Most men have occasional erection problems (erectile dysfunction). But when erection problems become persistent, they can affect your self-image, sex life, and relationship. When you have persistent erection problems, "performance anxiety" can worsen the problem. If you cannot maintain an erection that is firm enough for intercourse, or you have an orgasm before or immediately after entering your partner (premature ejaculation), you may feel frustrated and believe you are not pleasing your partner. All of these factors could influence how you view your relationship.

Fortunately, many of the physical and psychological factors that cause erection problems respond to treatment.