Psychogenic erectile dysfunction is the inability to achieve or maintain an erection during sex due to psychological factors.

These factors can include stress andanxiety,depression, guilt, low self-esteem, or relationship concerns.

This article will discuss the symptoms, causes, diagnosis, and treatment of psychogenic erectile dysfunction.

Man looking distressed on edge of bed

laflor / E+/ Getty Images

Having awareness of symptoms and how erectile dysfunction impacts sexual performance can help facilitate conversations with a healthcare provider.

Causes

Erectile dysfunction can be triggered by an underlying medical condition.

The Cycle of Psychogenic ED

Psychogenic erectile dysfunction can work in a vicious cycle.

Anxiety or depression may precede erectile dysfunction and create problems when a person engages in sexual activity.

Or, a person experiencing ED may develop symptoms of anxiety or depression as a result of their dysfunction.

There may be a combination of things causing the ED.

Treatment

Psychogenic ED is treated by addressing the psychological factors involved.

A Word From Verywell

Sexual health and function is an important part of a person’s life.

EDwhether it’s due to psychological factors or notis a very personal condition.

Don’t be afraid to seek help and to share your concerns with a healthcare provider.

2021;9(F):189-196. doi:10.3889/oamjms.2021.6116

Cleveland Clinic.Erectile dysfunction.

Rew KT, Heidelbaugh JJ.Erectile dysfunction.Am Fam Physician.

94(10):820-827.

Pyke RE.Sexual performance anxiety.Sexual Medicine Reviews.