Diabetes, chronic alcoholism, multiple sclerosis, heavy metal poisoning, spinal cord and nerve injuries, and nerve damage from pelvic operations can cause erectile dysfunction. Rarely is low testosterone responsible for poor erections. Another form of psychogenic impotence is performance anxiety, usually caused by stress or anxiety. Erections may be difficult or impossible. Depression Depression is another cause of psychogenic impotence.
Some antidepressant medications cause erectile failure.
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