It can cause stress in the relationship if it doesn’t work in bed. Many potency problems can be traced back to an organic cause. However, erectile function can also be affected by the psyche.

Erectile dysfunction can occur when men are under pressure, feel stressed, have to perform, or fear failure. However, serious illnesses can also cause erectile dysfunction. A doctor can help men with erectile dysfunction.

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What are Erectile Dysfunctions and how can they be treated?

Erectile dysfunction is the inability to maintain a sufficient penile erection for sexual intercourse. It is also known as impotence. “A man is not an instrument.” It’s not unusual for the penis sometimes to not become stiff enough, or to flaccid sooner than usual,” says Dr. Christian Leiber, senior doctor at the Clinic for Urology, Pediatric Urology and Urogynecology, Maria-Hilf Hospital, Krefeld.

The doctor diagnoses erectile disorder if the symptoms persist for more than six months, and the majority of cases no sexual intercourse is possible.

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What causes Erectile Dysfunction?

An organic cause of up to 90% of all erectile problems is vascular disease, diabetes, nerve disease, high bloodpressure, injury, or cancer related to surgery and radiation therapy. Erectile function can also be affected by medications such as antidepressants. Sometimes, it is psychological factors that restrict sexuality. Although organic causes are more common as we age, psychological factors have a greater impact on young men.

According to estimates, around 500,000 men in Germany suffer from erectile dysfunction. Erectile dysfunction is a condition that affects 50 percent of diabetic men. Leiber also says that treatment for prostate cancer or other prostate diseases can often affect erectile function. Age is another risk factor. One in two men over 70 have erectile issues.

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Evidence of psychological Erectile Dysfunction

Erectile function is usually limited by psychological factors until age 40. Organic causes start to increase after 40. Both triggers can sometimes play together. The following factors are indicative of a psychological cause of erectile disorder, according to the German Neurological Society’s (DGN) guideline “Diagnosis and Therapy of Erectile Disorders”.

  • Sudden onset without any identifiable organic trigger
  • preceding stressful life events
  • Fluctuations and situational dependence of the disorder. Partner contact versus masturbation
  • There are no known physical risks (like drugs, alcohol, medications, or diseases affecting potency)
  • Age below 50
  • Persistence of spontaneous nocturnal menstruations

If psychological factors trigger erection problems such as pressure or fear of failure, affected men often have normal nocturnal or morning erections. Masturbation is not usually a problem. According to the andrologist, erection loss is when the man wants ‘function’ and ‘perform.”

Potency Disorders: Stress is dangerous because of this.

The andrologist says that persistent stress at work, in private, or in a partnership is a killer. Stress hormones are released by the body, including noradrenaline and adrenaline. The body prepares to fight or flight, a survival mechanism that dates back to earlier times. The blood vessels contract, and the blood flow required for erection is decreased.

“Moreover, stress can also inhibit the pleasure center of the brain. The brain sends signals to the penis nerves when it is stimulated. Nitric oxide is then released. Leiber says that blood flows in and the vessels relax.” Stress not only reduces pleasure but also blocks the physical reactions necessary for stiffening the penis.

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