Dear Anthony Mccain,
Thank you for writing to us.
I understand your concerns about erection problem.
Let me know whether you achieve and maintain a good quality of erection in sleep, in the early morning, during
masturbation but not at the time of coitus? If you are able to achieve and maintain erection in any one of the above mentioned situations than your problem is more likely psychological rather than physical.
I recommend you to discuss this problem with your
psychiatrist who will assist you to find out reason for this problem in your case.
The common causes of erectile dysfunctions are as follows
1. Diabetes (
nerve damage and vessels narrowing)
2. Some medicines like anti depressants and anti psychotics
3. Performance anxiety (the most common reason)
4. Psychiatric disorders (depression, anxiety)
5. Alcohol use (nerve damage and
testicular injury)
6. Smoking (vessels narrowing)
7. after some surgical procedures (nerve damage)
There are potentially effective and safe medications as well as behavior therapies for erectile dysfunctions. Psychiatrist will identify the best suited for you after knowing your history.
Iron deficiency anemia is a rare cause of erectile dysfunction.
I hope this will help you.
If you have any further questions I will be happy to help. Wish you good health.