Psychogenic Erectile Dysfunction (PED) in youngsters is a complex issue that often goes undiscussed. The increasing pressure to perform sexually, coupled with anxiety and stress, can lead to PEDs in over 60% of youngsters aged 20-30. It’s important to take a holistic approach when addressing PED in youngsters, including exploring psychological factors and offering therapy or counseling as part of the treatment plan.

Psychogenic erectile dysfunction (PED) is a complex condition that can have profound impacts on a man’s self-esteem and relationships. Unlike organic causes of ED, such as physical health issues or medication side effects, PED is rooted in psychological factors like stress, anxiety, or trauma. This emotional component makes PED particularly challenging to address and may require a multifaceted approach to treatment.  PEDs manifest differently in each individual. For some men, performance anxiety may be the primary issue causing their ED, while for others it can manifest as unresolved emotional issues from the past that could be at the root of their difficulties. One common symptom is the sudden onset of difficulties in achieving and maintaining an erection, often without any underlying medical conditions. Individuals with PEDs may also experience a lack of sexual desire or interest, even when they are in a romantic or intimate situation. Moreover, psychological factors like stress, anxiety, depression, or past traumatic experiences can exacerbate PED symptoms, leading to further challenges in sexual performance.  Understanding these unique underlying factors is crucial in developing tailored treatment plans that address not just the symptoms but also the root causes of PEDs.

“Psychogenic Erectile Dysfunction (PED) is increasingly causing stress in young individuals due to a variety of factors. One significant reason is the unrealistic standards set by media and society regarding sexuality and performance. Over 55% of youngsters in the age group 25 to 35 often feel pressured to meet these expectations, leading to anxiety and self-doubt when faced with difficulties in sexual functioning. We have observed approximately 10 to 12 young patients visiting monthly with these complaints. Moreover, 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 or support, exacerbating their feelings of isolation and inadequacy. The rise in social media usage has further contributed to the pressure on youngsters to present themselves as sexually confident and virile at all times. This constant comparison with idealized images can intensify feelings of inadequacy and performance anxiety, ultimately leading to increased stress levels associated with PEDs in the younger population,” said Dr. Ravindra Hodarkar, Consultant Urologist Zynova Shalby Hospital.

“The surge in cases of Psychogenic Erectile Dysfunction (PED) among youngsters is a concerning trend that reflects the complex interplay between mental health and sexual function. With the increasing pressure to perform and excel in various aspects of life, many young individuals are experiencing heightened levels of stress and anxiety, which can cause sexual difficulties. The digital age has also played a significant role in shaping the way young people view sexuality, often leading to unrealistic expectations and performance anxiety. Societal norms and stereotypes around masculinity can further exacerbate the issue by creating a stigma around seeking help for psychological concerns related to sexual health. As a result, over 58% of youngsters in the age group, 22-30 may suffer in silence without seeking appropriate support or treatment for their PED. To tackle PEDs in youngsters, open communication and education about sexual health are of utmost importance. By breaking the taboo surrounding erectile dysfunction and creating a safe space for young individuals to discuss their concerns, we can help destigmatize the condition and encourage seeking help early on. Incorporating mindfulness techniques and stress-reduction practices into daily routines can also be beneficial in managing PEDs in youngsters. By promoting overall well-being and addressing underlying psychological issues, we can effectively tackle PED in young men and support them in reclaiming their sexual confidence,” Dr. Jitendra Sakhrani, Urologist, Apollo Spectra, Mumbai.