With a good two-thirds, a large part of erectile dysfunction is due to physical causes. Nevertheless, the psyche almost always plays an important role as one of the causes: even if it is not the primary trigger, it can set in motion a vicious circle in which the fear of failure intensifies impotence and in turn feeds the fears of the next failure.
Physical causes of impotence
The main causes of erectile dysfunction are circulatory disorders in cardiovascular diseases such as hypertension and atherosclerosis, followed by diabetes. Reinforcing factors for these causes are:
- lack of exercise
Other physical causes of impotence are:
- Surgery, especially in prostate cancer and bladder cancer
- chronic kidney weakness
- Diseases of the spine
- Hormone disorders (especially testosterone deficiency)
- Nervous diseases, especially multiple sclerosis
Some medications and alcohol abuse can cause impotence or erectile dysfunction.
Incidentally, studies have shown that bicycle saddles can contribute to erectile dysfunction: When sitting on a bicycle, the body weight heavily loaded between the anus and the outer genitalia and thus limits the blood supply and conduction to the penis. The result can be erectile dysfunction.
Mental causes of impotence
Psychological causes of erectile dysfunction are present in about a quarter of the cases: for example, pressure to perform and stress, conflicting relationships, lack of self-confidence, unfulfilled sexual preferences, but also mental disorders such as anxiety disorders and depression.