The causes of sexual impotence can be classified into two categories:
- Organic or physical
The following are some of the psychological causes of sexual impotence:
- Fear of failing to please a partner or “performance anxiety” is one psychological factor that contributes to sexual impotence. This particularly affects men who are engaged in casual sexual relationships. In our current societies, men are expected to have sexual prowess and failing to show this is considered to be a big embarrassment. When a man feels like their self esteem has been damaged due to an inability to perform, this could lead to sexual reflexes being inhibited as a consequence of anxiety.
- Failure to perform may also result from marital discord, lack of mutual consent from both partners. Other instances that may lead to sexual impotence include an unstable environment such as fear of being caught in an illicit affair, worry, fatigue or light.
- Psychological reasons for impotence might also be associated with the physical causes. The fact that one cannot obtain an erection may also cause one to develop performance anxiety.
Having mentioned some of the psychological causes of sexual impotence, the following are some of the physical causes of sexual impotence:
- Damage to the penis may cause it not to achieve an erection.
- Hormonal disorders
- Side effects of drugs or medicine
- Damage to the blood vessels that supply blood to the penis
- Insufficient supply of blood to the penis.
Other known causes of erectile dysfunction include consumption of alcohol, smoking and the use of other drugs such as cocaine or ecstasy.