What causes erectile dysfunction?

“A variety of things cause it. Some psychological and some physical,” says Dr Tomlinson. “Psychological issues tend to affect younger men, such as first night nerves and so on. Often, these problems don’t persist. But there can be more serious psychological problems about sex that need the help of a psychosexual therapist.”

Worries about work, money, your relationship, family, and even worrying about not getting an erection, can all be factors.

Physical reasons for erectile dysfunction include:

Medical conditions that cause erectile dysfunction

Drugs that cause erectile dysfunction

What causes premature ejaculation?

“Either just being very excited with a new partner, or an acute sensitivity of the local nervous system, which triggers orgasm too suddenly,” says Dr Tomlinson.

It can also be linked to anxiety about sexual performance, stress, unresolved issues in a relationship, or depression.

What should I do if I have premature ejaculation?

See your GP, or a psychosexual therapist. A therapist can teach you techniques to try to delay ejaculation.

What treatment is there?

“A lot of men and their partners don’t worry, and they work around it,” says Dr Tomlinson. “But if you’re very unsatisfied, there are some things you can try.”

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