The causes of erectile dysfunction

The erectile dysfunction is a repeated inability to get an erection or to maintain it. Note that an occasional "breakdown" is completely normal and should not cause concern, neither in the man, nor in his partner.

Although women may feel very concerned about the problem and even directly targeted, they should know that erectile dysfunction is a common problem that affects half of men between the ages of 40 and 70. Nowadays, many medical and psychological means are available to them and most of them see their disorder resolved quickly.

It is estimated that 20% of men aged 50 to 59 suffer from erectile dysfunction. This proportion increases with age, reaching 70% after 70 years. Other factors may explain the phenomenon.

Psychological causes of erectile dysfunction

In 20% of cases, erectile dysfunction is psychological. The way to find out if this is the case is rather simple: if the night or morning erection continues as well as during masturbation, but during sex, the man experiences erectile dysfunction, the cause is psychological. They are always young men (under 45).

Several psychological factors can be responsible for erectile dysfunction:

• Performance anxiety: this is the main psychological cause of erectile dysfunction. It can intervene during the first report with a new partner.

• Fear of an insufficient erection: in this case, the man fears that he will not be able to maintain an erection sufficient for the duration of the report. The intensity of his erection can also generate anxiety. This form of erectile dysfunction is not permanent, but linked to the situation, to the partner and is therefore reversible as soon as the man regains his self-confidence.

• The routine: when the routine settles in a couple, the man can suffer from erectile dysfunction. The eroticism of the early days has faded and weariness has unfortunately settled in the couple. Foreplay becomes rarer, intercourse is less numerous and more "scheduled", which leads to loss of confidence and erectile dysfunction.

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• The couple's atmosphere: factors related to the couple can also have direct consequences on a man's erections. Jealousy, a lack or inability to communicate, an absence of an emotional relationship are all factors.

• The behavior of the partner: when the woman shows a systematically negative attitude towards her partner, if she devalues ​​him, displays her frustration in public, the man can feel guilty about his lack of performance.

• Stress: when a man is faced with a stressful situation, erectile dysfunction can appear, or an aggravation of it if it was already present. The loss of a job, an unwanted retirement, money problems, family problems, death are examples of stressful situations.

• Accident, depression: erectile dysfunction can also appear following an accident or a serious illness or during a nervous breakdown.

"Targeted" dysfunction

Erectile dysfunction does not necessarily appear systematically. It can indeed manifest itself in a targeted manner, with a specific partner, while with others, this will not be the case. Other personal causes: Among the psychological causes related to erectile dysfunction, we will find things as varied as fear of women, rivalry with other men, or a general loathing for sexuality.

It is important that psychogenic dysfunction be taken care of by a psychiatrist or a sex therapist trained in sex therapy techniques.

Physical causes of erectile dysfunction

In 80% of cases, erectile dysfunction is caused by a physical condition or by aging. Here are the most common physical causes.

• Vascular causes (heart disease, coronary heart disease, arteritis, arterial hypertension, atherosclerosis) account for 40% of erectile dysfunction.

• Erectile dysfunction is found in 35 to 75% of diabetics.

• Neurological diseases like Parkinson's disease, epilepsy, multiple sclerosis, Alzheimer's disease and stroke can also be the cause of erectile dysfunction.

• Surgery related to the treatment of prostate cancer (total prostatectomy) can cause erections to disappear temporarily.

• The use of tobacco, alcohol and drugs can also be a cause of erectile dysfunction.

• Finally, certain drugs, in particular those for hypertension, excess cholesterol or heart problems, can induce erectile difficulties.

• Hormonal problems

• Obesity

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