Psychological factors

In young men, ED is mainly attributed with psychological rather than physical causes.

For many young Singaporean men in their 30s, the pressures of work and starting a family weigh heavily on our shoulders.

At work, many of us find ourselves sandwiched between bosses and subordinates – a recent local survey revealed – burnout was the top cause of deteriorating mental health chosen by survey respondents in Singapore between the ages of 18 and 39.

As of 2021, the median age at the time of first marriage in Singapore was 30.5 years old for men. As we embark on starting a family, the stress from relationship issues, the pressures of conceiving adds to the multiple challenges we already face.

Psychological causes of ED include issues such as stress, anxiety, low self-esteem, relationship problems, fatigue, depression, and fear of sexual failure (i.e “performance anxiety”) can affect the ability to hold an erection.

We explored how overworking and lack of sleep can contribute to ED. Even pornography addiction can contribute to ED.

Physical factors

Physical factors that can contribute to poor blood flow to the penis include heart disease, diabetes mellitus, high blood pressure, kidney disease, obesity, low testosterone levels and nerve disease.

While older men tend to suffer from ED because of underlying health issues, chronic conditions like diabetes, high blood pressures and obesity are now affecting more younger men with the increasing stressors of life and unhealthy lifestyle choices.

Medication-related factors

It is estimated that 25% of ED cases are due to medications. Common examples of medications that disrupt normal male sexual function include antidepressants and blood pressure medications.

Although illicit drugs such as cocaine and heroin and excessive alcohol can initially stimulate libido and sexual arousal, they ultimately exert a negative impact on the ability to get erect and sustain erectile function.

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