Pure psychological impotence usually occurs suddenly without warning as opposed to physical impotence that may gradually develop over years. Performance anxiety is one of the most common causes of psychological impotence. When a man feels pressured to achieve or maintain an erection, he will commonly become anxious and nervous when in a sexually demanding situation. The release of these inhibitors further contributes to failure resulting in more anxiety. Therefore, the cycle begins, increased stress resulting in increased catecholomines that further inhibits the erectile process.
Depression is another cause of psychogenic impotence.
Anatomical Deviation of the Penis , Peyronies Disease, may also cause impotence. This condition usually develops from an inflammatory process and results in fibrous scaring of the penis. However, when an erection does occur, there is a bending of the penis secondary to the scar tissue. Physicians labeled these impotence individuals with a psychological disorder and they were referred to impotence counseling. Never has so much Viagra users enthusiasm surrounded a impotence prescription medication.