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  • May 01, 2019
  • Dr. Eliza Irwin

Impotence, clinically referred to as erectile dysfunction (ED), is caused by various things. Although many are under the impression that it is mostly linked to old men and various physiological conditions which inhibit effective blood flow, this is only part of the picture.

The truth is that many young men experience ED too and that, while certainly it is sometimes due to medical conditions like high cholesterol, high blood pressure, obesity, and diabetes, it is mostly on account of underlying psychological factors.

A particularly common psychological cause of ED in young men is prior adverse sexual experiences. This can refer to childhood or adolescent sexual abuse, but more commonly refers simply to a particularly embarrassing or shameful sexual incident in pre-adolescence or adolescence.

For example, a man suffering from ED at the age of 25 named Jimmy tells an anecdote of the psychological origins of his ED:

“When I was a teenager, I went round to my girlfriend’s place when her parents were not home. She was raised in a deeply religious household and she was supposed to be celibate till marriage. Anyway, we naturally began to make out in her bedroom and this quickly turned to groping and stuff.

Next thing I know, both her parents walk in on us and it was just carnage. They started screaming at me, accusing me of sexual assault and of being a perverted animal with no respect. It was just completely humiliating. We broke up after that- there was simply no salvaging the situation. From that day, I associated sex with shame and heartbreak which caused erectile dysfunction.”

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Author: Dr. Eliza Irwin

About Dr. Eliza Irwin

Dr. Irwin studied at the Berkeley Institute of Learning, graduating with honours in clinical psychology. She later went on to complete her doctorate, specialising in sexual dysfunction. Her research on the psychological basis of male sexual dysfunction has become seminal within the field of sex therapy and she remains highly regarded within the medical community. Today, she is a practicing sex therapist and has helped dozens of patients along the road to sexual healing and empowerment. Dr. Irwin’s central message to anyone battling sexual dysfunction is that you are complete and worthy of love and that reaching out for support is crucial to healing.