Physical rather than psychological causes are overwhelmingly more likely to the origin of impotence in most men, but there a “grey” area where emotional health – heavy stress for example – can impact on physical health.

So although doctors say up to 90 per cent of ED is caused by physical factors, and around 10 per cent by psychological, if you are under very heavy stress, or have recently suffered trauma – bereavement or job loss for example – your emotional health may impact on the strength of erections through reduced testosterone, or low sex drive for example.

So how can you ascertain whether your impotence is physical or psychological?

Indicators of Psychological Impotence

Impotence is more likely to be related to your emotional or psychological health if:

  • It has developed suddenly, rather than gradually
  • It happens in some situations but not others
  • You still get nocturnal erections
  • You are a young man (below age 30)
  • You have recently suffered heavy stress or trauma
  • You suffered sexual or other abuse as a child
  • You experience performance anxiety when faced with sexual situations

Steps to Overcome Psychological Impotence

There are many practical steps you can take to solve the problem of impotence from psychological factors.

Directly resolving stress and anxiety factors for most men will over time resolve the issues.

For more detailed advice and information, see Psychological ED –
All in the Head?