Medical causes of erectile dysfunction
Some of the medical causes often linked to ED include conditions such as diabetes, hypertension, high cholesterol, coronary heart disease, obesity, hormonal disorders, alcoholism, and metabolic syndrome. To rule out these medical conditions, your doctor may perform the following tests:

  • Complete blood count (CBC)
  • Fasting glucose or glycated hemoglobin (A1C)
  • Complete metabolic profile
  • Thyroid stimulating hormone
  • Lipid profile
  • Total serum testosterone

In addition to these laboratory tests, your doctor may also ask you to complete a self-assessment to assess your level of sexual function. Depending on your responses and the results of your lab tests, your doctor may recommend a psychological evaluation to further explore the potential cause of your ED.

Important clues
Whether or not you have spoken to a healthcare professional, there are some signs to look for that may suggest that ED is psychological in nature. Ask yourself the following questions:

  • Are you interested in sex and attracted to your partner, but have trouble performing?
  • Can you achieve an erection while masturbating?
  • Do you have morning erections?
  • Are you very stressed or are you experiencing an abnormal amount of anxiety?
  • Do you get nervous about your partner’s pleasure?
  • If you answer “yes” to any of these questions, your ED may have a psychological connection. To confirm this diagnosis, you may want to complete a full psychological evaluation. This is especially important if you suspect your ED has something to do with a mental health problem such as anxiety or depression, which may require additional medical or psychological treatment.

Treatment options for psychological impotence
Psychological impotence Although the psychological causes of erectile dysfunction may be more complex than the medical causes, they are nonetheless treatable. You should know, however, that resolving psychological impotence may not be as simple as taking Viagra (sildenafil citrate). ED medications are designed to evade the physiological causes of ED, such as low blood pressure or vascular damage, which means they won’t help you with anxiety, stress, or low self-esteem issues.

The best treatment for psychological ED will address the problem at its root.
Cognitive behavioral therapy (CBT) is a common treatment for psychological problems in general, but also for ED. Facilitated by a therapist, this type of treatment helps to identify and modify unhealthy thought and action patterns that can contribute to your erection problems. This type of treatment is based on the idea that the situation itself (your inability to achieve or maintain an erection) is not the main problem, but rather your reaction to it. If you can learn to understand yourself and your thought patterns better, you can change them in a positive way to solve your problems.