may be due to excessive stress or porn induced erection problems. I see many c...  Read Full »

I am suffering from ED. Is it due to BP drugs?

Query: Hi doctor, I am a doctor practicing in a rural area and aged 55 years. I am having high blood pressure for last seven years. My blood pressure was 180/100 mmHg before treatment and now I am on Telmisartan H 40 mg once daily. My BP fluctuates between 128 and 135 systolic to 85 and 90 diastolic. I do ...  Read Full »

Dr. Muhammad Zohaib Siddiq

Cardiologist, General Practitioner

Answer: Hello, Welcome to Regarding your ED (erectile dysfunction), definitely your age can be a factor. But, if ED developed suddenly, then this could be caused by anxiety. It is one of the most important causes of ED. Yes, some ARBs (angiotensin receptor blockers) can cause ED as a s...  Read Full »

Can I take Trazodone and Viagra together for erectile dysfunction?

Query: Hello doctor, I suffer from psychogenic erectile dysfunction, and I take Fluoxetine for depression from the past 11 years. Recently, I took Trazodone for this problem, but I had to wean myself off Fluoxetine completely. I took Trazodone for two weeks, and I started getting full erections, but my dep...  Read Full »

Dr. Shahil Khant

Andrologist, General Surgeon, Urologist

Answer: Hello, Welcome to I have gone through your history. Based on your history, your erectile dysfunction is due to side effects of Fluoxetine. Erection problem can be psychological or organic (problem with blood supply of the penis) or drug-induced. Cialis (Tadalafil) will help if you have ...  Read Full »

I am not having complete erection during sex. Does this problem remain forever?

Query: Hello doctor, I am masturbating since 14 years. I used to masturbate while watching porn videos. Recently I got married, I am unable to get an erection. It has been five months now. No complete erection. Few times occasionally partial erection with early ejaculation is happening. My wife is not ge...  Read Full »

Dr. Gajanan Bhat

General Surgeon, Urologist

Answer: Hi, Welcome to It appears you had a good erection while masturbating and also during few attempts at intercourse, wherein you could penetrate your wife's vagina, which itself suggests you are normal as far as erections are concerned. You appear to be having premature ejaculation as we...  Read Full »

Can fear cause erection problems?

Query: Hello doctor, I got married 2 days before. My penis got erected while doing foreplay. However, after some time penis gets loosen and become small. So, could not penetrate my penis. Is there any issue in my health? Or is this due to first time fear? How to approach this? Please advice.  Read Full »

Dr. Ashok Kumar Choudhary

Andrologist, General Practitioner, Geriatrician, Psychiatrist, Psychologist Counsellor, Psychotherapist, Sexologist

Answer: Hi, Welcome to Since you got proper erection during foreplay and there is no history of difficulty in erection it was the result of performance anxiety. This generally occurs in first timers and especially in young age. I do not think you need to be concerned at this level as occasio...  Read Full »

Kindly tell me the treatment of primary premature ejaculation.

Query: Hello doctor, Tell me the treatment of primary premature ejaculation. I am suffering from many years, facing from the beginning of sexual life. I did not consult with a doctor and did not take any medicine for this problem yet now. I have no other health or physical problems without this. No erecti...  Read Full »

Dr. Seikhoo Bishnoi

Psychiatrist, Sexologist, Psychotherapist

Answer: Hello, Welcome to Premature ejaculation in most individuals occurs because of anxiety and psychological reasons. Lack of experience, less foreplay, stress, etc., result in rapid ejaculation. Relaxed mind helps to improve the time. Distraction during sexual intercourse helps to increase ...  Read Full »

I am reaching orgasm but not getting erection. Why is it so?

Query: Hi doctor, I am a 33-year-old male. Height is 5'7'' and weight 71 kg. Yesterday while masturbating I somehow ejaculated but could not have an orgasm. Post that I became very worried as to what may have caused that. Never experienced such a thing before. Also, I have never had any erection problems ...  Read Full »

Dr. Seikhoo Bishnoi

Psychiatrist, Sexologist, Psychotherapist

Answer: Hello, Welcome to I can understand your problem. This was absolutely normal. Sometimes due to distraction right at the time of ejaculation results in poor or no orgasm and this is normal. This does not show that a person is weak. Remain relaxed for this. You got an orgasm after that but...  Read Full »

Why am I not having a proper erection?

Query: Hello doctor, How are you doing? I hope you are good. My age is 29, from the last 8 to 9 days, I did not have a proper erection. This did not happen with me earlier. I am a bit worried because of this issue, also I am sleeping at 4 O'clock in the morning and waking up at 9 O'clock in the morning. Pl...  Read Full »

Dr. Ramchandra Lamba

Psychiatrist, Sexologist, Psychologist Counsellor

Answer: Hi, Welcome to The cause of poor erection is due to poor blood to penile vasculature. The main cause is that a young person like you is psychological in nature like anxiety or tension due to poor communication between the partner or due to depression, fatigue, stress. The medical cond...  Read Full »

I get erection while masturbating but not during sex.

Query: Hello doctor, Whenever I am thinking about sex or masturbating, I easily get a boner and it takes me a while to ejaculate, but when I am actually having sex it takes forever to get a boner. Then I ejaculate immediately. I do not know what it is or how to fix it.  Read Full »

Dr. Vandana Patidar

Psychiatrist, Psychotherapist, Psychologist Counsellor, Sleep Medicine Physician

Answer: Hi, Welcome to The sexual act is mediated by mind. It has many phases like desire, excitement (erection), ejaculation and resolution. It can get affected due to various reasons like fear or phobia in the brain. If you have conflicts with your partner, if there is some performance stre...  Read Full »

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