Is impotence and premature ejaculation caused by psychological factors?

Patient's question:

I am a person with erectile dysfunction and premature ejaculation. After achieving an erection, it becomes very soft, and I feel very anxious. My wife wants to divorce me. During sex, I feel extremely tense, and at work, I constantly think about my ED and PE, which makes me easily exhausted. I also have difficulty sleeping at night. I can't last more than four or five minutes before ejaculation, and I feel very anxious and upset.

Doctor's answer:

Hello, many men suffer from erectile dysfunction (ED) and premature ejaculation due to psychological factors. According to statistics, approximately 70% of ED patients are caused by psychological factors, and they do not have any organic issues. Due to other reasons, sometimes a single instance of ED can cast a shadow on their psychology, leaving them disheartened. Therefore, patients with ED caused by psychological factors must receive psychological counseling and treatment to address their abnormal psychological states.

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