Can Erectile Dysfunction Cause Depression?

Research shows that men who suffer from chronic periodontitis are more likely to suffer from ED.

There is no single test that can diagnose depression; however, there are certain patterns that health care professionals look for in order to make a proper diagnosis. Certain medications for hair loss, such as Propecia and Avodart, can cause ED because they reduce the amount of dihydrotestosterone in the blood. Sildenafil (brand name: )It’s possible that men with depression feel less sexually confident and are prone to performance anxiety, which can result in ED. Fenugreek, the treatment strategies in TPM involve lifestyle modification and prescription of natural medicaments. And as we covered in the Book of Erections, sexual desire is important for healthy erections. Are you able to achieve an erection while masturbating?

There are many neurological (nerve problems) causes of ED. No significant heterogeneity (P <. )Unusual characteristics of the penis itself could suggest the basis of the impotence.

Common causes include:

Studies of nocturnal penile tumescence and sleep electroencephalogram in patients with major depression and in normal controls. The loss of erectile capacity can have a profound effect on a man. If a patient has a systemic, skin, or urinary tract infection, this surgery should be postponed until all infections are treated. In the case of anxiety and stress, these things can affect the brain’s ability to send the necessary signals to trigger the desired physical response – an erection. They'll tempt you with their marketing promises, but beware the dangers hidden within. It is not uncommon for men with ED to feel angry, frustrated, sad, or even unsure of them self.

The researchers determined that ED risk increased by 39% for men with depression. Tu hostel en madrid centro, some research has suggested that ginseng may exert beneficial effects in the following areas. It's also available from chemists. 494-505; Sanchez-Cruz, J. For additional resources, please visit the SAMHSA Store. Erectile dysfunction can be associated with depression or can be the cause of depression for some men.

The Bottom Line

These can be wide-ranging, and not even apparent to some until problems have arisen during intercourse. Healthy discussion around the topic is burgeoning and even celebrities like Stormzy have openly spoken about their battles with depression. Because penile vascular surgery is not recommended for aging males who have failed oral PDE5 inhibitors, ICI or IU therapies, implants are the next step for these patients. There are risks to prosthetic surgery and patients are counselled before the procedure. Willke RJ, Glick HA, McCarron TJ, et al. These are generally mild side effects and they will go on their own. What is the Surgery Like? Let’s also not forget that loss of sex drive can often be a consequence of the other factors on this list, such as depression or stress.

It’s what you and your partner deserve. Depression and erectile dysfunction are often associated with jokes and negative stigma, but the reality is these conditions are more common than we think and can be distressing for those who suffer from them. If you can learn to better understand yourself and your thought patterns, you can change them in a positive way to resolve your issues. Depression and erectile dysfunction (ED) are common in aging and the two conditions often co-exist. Libido is your sexual desire. Work with your good doc to find a way to lift your depression with medications and therapy, in ways that make it easier for you to be sexually satisfied. We may ask for your zip code or other pertinent geographic information in order to track calls being routed to other offices or to accurately identify the local resources appropriate to your needs. Sixty-one percent of the sexually active patients were Hispanic, 50% spoke primarily Spanish, and 77% had a non-ischemic cardiomyopathy.

Erectile dysfunction and depression can go hand-in-hand and oftentimes can be ignored due to shame or ignorance.

Things You Can Do To Help With Erectile Dysfunction

These can include blood counts, urinalysis, lipid profile, and measurements of creatinine and liver enzymes. Studies have indicated that tadalafil citrate stays in the body longer than other medications in its class. Most of the best-known treatments for ED work well and are safe. Having problems with erections from time to time is common and shouldn’t be cause for concern.

For men whose erectile dysfunction is caused by psychological problems, therapy may be needed. The aim of this study was to investigate the prevalence of state and trait anxiety and depression in primary ED and PE. Are there other benefits?, ceratin medications, such as alprostadil, papaverine, and phentolamine, can be injected directly into the side or base of the penis. Sometimes a combination of physical and psychological issues causes erectile dysfunction. Hormone abnormalities can cause ED.

These are some of the most common: Medications for depression continue to be developed to help people manage their symptoms. Psychopathology in individuals with sexual dysfunction.

The following are some of the different types and possible causes of erectile dysfunction:

Erectile Dysfunction Causes

You have bad oral hygiene. 1457-1466; Corona, G. Complications resulting from erectile dysfunction can include:

Implants allows a couple to be spontaneously intimate. Talking to your partner about the issue, or seeking advice and support from organisations such as Relate can help. This paper reviews the relationship between major depressive disorder and testosterone level, as well as treatment with exogenous testosterone.

These feelings may lead to deeper feelings of low self-esteem, loss of interest in formerly pleasurable activities (such as sex), and apathy – all symptoms of depression. There are a variety of treatment options available for depression. Here is our guide to the psychological causes of erectile dysfunction, and what you can do to overcome them: If it happens more often, it may be caused by physical or emotional problems. After the first week, over- the-counter pain drugs (such as acetaminophen or ibuprofen) may be substituted for narcotic pain drugs. PDE5 inhibitors improve on normal erectile responses helping blood flow into the penis. But there’s a reason your heart doesn’t beat 250 times a minute all day long.

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When To See A Doctor

The good news is that ED can usually be treated safely and effectively. Depression can be defined as “a mood disorder that causes a persistent feeling of sadness and loss of interest” in formerly pleasurable activities. This drug comes in two forms, based on how it is to be used: What you may not know is that psychological factors are a major contributing factor for many cases of ED. During therapy, a person with depression talks to a licensed and trained mental health care professional. Steiger A, Holsboer F, Bunkert O: There are some treatments that can be prescribed by your doctor if needed, for depression.

Cross-sectional results from the Massachusetts Male Aging Study (1998) Psychosom Med, 60, pp. Roose SP, Glassman AH, Walsh BT, Cullen K: It’s worth noting that some types of antidepressants (known as SSRIs) can cause erectile dysfunction.

Talk to your doctor if you’re experiencing symptoms of erectile dysfunction.
  • Patients should know that many over-the-counter drugs have been found on drug testing to have ‘bootlegged' PDE 5 Inhibitors as their main ingredient.
  • These results do not necessarily mean that depression and ED cause each other directly.
  • No, we do not provide counseling.

Article Info

It was estimated that, in 1995, over 152 million men worldwide experienced ED. These conditions have been shown to be associated with hormonal changes in men. Having support from your partner is really important too.

Blazer DG, Kessler RC, McGonagle KA, Swartz MS: Blazer DG, Hughes DC, George LK: Our study findings regarding trait anxiety revealed a different pattern. This is most often caused by stress.

According to the NIH, erectile dysfunction is also a symptom that accompanies many disorders and diseases. What is depression? GoodRx is not available outside of the United States. The longer the issue is left unaddressed, the more of an obstacle it may become. Similarly, our results showed that ED patients scored higher than controls in depression as measured by the BDI, while scores among the PE group were not different from controls.

Stats About Depression

Stress about sex can lead to performance anxiety. 968-978; Meng, L. The authors noted a high degree of heterogeneity among the studies, as the papers were not uniform in their study design. Perhaps the best way of avoiding this prospect then, is to determine the issue causing erectile dysfunction before taking measures to treat it. 3700-3714; Gandaglia, G. For some, prescription anti-depressants may be recommended. Overall, the studies involved over 192,000 men. 83-90; Lewis, R.

For IU therapy, a tiny medicated pellet of the drug, Alprostadil, is placed in the urethra (the tube that carries urine out of your body).

The relationship between depressive symptoms and male erectile dysfunction: Extracorporeal shock wave therapy (ESWT) - low-intensity shock waves that aim to fix the erectile tissues and help restore natural erections. Professional information for adderall, they help his erectile dysfunction but do nothing for his libido. Medications used to treat erectile dysfunction can be prescribed to treat this side effect. But what about young, healthy men? For example, a man with low self-esteem might believe that he is not capable of satisfying a woman and, as a result, he becomes unable to perform in the bedroom. Three studies analyzed ED exposure and depression risk.


Some of the most common causes of this type of ED include the following: Loss of self-esteem, overall fatigue and disturbed eating and sleeping habits are well-known signs of depression. Instead, it can also cause back pain and muscle aches. In contrast, in the case of PE, practitioners should place greater emphasis on neurophysiological contributors of the disorder and determine when it is necessary to refer patients to specialized care.

However, in those cases where performance anxiety is the cause, prescription treatment might be better considered as a short-term solution, to provide a confidence boost. Sexual dysfunction and dual psychiatric diagnoses. If any of these systems become compromised, it can cause ED. Low testosterone may contribute to erectile dysfunction and mood disorders in some men. Some anti-depressants cause erection problems, too. It is estimated that half of all men over age 50 will experience erectile dysfunction from time to time. Loss of libido can also be a sign of depression too.

Although increasing age is the biggest contributing factor, here are six other risk factors for erectile dysfunction that may surprise you: What are the side effects? Most men with penile implants and their partners say that they're satisfied with the results, and they return to more spontaneous intimacy. In rare cases, low testosterone can be linked to ED. 842-851; van Dooren, F. When the brain is dealing with stress, it becomes much harder to remain focussed on intercourse. HF has also been associated with erectile dysfunction (ED) in prior studies with overall prevalence rates up to 89%.

In such cases, it is important to talk about the problem sooner rather than later.

What are the different types (and causes) of ED?

Note that some antidepressants can worsen ED. Chronic stress is like using a fire hose to water your garden. Please note that your prescriber will always decide which treatment option is best for you.

653-659; Vlachopoulos, C. Drugs known as PDE type-5 inhibitors increase penile blood flow. It may be that depression symptoms hinder sexual arousal and impair erectile function, or vice versa; the presence of erectile difficulties may trigger low mood building up to the development of depressive syndrome [51, 52]. Depression is often a major cause of sexual dysfunction and impotence. 87-91; Lau, J. But some medications used to treat high blood pressure, such as beta blockers and diuretics, can also increase your risk of erectile dysfunction. Thankfully, more people are becoming aware of the importance of men’s mental health. Complete your review, with the exception of certain herbal treatments and natural libido enhancers known in limited cultural areas, there was no cure for male sexual dysfunction. Low self-esteem:

This holds the blood in the penis (and keeps it hard) for up to 30 minutes. Diagnosis[edit], it is estimated that almost 51,000 people in the United States are diagnosed with kidney cancer each year. Seeking therapy to help resolve these issues can help you overcome your erectile dysfunction. About four percent of men in their 50s experience erectile dysfunction, while nearly half of men older than 75 do, according to the National Institutes of Health. Causes of performance anxiety Performance anxiety is typically caused by negative thoughts about one’s ability to perform well during sexual activity. Erectile dysfunction and depression are intertwined. The first step in overcoming depression is to be honest with yourself, your partner, and your doctor. To confirm this diagnosis, you may want to complete a full psychological evaluation.

Frequently Asked Questions

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. These are the only oral agents approved in the U. Dihydrotestosterone is the male sex hormone that helps maintain sex drive. This anxiety appears to interfere with sexual functioning through altering the neural substrate of sexual behavior, further contributing to the maintenance of sexual dysfunctions. In the first quarter of 2020, the Helpline received an average of 68,683 calls per month. The most common side effect of ICI therapy is a prolonged erection. When you get “stressed out” your body makes adrenaline increases your heart rate to move more oxygenated blood to your muscles, lungs, and brains to make you faster, stronger, and even able to think more clearly. There are some lifestyle choices which can also affect erectile function such as over-consumption of alcohol (especially if over a long period of time), having a high-fat diet, smoking and being under stress from work or family problems.

Authors’ Contributions

If you spend a great deal of time watching and masturbating to pornography, it could cause you to develop unrealistic expectations about sex or about your sexual partners. All three of these involve specific bodily systems including the hormones, muscles, blood vessels, nervous system, and emotions. As mentioned at the beginning of this article, erectile dysfunction can cause depression and vice versa. The significant clinical differences between ED and PE in terms of anxiety and depression suggest that these two sexual disorder groups may warrant different types of treatment. Are you under a lot of stress or experiencing an abnormal amount of anxiety? This may come as a result of age and a subsequent loss of interest in sex, be the result of medications or stemming from problems in a couple's relationship.

601-606; Shiri, R.


– can be answered with a yes, it can. When erectile dysfunction is caused by psychological triggers, it is referred to as psychological impotence. This paper examines the association between depression, ED, and hormonal status of men aged above 50 years in the Klang Valley, Malaysia. Thus, depression can often lead to poor sex drive. You regularly add salt to food. You may find that the simple act of acknowledging your issues and being honest with your partner takes some of the weight off your shoulders. Keep reading to learn more about the psychological causes of ED and what you can do to resolve them. Your health care provider may also suggest treating emotional problems.

In a very real way, stress can turn you into a part-time superhero. Approach the problem together and do not be afraid to talk about your feelings. Meta-analysis of the efficacy of sildenafil (VIAGRA) in the treatment of severe erectile dysfunction. You start to experience erectile dysfunction after a stressful life event, such as the loss of a job or a loved one or another family trauma. Sildenafil comes in tablets of 25 mg, 50 mg and 100 mg.


You enjoy riding a bike. It is important to communicate openly with your partner. Lifelong premature ejaculation. What is the treatment for ED? Men are more likely than women to keep their feelings hidden, but they may become more irritable and aggressive. Talking about them with your partner, or seeking treatment from a doctor are important steps in tackling the issue. Circulatory problems could be indicated by an aneurysm. And problems happen when your body has to process constant stress.