Do I Have Erectile Dysfunction?

Written by: Andrés Suro



Time to read 3 min

Erectile dysfunction (ED) is one of the most common challenges men face in their sexual life, affecting not only their ability to maintain an erection but also their wellbeing and, of course, their relationships.

But what can we do about it? The first step is to understand the nature of this problem, its variations, and origins. This is usually the first step towards overcoming and managing this condition that affects an increasing number of men.

What is Erectile Dysfunction?

Erectile dysfunction is a condition characterized by a persistent difficulty in achieving or maintaining an erection sufficient for satisfactory sexual activity . This problem can manifest in various ways, but what is usually common to all is that it affects confidence and leads to problems in bed that go beyond mere erectile function. Although it is a situation many find uncomfortable to discuss, recognizing it is fundamental to seeking solutions and improving quality of life.

However, many men start to worry excessively about an isolated event , which can happen for multiple momentary reasons. In this sense, it's important to distinguish between sporadic episodes and a recurrent pattern , which signals the existence of erectile dysfunction. The key to its identification and effective treatment lies in understanding that achieving an erection involves a process where physical, hormonal, emotional, and psychological factors play an essential role.

What Are Its Types?

There are mainly two types of erectile dysfunction: organic and psychogenic. Organic erectile dysfunction refers to physical or physiological problems that prevent maintaining an erection. On the other hand, psychogenic erectile dysfunction arises from psychological factors , such as stress or sexual anxiety, that hinder erectile function. In many cases, these two types can overlap, creating a cycle where the physical problem is exacerbated by psychological stress and vice versa.

To find the most appropriate treatment, we must start by understanding the nature of erectile dysfunction. While in some cases, therapies focused on overcoming sexual anxiety may be sufficient, in others, it may be necessary to address underlying health conditions to restore proper erectile function. Let's discuss the possible organic and psychological reasons.

Physical Causes and Symptoms

The physical reasons behind erectile dysfunction are varied and include medical conditions such as:

  • Diabetes
  • Hypertension
  • Heart diseases
  • Obesity
  • Use of certain medications

These health issues can affect blood flow, nerves, or hormonal levels, thus preventing the maintenance of an erection . Symptoms often include a decrease in erection firmness, difficulty achieving it, or a decrease in sexual desire.

Consultation with a specialist (urologist) is key to help determine the underlying cause and choose the most appropriate treatment , which may include medications, hormonal therapies, or lifestyle changes, such as improving diet and increasing physical activity.

Psychological Causes and Symptoms

Psychological factors are increasingly recognized and play a significant role in sexual health. Sexual anxiety, stress, depression, and relationship issues are common causes of psychologically originated erectile dysfunction. Additionally, the impact of pornography on younger individuals , who may take what they see as a reference for how intimate relationships should be and impose very demanding and unrealistic sexual practices and dynamics, must be considered. These factors can create a vicious cycle where concern about sexual performance hinders erectile function , which in turn increases anxiety and problems in bed.

Symptoms of psychogenic erectile dysfunction often manifest as difficulty achieving an erection despite having sexual desires or, in some cases, normal erections during sleep or upon waking but not during sexual activity. Overcoming these issues often requires the help of psychological therapy , relaxation techniques, and in some cases, medication to treat underlying conditions such as depression.

Do You Have Erectile Dysfunction? Take the Test!

If you suspect you might be experiencing erectile dysfunction, you can take our self-assessment test as a starting point. Although it is not a medical diagnosis, it can help you determine the severity of your situation and whether it's time to seek professional help. Remember, the first step towards overcoming is recognizing the problem and seeking reliable information.


Erectile dysfunction is a complex issue with multiple facets, affecting men of all ages. To address the problem most effectively, it's beneficial to know its types, origins, and symptoms. Whether the cause is physical, psychological, or a combination of both, there are solutions available that can help regain confidence and improve erectile function. Remember, the key lies in actively seeking solutions and communicating with health professionals and your partner.

Andrés Suro

Author: Andrés Suro  (Sexual Coach at MYHIXEL)

Psychologist specialized in the social area and expert in sexology applied to education.

Do you have any questions about our online consultation service? Contact us through our WhatsApp Business +34 643 84 91 23