Unlike simple erectile dysfunction, which may be because of physical health issues or medication side effects, PED is ‘rooted in psychological factors’ like stress, anxiety, or trauma.

Stress can lead to many health issues especially in youngsters. It can cause heart problems, mental health issues, and even death. In couples planning to start families, stress can often result in reproductive and fertility issues. Psychogenic erectile dysfunction (PED), for instance, is common in youngsters these days. A complex issue, it is often not discussed as much as it should be. Doctors believe an increase in pressure to perform in terms of intimacy, coupled with anxiety and stress, can lead to PEDs in over 60 per cent of people between the ages of 20 years and 30 years.

What Is Psychogenic Erectile Dysfunction (PED)?

According to doctors, unlike simple erectile dysfunction (ED) — which may be because of physical health issues or medication side effects — PED is ‘rooted in psychological factors’ like stress, anxiety, or trauma. It can have a profound impact on a man’s self-esteem and relationships. Additionally, while for some men, performance anxiety may be causing ED, for others it can manifest as ‘unresolved emotional issues’ from the past. One common symptom is the sudden onset of difficulty in achieving and maintaining an erection, often without underlying medical conditions.

Individuals with PEDs may also experience a lack of desire, even when they are in a romantic situation. Psychological factors like stress, anxiety, depression, or past traumatic experiences can exacerbate its symptoms.

The Role Of Stress

Youngsters, apparently, are under stress because of unrealistic standards set by the media and society regarding sexuality and performance. Dr Ravindra Hodarkar, consultant urologist at Zynova Shalby Hospital said over 55 per cent of youngsters in the age group 25 to 35 feel pressured to meet these expectations, leading to anxiety and self-doubt when faced with difficulties in intimacy. “The taboo surrounding discussions about sexual health and mental well-being creates additional distress for young people experiencing PEDs. The lack of open communication channels prevents them from seeking help, exacerbating their feelings of isolation and inadequacy. The rise in social media usage has further contributed to the pressure to present themselves as virile at all times. These idealised images can intensify feelings of inadequacy and performance anxiety, leading to increased stress levels associated with PEDs in the younger population,” he explained.

Societal Norms And Stereotypes Around Masculinity

Dr Jitendra Sakhrani, urologist at Apollo Spectra, Mumbai said societal norms and stereotypes can worsen the problem by creating a ‘stigma’ around seeking help for psychological concerns. “Over 58 per cent of youngsters in the age group of 22-30 years may suffer in silence without seeking appropriate support or treatment for PED,” he said. The doctor added that to tackle PEDs in youngsters, the following things must happen:

• Open communication and education about intimacy.
• Breaking taboo surrounding erectile dysfunction and creating a safe space for young individuals.
• Incorporating mindfulness techniques and stress-reduction practices into daily routines.
• Promoting overall well-being and addressing underlying psychological issues to effectively tackle PED in young men and support them in reclaiming their confidence.