The fact that male impotence is still taboo for many men encourages misinformation. Many believe that this is an age-related erection disorder and can not be avoided. In reality, the causes of an erectile problem are multiple (both physical and psychological). And they can be perfectly treated. The first step, however, is to determine the origin, in order to identify an effective treatment.

However, do not believe that the cause of your erection disorder will be organic or mental. Indeed these risk factors add up and a complex and complete management will sometimes be necessary. Communication with your partner and the help of a specialist will therefore be complementary.

In this article, we present the possible causes of impotence. But for a precise diagnosis, start by discussing it with your doctor.


Physical causes of impotence

Your erection disorder can have an organic cause. Whether hormonal, drug or neurological, they will require special attention. And a targeted treatment.


Vascular causes

To have a good erection , your penis must be irrigated with blood. So if you have a problem with your arteries, you can suffer from impotence . Your erection disorder can be caused by atherosclerosis (which will thicken and harden your arteries).

But also by high blood pressure or diabetes (especially type 2).

Indeed, many studies have shown that hypertension is the leading cause of impotence in men over 65 years of age. Be careful not to eat too much salt, and to control your weight and alcohol consumption.


Hormonal causes

If you have DALA (for age-related Androgen Deficit), you may have testosterone levels that are too low to support a normal erection. This deficiency can also cause a decrease in your libido, muscle and bone atrophy. But also mood swings and fatigue that will all contribute to your erectile problems.


Neurological causes of impotence

Some neurological conditions may also explain that you will suffer from impotence. This is particularly the case with conditions such as multiple sclerosis, stroke or spinal cord injury. Surgery, especially the prostate can also reach the nerves of your penis. And therefore cause erectile dysfunction.


Drug causes

Erectile dysfunction causes: to understand why you can not have a hard erection

Some medical treatments can also cause an erection disorder. This is particularly the case of treatments against hypertension (and in particular beta-blockers). But also hormonal treatments or antidepressants and anxiolytics.



Cholesterol can also explain that you have erectile problems. By blocking your arteries (of fat), it will prevent the blood from circulating properly towards your sex. So be careful about your eating habits and lifestyle too sedentary. But also to excessive consumption of alcohol and tobacco.


Diabetes and impotence

Diabetes is a chronic disease that can significantly alter the flow of your blood. And therefore prevent you from having an erection or soft erection . By damaging your nerves, diabetes can also prevent the transmission of pleasure signals to your brain. As a result, more than half of men with diabetes (especially Type 2) suffer from impotence. And this, even at a very young age (from 15 years).

why cannot i get hard?


Benign prostatic hypertrophy

The odds that you have impotence if you have a BPH are also very important. If this cause-and-effect relationship has not yet been scientifically explained, BPH can lead to hypertrophy of your prostate and thus indirectly cause insomnia and significant fatigue. 2 factors that can lead to a decrease in your libido, and therefore to impotence.


Kidney causes

Kidney disease can also cause circulation problems and damage your nerves. Which, as we have seen, will explain an erection disorder. Treatments against these kidney conditions can also aggravate your impotence by causing harmful side effects for your erectile function.


A wound = impotence

Some trauma and injuries in your abdomen may also explain your impotence. By damaging your nerves or arteries, these injuries can prevent your body from functioning normally, and thus be sexually stimulated.

After reading this article, and if you think that the organic causes that we have just presented can explain your erection disorder, see a doctor quickly. Only he can help you to determine precisely the cause of your impotence. And advise you on the best treatment.


Psychological causes of impotence

Your erection disorder can also be caused by a psychological problem. This will generally be the case for relatively young men (under 50) . And who will manage to have an erection in the morning or when they masturbate. The problem will only manifest itself in a report. In this case, impotence can result from shyness or sex-related inhibition.

This erectile disorder of psychological origin can be all the more disturbing as it risks initiating a vicious circle. Following a problem encountered during your relationship with your partner, your shyness or anxiety may worsen and serve as a precedent. That’s why it’s so important to take this problem head on. And do not let him settle.


Anxiety related to sexual performance

The main psychological cause of impotence is anxiety related to your performance in bed. If this is your first report, or you have had a period of abstinence more or less prolonged, it is normal to fear sexual intercourse. This is also the case if you have just separated, or are rather lonely.


The fear of not being hard enough

Some men encounter erection problems because they are afraid of not bandaging hard enough to satisfy their partner. This anxiety is closely related to that related to your sexual performance and can cause, in the long term, impotence. The key will be to talk to your partner. And to consult a sexologist to regain your confidence. Sport can also be a good boost.


The routine in your relationship

If you have been in a relationship for a while, a routine may have been in bed with your partner. In this case, you will have difficulty being sexually excited. And so will have problems with erection.

The main solution is to breathe new feelings of eroticism and enthusiasm into your relationship. Get out of your comfort zone and spice up your preliminaries, for example.


A conflicting relationship

If you have difficulty communicating with your partner, or serious conflict (jealousy or unfaithfulness) is affecting your relationships, it can be felt in bed. And therefore cause impotence.

The refractory or negative attitude of your partner can also aggravate the situation. And explain that you have trouble banding. His repeated criticisms can also make you lose confidence in yourself and achieve your sexual performance. A couple therapy will be necessary in this case to find a sex life more fulfilling.


The stress

If you are stressed in your daily life (whether professional or personal), it can lead to impotence. You may also experience a low libido, and fail to concentrate once in bed with your partner. So be careful if you just lost your job, a member of your family. Or even if you are having financial difficulties.

stress a factor in erectile dysfunction


An accident or depression

A serious physical or psychological illness can also affect you in your manhood. And cause difficulties to hard, mainly related to a lack of confidence in you.


Other psychological and personal causes of impotence

Some men may also experience erection problems because of their fear of women. Or an unhealthy rivalry to curry favor with other men. Problems within the family unit (such as a bad image of one’s parents) and an aversion to sexuality (which can be caused by a physical aggression experienced in childhood or an overly strict education and taboo about sexuality) are other possible psychological causes.

In this case, it will be necessary to consult a psychiatrist or to turn to a sexologist. These mental health professionals will help you take stock of the source of your disorder and find the personal resources that will help you to overcome it.

In any case, an impotence most often has a mixed origin . And a psychological cause can very often be accompanied by an organic dysfunction.