Of the 64 participants, eight had comorbid depressive disorders and 15 had anxiety disorders. Psychological issues have real, physical effects. It begins with arousal signals from your brain, and it all hinges on good blood flow to the penis.Within the penis are two chambers called the corpora cavernosa. Viagra is a powerful drug that increases blood flow to the penis so you can get and maintain an erection. 2002 Dec;36(12):1973-4; author reply 1974. doi: 10.1345/aph.1A402a.Hotchkiss AK, Pyter LM, Gatien ML, Wen JC, Milman HA, Nelson RJ.Physiol Behav. 2015 Jul;12(7):1591-600. doi: 10.1111/jsm.12920. Give your partner the opportunity to ask questions to help them understand. Stress, anxiety, depression and low self-esteem may also be psychological factors that cause impotence. 2005 Jan 17;83(5):683-8. doi: 10.1016/j.physbeh.2004.09.005.Dadomo H, Parmigiani S, Nicolini Y, Freschini S, Gioiosa L, Patrelli TS, Palanza P, Volpi R.Behav Brain Res. Guilt and shame are feelings that are commonly linked to mental health issues such as depression. Nitric oxide (NO) is released in the chambers during sexual stimulation. ED drugs are designed to sidestep the physiological causes for ED — such as low blood pressure or vascular damage — which means they won’t help you with issues of anxiety, stress or low self-esteem. PDE5 is an enzyme that regulates certain chemicals in your blood, but as a result can make it harder for you to get and keep an erection.This medication is only available with a doctor’s prescription.It takes a finely choreographed series of events to produce an erection. Clipboard, Search History, and several other advanced features are temporarily unavailable. It’s a phosphodiesterase type 5 (PDE5) inhibitor. Viagra can be quite effective, but it’s no magic pill. In many cases, stress is the underlying factor. is triggered by negative self-talk — worries about being able to achieve an erection, pleasing a partner or ejaculating too early. It offers no protection from sexually transmitted infections (STIs).Viagra helps to improve blood flow to the penis, but your brain is still your most valuable sex organ. Some men taking PDE5 inhibitors report back or muscle pain.It’s not common, but some men experience ringing in the ears, hearing loss, or vision loss after taking PDE5 inhibitors.Avoid PDE5 inhibitors if you have a history of an eye condition called non-arteritic anterior ischemic optic neuropathy (NAION). There are many different ways to, so try a few options to see what works best for you. Anxiety. While psychological issues may be at the root of your problem, they are just as valid as Keep reading to learn more about the psychological causes of ED and what you can do to resolve them.When erectile dysfunction is caused by psychological triggers, it is referred to as psychological impotence. If you already have low blood pressure, discuss the pros and cons of Viagra with your doctor.For most people, sexual activity is good for cardiovascular health. Always talk to your doctor about the risks and benefits of any treatment.Important: This email goes to a third party - never send personal, medical, or health information to this address. Some men feel lightheaded or dizzy. 2003 Jun;28(4):284-90. doi: 10.1007/s00059-003-2478-8.Chu X, Zhavbert ES, Dugina JL, Kheyfets IA, Sergeeva SA, Epstein OI, Agmo A.J Sex Med. All rights reserved. In fact, some research suggests approximately 26 percent of new ED cases are to underlying health problems, such as heart disease or diabetes. Psychological effects of viagra discount price True Cleanse at KNRHLearn More Free BookHealth, Naturally. Of course, if communicating with your partner is difficult, there’s always Unless you have experienced depression for yourself, you may think of it as something akin to sadness. If you have had erectile issues in the past, those experiences will add to the weight of performance anxiety.Many men who suffer from erectile dysfunction feel guilty about being unable to please their partner. If you take a look at the physical side of things, however, you’ll see that stress and anxiety are even more closely related than you may realize.Many men do not realize that there are different types of erections — . Stress and anxiety can also contribute to an ongoing cycle of ED, as mentioned earlier.To give you some evidence of the link between anxiety, stress and ED, consider the results of a study published in a In a study of case records for 64 men with erectile dysfunction or premature ejaculation, there was a significant link between ED and anxiety disorders or depression. Let’s now take a closer look at each of these causes for psychological ED.Though stress and anxiety are two different things, they are closely related when it comes to issues of erectile dysfunction.