The Causes of Erectile Dysfunction and Impotence

How to tell if your erectile dysfunction has a physical origin

As you may know, if your erectile dysfunction is more emotional and psychological in origin than physical, you are likely to be able to achieve a decent erection when you masturbate or during the night. But it is true that a few men will experience night-time erections even if they cannot get an erection when they masturbate.

An effective test for the absence of night-time erections is to stick a string of postage stamps around your penis when you go to bed. If the perforations have torn next morning, it's a reasonable bet that you had an erection during the night.

The presence of either night-time or morning erections tends to indicate that you have no physical problems with your erectile mechanism, so if you find that your erections are unreliable, that they either do not develop at all, or they come and go unpredictably, or that you do not get erect in response to oral sex, there is a significant chance that the problem is physical problem.

 You should consider getting the opinion of a good urologist, but do not agree to a penile implant unless you have also seen a sex therapist and had some analysis of the emotional and hidden psychological factors which may be causing your impotence.

Andropause - the loss of testosterone and the onset of erectile dysfunction in men's mid-life period

The andropause is a decline in testosterone between thirty and seventy years of age in men, marked by various symptoms including:

  • A smaller penis
  • Unreliable erections
  • A lowered sex drive
  • Muscular aches and pains
  • Exhaustion and depression
  • A dry skin
  • Emotional instability
  • Low self-esteem
  • A lack of energy and enthusiasm
  • A sense of a lack of purpose
  • A reduction in size of the testicles
  • Night sweats
  • Loss of control of the body's temperature regulation

If any resonates for you, read about the andropause, here.

Home ] Introduction to ED ] Beliefs which cause erection problems ] Background information on ED ] Background information on erectile dysfunction ED ] Physical causes of ED ] Personality and relationship issues as a cause of erectile dysfunction (ED) ] Endocrinological causes of ED ] Vascular disease and ED ] [ What's causing your erection problems? ] Emotional & psychological problems in ED ] More on causes of ED ] Sleep apnea and erectile dysfunction ] How to control the risk of ED ] Lack of arousal and ED ]