Anne, 63, of Medford, OR, knows a thing or two about erectile dysfunction (ED). Her husband, now 58, first started taking medication for it about 5 years ago.
“At first you think, oh, you’re getting older and slowing down. But it got to the point where it was really bothering him, and he was unable to have sex without the drugs,” says Anne, who asked that we use her middle name only,
Psychological factors are responsible for about 10%-20% of all cases of erectile dysfunction, or ED. It is often a secondary reaction to an underlying physical cause. In some cases, the psychological effects of ED may stem from childhood abuse or sexual trauma. However, the most common psychological causes of ED include:
: Stress can be job-related, money-related, or the result of marital problems, among other factors.
He is far from alone. Some 18% of all men in the U.S. have ED, and the odds of developing it increase sharply after age 40.
People who have diabetes, as Anne’s husband does, are three times more likely to have ED than men who don’t have diabetes. The disease can damage the blood vessels and nerves needed for an erection.
Having a partner with ED can be difficult to deal with, but think of it from his perspective. “We as women cannot even imagine how frustrating it is for them -- at least, that’s what my husband tells me,” says Anne.
Get to the Root of ED
Although it can feel personal, you shouldn’t blame yourself for your partner’s erectile dysfunction. It usually has a combination of causes -- and, experts say, you probably are not one of them.
“It’s pretty rare for the source of ED to be the person that he’s having sex with,” explains sex and relationship expert Ian Kerner, PhD.
“Some women will feel like, ‘He’s not attracted to me, he’s not into me, or he’s bored by me.’ And that’s really relatively rare compared to the other more likely factors.”
In older men, blood vessel problems tend to be the main reason for ED. In fact, since the blood vessels in the penis are smaller than those in the heart, heart disease may show up in the penis first. Eighty percent of men who land in the ER with a first heart attack say they developed ED at some point in the 3 years before, says Daniel Shoskes, MD. He is a professor of urology at Cleveland Clinic.