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Few men go throughout life without experiencing occasional failure to attain or maintain an erection. This usually results from stress, tiredness, anxiety, or excessive alcohol consumption. This is nothing to worry about. However, worrying about it may set the scene for a more persistent problem due to "fear of failure". The man becomes so preoccupied with previous erectile failure that he is unable to enjoy the arousal feelings associated with sexual stimulation. And this, in turn, decreases his sexual arousal and stops erection from occurring.
Until about 20 years ago, erectile dysfunction was considered to be caused almost entirely by psychological factors but we now know that physical conditions are present in about 75% of male sufferers. However, the majority of men with erectile dysfunction experience a combination of psychological and physical causes
What causes it?
Most men will experience an occasional failure to get an erection. This can usually be put down to stress, tiredness, anxiety or too much alcohol. In these circumstances it's nothing to worry about.
In the past it was thought that more frequent impotence was caused by almost entirely psychological factors, but we now know that physical conditions are present in about 70 per cent of cases. However, the majority of men with erectile dysfunction experience a combination of psychological and physical causes.
Physical causes
Men whose impotence is due to a physical cause often find they gradually lose the ability to have an erection, and it tends to happen with all sexual activities. These physical causes may include:
diabetes
hardening of the arteries, which can lead to high blood pressure, angina or poor circulation
kidney disorders
multiple sclerosis or other neurological diseases
high cholesterol
side effects of prescribed drugs
heavy smoking
alcoholism and drug abuse
pelvic surgery
Psychological causes
If you experience a sudden onset of impotence and can still achieve erections in some circumstances but not in others, the cause may be psychological.
Psychological causes can include:
stress and anxiety from work or home
problems within your relationship
worrying about poor sexual satisfaction
depression
sexual boredom
performance anxiety
unresolved sexual orientation
Sometimes the triggering factor can be easily identified, such as an argument or major disagreement with your partner. Or it might involve being interrupted while making love or excessive worry about areas such as work, family life or finances.
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