Do you think your erection issues are physical or psychological? Why do you think that?

Psychological! No physical problems here

psychological

Some things ive learned on this

  • if i think sex is coming i get nervous and in my head
  • it can work when i am not thinking at all but this is rare
  • i have a saying ā€œhow it starts is how it finishesā€ - if i am trying to hard to get an erection (ie its not starting well) it often doesnt end well
  • my wife used to like me going down on her and this allowed me to redirect and take pressure off me and i could get myself ready while going down on her
  • redirecting my mind and talking dirty helps but sometimes awk if partner not into it but it helps distract your mind
  • i get very focused on stats and number of sex per week and this dominates my mind unfort
  • ive seen lots of docs to rule out physical, even when madterbating it takes me a bit of time to get hard and my doc said there may be a physical item here (kinda a blend of slight physicsl which exacerbates the mental side) but do all people take time to get hard?
  • i sometimes feel my libido is low ish but the ED could be a factor there to squelch it
  • i prone masterbated as a kid - maybe that pressure effed things up dunno but cant change that at this pt
  • sidenifil helps a lot usually - puts me in macho mood and helps to turn the volume down on my brain
  • get morning erections at 6a on the nose every day but never when i wake up - am always at high adreniline when i wake up and terrified of sex and ED
  • lost my erection while losing my virginity trying to put condom on and think that could be big factor - she broke up w me shortly after lol - cant remember if i had issues before then but dont think so
  • i am a hyper worrier analytical type and this has to play a part - i also take lexapro but that came after ED, its low dose and dont think a factor
  • i am super lucky to have a great wife who kinda can predict what i need, but i sometimes feel talking abt it can make things too clinical so i try to do some things on my own which may or may not be smart
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Psychological, I am so stressed that I am a failure in bed and also shame swirling in my head about sex. I wake up with a great erection, just donā€™t get it when wanting to have sex or masturbate.

100% psychological. Get the dread fear that Iā€™m a failure and my (soon to be) wife will end things if I canā€™t improve them

Physiological because my PCP ran several tests and physically I appear to be fine. I think it could be guilt from cheating on my spouse over the years with other men.

Iā€™m not sure. I think they are psychological because Iā€™ve had many blood tests which reviewed a lot of functions. All test came back normal including testosterone and thyroid function. But I havenā€™t been able to get a fully hard erection in over 6 months. Without fail. Iā€™m not sure what to do

Psychological. I feel like my situation is really silly honestly. I had always had some anxiety issues when it came to having sex for the first time so I thought it would be a great idea to start using sildenafil to ā€œmake sure it wouldnā€™t happenā€ and it went great with my new girlfriend for about 2 months or so until I ran out of medication and she still wanted to have sex. I tried to initiate sex with her without my ā€œwonder pillā€ and failed to get an erection because I was scared of not being able to have good sexual experience without it. Later that night I came clean about my issues and my sildenafil use and she was supportive about it. Since then weā€™ve had a few awkward encounters where Iā€™ve been unable to perform even after Iā€™ve taken the medication. So that has created a range of issues in my own head that have caused performance anxiety and ED even when Iā€™ve taken sildenafil.

I think the answer for me is: ā€œMostly physical but with confidence, positive emotions with my GF, and sexual touch, my erections are decent enough for masturbation and sometimes sexā€. So basically mostly physical but if the psychological aspect is going good then its not too much of an issue. My biggest problem is greatly reduced penis arousal; as in thereā€™s much much less blood flow to sexual thoughts or touch lately since the symptoms started. However, there have been times where after the symptoms began, I felt normal levels of arousal and erection from just touching my partner. I think the lack of arousal is what makes it take longer for me to get an erection. I usually have to stroke my penis for a while now to get it mostly hard (perpendicular to my body). If I really focus on sexual thoughts I can get some blood flow into my penis but its barely there. If I join in fantasies with my partner I get a good feeling penis arousal and good blood flow. Usually being sexual with my GF gives me good arousal or erection which had been wonderful and makes me feel better. Anyway, I got blood tests done and got examined physically by my heart, primary, and urologist doctors; they all say no physical injury which is great. But I feel Iā€™m having a physical cause which may be venous leak; I have pretty much all the symptoms. The main one of which is softer or weaker erections. Its been really tough dealing with this especially because my arousal seems to fluctuate a LOT randomlyā€¦some weeks good, other weeks not. Going to my urologist to see if he can figure out more about my issues; maybe doing a test or two to further rule out physical cause or to find a problem he may have missed. Either way Iā€™m just trying so hard to get back into physical intimacy and masturbation with my GF right now so I get my confidence back and more sexual arousal that I can maintain till we next have sex. We live long distance so its tough but Iā€™m trying my best. Iā€™ll try to update my situation later. Maybe one of you guys is dealing with this too; its sucks I get it. But we should try everything we can to get better.

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Physical, which has led to a psychological problem on top. I think physical because, unlike a lot of guys on here, I donā€™t really get hard in unpressurised situations like when Iā€™m masturbating or when Iā€™ve just woken up. Semi is usually the best I can hope for in any situation. This has led to a huge performance anxiety problem - but why wouldnā€™t it, I guess?

Iā€™ve found I can get beyond semi if I combine lots of measures such as abstinence from cumming, Cialis and cock rings. If I go 10 days without cumming, I can actually get hard enough to penetrate, assuming my anxiety doesnā€™t get it the way. Hardly ideal when Iā€™d love to be able to have sex several times a day if needed - certainly I have the sex drive for that! The periods of abstinence also remove all spontaneity and reinforce some potentially unhelpful attitudes regarding my confidence.

After maybe 20 years of defeatism, Iā€™ve told myself that Iā€™m gonna try to sort this out this year. Hence why Iā€™ve signed up to Mojo, plus Iā€™m arranging to see a urologist etc. I just hope this works - Mojo seems very tilted toward the psychological aspects, so it might be of limited use to me(?).

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