Experiences more difficulty getting an erection

In a world where masculinity is often wrongly equated with virility, issues like erectile dysfunction (ED) can be particularly distressing. Men from various backgrounds and ages experience difficulty achieving or maintaining an erection at some points in their lives. This experience, while common, remains shrouded in unnecessary shame and embarrassment. Here, we will delve into why some individuals face challenges in this area and how they can seek help and understanding.

1. Unraveling the mystery: what causes erectile dysfunction?

Contrary to popular misconception, ed isn’t just a by-product of aging. While age can play a role, many factors, both physical and psychological, can contribute:

Physical factors:

Vascular diseases: conditions like hypertension, heart diseases, and high cholesterol can impact blood flow, crucial for an erection.

Hormonal imbalances: low testosterone and other endocrine disorders can influence erectile function.

Neurological conditions: Parkinson’s disease, stroke, and multiple sclerosis may affect the brain’s ability to communicate with the reproductive system.

Medications: some medications have side effects that influence erectile ability, including certain antidepressants, blood pressure medicines, and more.

Lifestyle choices: excessive alcohol consumption, smoking, and drug abuse can impact erection quality.

Psychological factors:

Mental health: anxiety, depression, and stress can be significant contributors.

Relationship troubles: issues with intimacy, trust, or unresolved conflict can play a role.

Performance anxiety: the fear of not performing can, paradoxically, inhibit performance.

2. Unpacking the shame and stigma

Men’s emotional health has, unfortunately, been a topic often glossed over by society. The inability to “perform” sexually can deal a severe blow to a man’s self-esteem. The attached stigma can exacerbate feelings of inadequacy, leading to withdrawal from romantic relationships and creating a vicious cycle of anxiety and dysfunction.

3. When to seek help?

Experiencing occasional difficulty with erections is normal and can be influenced by factors like stress, fatigue, or alcohol. However, if the problem persists, it’s essential to consult with a healthcare professional. It can be indicative of an underlying health issue that requires attention, or perhaps a psychological factor that therapy might address.

4. Solutions and treatments

Fortunately, we live in a time when treatments for ed are varied, effective, and accessible:

Medication: drugs like sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra) have revolutionized the treatment of ed, offering effective solutions for many.

Therapy: for those whose ed has psychological roots, cognitive-behavioral therapy (CBT) and couples’ counseling can be remarkably beneficial.

Lifestyle changes: often, simple changes like reducing alcohol intake, quitting smoking, or increasing physical activity can have positive effects.

Devices and surgeries: vacuum erection devices and penile implants offer physical methods of achieving erections for those who can’t use or don’t benefit from medication.

5. Partners in the journey

It’s crucial to remember that partners play a significant role in this journey. Open communication can alleviate feelings of inadequacy or blame. Understanding, patience, and mutual exploration of intimacy can often help in navigating this challenge more comfortably.

6. Prevention and lifestyle choices

While not all causes of ed are preventable, making certain lifestyle choices can decrease one’s risk:

Regular check-ups: ensuring cardiovascular health and checking for diabetes can help in early detection and management.

Limiting alcohol and quitting smoking: both are known to reduce blood flow, impacting erectile function.

Stress management: activities like meditation, yoga, and therapy can play a role in managing stress, a significant contributor to ed.


While the experience of erectile difficulties can be deeply unsettling, it’s essential to approach the situation with understanding, both for oneself and one’s partner. The progress in medicine and therapy has provided a multitude of tools to manage and treat this condition. Most importantly, open dialogue, devoid of judgment or blame, is a pillar on which recovery and understanding stand. No man should feel isolated or less-than due to ed, and with awareness and empathy, society can move toward a more inclusive understanding of male health.