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There can be ED due to physical problems related to the nervous and circulatory systems. Psychological factors are thought to be the primary cause of ED. There can be ED due to depression as primary cause in 10 to 20 percent people. It can not be said that there is no psychological aspect of the ED even in cased where depression is the not direct cause of the ED. The psychological elements are found in all cases of the ED which can be anxiety, work stress, sexual performance problems, depression, unresolved sexual orientation, marital problems and also the fear of sexually transmitted diseases like AIDS etc. The penile tissues are constricted and erection is not maintained due to performance anxiety. There can be reduced sensory stimulation in all these tissues which can be arousing. About 80 percent of impotency cases have these problems and appear in the form of secondary reaction due to some physical causes.
The erectile dysfunction caused by any psychological or physical factor can become source of emotional, mental and physical stress. There can be profound effect of ED on the self confidence and self esteem. The sexual functions help men to shape their identity and define their role. It can be very devastating to lose erection. Many men have this problem in silence and they are convinced that no one understands it. These men think that others will blame him and these men don’t like to talk about their problem with others. There can be many worries for men having ED which can compound their problem. These men think that they are failure and their partner can leave them. Emotional pain is associated with ED due to which these men will tend to make excuses to avoid sex. The partner can feel unattractive, loneliness, leading to rejection, and depressed in this situation.
The women might think that their partners are having affair with someone else. The matters can become worse for men because they don’t communicate their condition. The patients of the erectile dysfunction can also feel stress when they are looking to get help for their problem. Many men can stop seeking medical advice due to apprehension although many doctors are well versed about the causes and reasons of the erectile dysfunction. The treatment of the erectile dysfunction is quite similar to the treatment of other diseases. It is important for the patient to understand their problem and then communicate it to the partner and to the doctors so that they can help you to come out of this problem. The failure comes for the patients if they don’t communicate their problem effectively.
