The inability achieve and maintain an erection suitable for performing a sexual acts is one of the most common sex related issues that can affect almost all men at some point of their lives. For most men self-confidence is the key factor in the evaluation of own masculinity and consequently sexuality. And when problems with one of these elements occur, they affect all the other pieces of the puzzle. When a suitable erection cannot be achieved the term erectile dysfunction can be used. But first we have to know what erection really is.

Erection stages

1st stage, sexual arousal that results from senses and thoughts.

2nd stage, the brain communicates sexual arousal to the body increasing the blood circulation in the penile area.

3rd stage, penile muscles relax allowing more blood to flow into the penile shaft resulting in an erection.

In case when one of these three stages is affected and goes wrong, the gentle balance gets interrupted and erectile dysfunction takes place. There are numerous factors that can affect these stages, but they are generally divided into two major groups: physical and psychological factors.

Physical causes of erectile dysfunction

- Post-surgical side-effects such as injuries to the penis or testicles, spine or pelvic area. Vascular trauma.
- Birth defects
- Diseases and medical conditions such as diabetes, flu, chronic renal failure, liver disease, arterial sclerosis, Parkinsons disease.
- Abusing street drugs such as cocaine, amphetamines, crack, etc.
- Using antidepressants, beta blockers for high blood pressure, diuretics.
- Smoking.
- Hormone-testosterone deficiency, prolactin secreting pituitary tumors, thyroid disorders.
- Excessive alcohol consumption.
- Ageing

Psychological causes of erectile dysfunction

The psychological causes of erectile dysfunction have a significant impact and should be considered when consulting with your doctor about possible treatment. Psychological problems often arise from physical issues but psychological factors can also cause erectile dysfunction directly. The most common psychological causes of impotence include:

- Inhibited sexual desire
- Anxiety Disorders
- Depression
- Mental fatigue
- Stress
- Guilt
- Relationship problems
- Lack of interest in sex by partner

Identifying the causes of impotence, whether physical or psychological, can be the key for treating erectile dysfunction. But the problem is that the causes are often intertwined and settling with a primary factor can be very tricky. If you face such a problem don’t try to overcome the problem on your own. Approach your doctor or a certified sexologist to get professional treatment.