Is erectile dysfunction mostly mental?

Most cases of ED have a physical cause, such as heart disease, diabetes, and obesity. Lifestyle choices like smoking and drinking excessive amounts of alcohol can also lead to ED. But for some men, psychological issues are the root of the problem.

healthline.com - Is Erectile Dysfunction Psychological? - Healthline

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Erectile dysfunction (ED) is the inability to get or keep an erection firm enough for sexual function. It’s a common sexual problem, affecting as many as 30 million men in the United States. Most cases of ED have a physical cause, such as heart disease, diabetes, and obesity. Lifestyle choices like smoking and drinking excessive amounts of alcohol can also lead to ED. But for some men, psychological issues are the root of the problem. Psychological issues contributing to ED aren’t as easy to detect, diagnose, and treat. The most common psychological causes for ED include the following:

Anxiety

Psychological issues have real, physical effects. Anxiety, for example, is something that many people assume exists in your head. But anxiety can cause increased heart rate, blood pressure issues, and fatigue. This, in turn, can affect your sexual performance. In fact, anxiety is one of the most common psychological causes of ED.

Stress

Everyone experiences stress at some point in their life. Sometimes, stress can serve as a powerful motivator. But even simple stress — a presentation at work tomorrow, for example — can affect your ability to achieve and maintain sexual performance. You don’t have to be carrying a large load of stress for it to affect your sexual health.

Depression

Depression is often caused by a chemical imbalance in the brain. It can affect both sexual desire and sexual function. For men, however, depression isn’t always an easy diagnosis. Many men don’t recognize the symptoms of depression, and some are reluctant to seek help, according to the National Institute of Mental Health. The good news is that most men will return to feeling normal, regain healthy sexual interest, and resolve their ED problem with proper treatment for depression.

Relationship problems

The silent treatment isn’t the only thing you’ll experience if you and your partner have been arguing. Troubles in your emotional relationship can affect your sexual relationship. Arguments, poor communication, and anger can affect your sexual desire and sexual function. Working through these problems with your partner can help ease your symptoms of ED. If you have trouble resolving relationship issues on your own, seek out a counselor or therapist who can help.

Fear of sexual dysfunction

The first time you experience ED, you may become worried that you’ll never regain normal sexual function. This can lead to fear or low self-esteem. These feelings may affect your ability to achieve or maintain an erection in your next sexual encounter. This cycle can continue until you see your doctor to find a treatment. Once you’ve found the right treatment, your fear of sexual dysfunction should subside.

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What are the early signs of prostate can?

Problems urinating, including a slow or weak urinary stream or the need to urinate more often, especially at night. Blood in the urine or semen. Trouble getting an erection (erectile dysfunction or ED) Pain in the hips, back (spine), chest (ribs), or other areas from cancer that has spread to bones.

cancer.org - Signs and Symptoms of Prostate Cancer

Signs and Symptoms of Prostate Cancer

Most prostate cancers are found early, through screening. Early prostate cancer usually causes no symptoms. More advanced prostate cancers can sometimes cause symptoms, such as: Problems urinating, including a slow or weak urinary stream or the need to urinate more often, especially at night

Blood in the urine or semen

Trouble getting an erection (erectile dysfunction or ED)

Pain in the hips, back (spine), chest (ribs), or other areas from cancer that has spread to bones Weakness or numbness in the legs or feet, or even loss of bladder or bowel control from cancer pressing on the spinal cord Most of these problems are more likely to be caused by something other than prostate cancer. For example, trouble urinating is much more often caused by benign prostatic hyperplasia (BPH), a non-cancerous growth of the prostate. Still, it’s important to tell your health care provider if you have any of these symptoms so that the cause can be found and treated, if needed. Some men might need more tests to check for prostate cancer.

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