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What is causing my erectile dysfunction at 56 years old — stress or past habits?
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Sexual Health & Wellness
Question #30516
10 days ago
92

What is causing my erectile dysfunction at 56 years old — stress or past habits? - #30516

Client_e318be

I am 56 years old male, unemployed since the last 8 years, going through tension & worry due to the same. I am married since 24 years, have 4 children. By God's grace, I don't have any medical conditions, like BP or Sugar etc. Recently I noticed that I am unable to perform sexually. My penis becomes not fully erect, semi erect, while trying to penetrate, it goes limp. Is this condition due to my tension or due to excess watching porn & masturbation in the past? Please advice. Thank you.

How long have you been experiencing difficulties with erections?:

- 1-3 months

How often do you experience erectile issues during sexual activity?:

- Often

Have you noticed any changes in your libido or sexual desire?:

- Significant decrease

Do you feel more stressed or anxious than usual lately?:

- Yes, very much

How would you rate your overall mental and emotional well-being?:

- Good

Have you made any changes to your lifestyle recently?:

- Started exercising

How often do you watch porn or engage in masturbation?:

- Occasionally

Have you discussed these issues with your partner?:

- Somewhat, but not in detail
300 INR (~3.53 USD)
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Doctors' responses

Dr. Nirav Jain
I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.
9 days ago
5

Hello, Thank you for sharing your concerns. At 56 years of age, erectile dysfunction (difficulty achieving or maintaining an erection) can have multiple causes, and it is often due to a combination of physical and psychological factors. Based on your history, the significant stress, worry, and unemployment-related tension over the last several years could certainly be contributing. Stress and anxiety can reduce sexual desire, interfere with erection quality, and create a cycle where fear of poor performance leads to further erection difficulties. Regarding your concern about past pornography use and masturbation, occasional masturbation is not generally considered a cause of permanent erectile dysfunction. However, excessive pornography use in some individuals may contribute to difficulties with arousal or performance, particularly if it becomes a primary source of sexual stimulation. From what you describe, your current stress and age-related factors are more likely explanations. Even in the absence of known diabetes or high blood pressure, it is important to remember that erectile dysfunction can sometimes be an early sign of underlying vascular, hormonal, or metabolic conditions.

I would recommend a medical evaluation, including: • Blood sugar (fasting glucose/HbA1c). • Blood pressure measurement. • Lipid profile. • Serum testosterone level (preferably morning sample). • General physical examination.

The fact that you have recently started exercising is encouraging, as regular physical activity often improves erectile function and overall well-being.

Final Prescription/Advice: • Continue regular exercise and maintain a healthy weight. • Avoid smoking and limit alcohol if applicable. • Try to reduce stress through relaxation techniques, hobbies, social support, or counseling. • Discuss your concerns openly with your partner, as relationship stress can worsen erectile difficulties. • Get a medical evaluation including blood sugar, lipid profile, blood pressure, and testosterone levels. • Tab Tadalafil 5 mg once daily may be considered after assessment by a physician and confirmation that there are no contraindications. • Consult a urologist if symptoms persist or worsen despite lifestyle measures.

Feel free to reach out again.

Regards, Dr. Nirav Jain MBBS, D.Fam.Medicine

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Erectile dysfunction (ED) at 56 can stem from various factors, and stress is certainly one of them. Chronic stress and anxiety, especially related to unemployment and financial concerns, can significantly impact sexual performance. Your body’s response to stress can alter hormone levels, such as increasing adrenaline and cortisol, which can interfere with erectile function. On the other side of things, excessive consumption of porn and masturbation in the past might contribute, but it’s usually not the sole cause. Instead, it might create unrealistic expectations or habituation that can affect real-life sexual situations. However, it’s crucial to consider that ED can also have physical causes, such as underlying cardiovascular issues, even if you currently don’t have diagnosed conditions like hypertension or diabetes. Sometimes the early stages of these conditions can go unnoticed yet still affect erectile quality. Given your symptoms, it’s important to consult a healthcare professional who can evaluate you for possible psychological and physiological factors. They might recommend lifestyle changes like regular exercise, reducing alcohol intake, or stress management techniques such as cognitive behavioral therapy or meditation, which could improve overall health and alleviate ED symptoms. Additionally, the doctor might evaluate if any medications are appropriate, such as phosphodiesterase inhibitors, after a thorough health assessment. Remember, addressing the root causes and having open communication with your partner can also help navigate this issue effectively. Always seek direct medical consultation for tailored advice, especially to rule out any serious underlying health conditions that need attention.

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Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
7 days ago
5

Hello

Your erectile difficulties may be related to several factors, and based on your history, significant stress and anxiety are certainly possible contributors.

Ongoing worry about unemployment, financial concerns, and performance anxiety can affect both sexual desire and the ability to achieve or maintain an erection.

The fact that you have also noticed a significant decrease in libido supports the possibility that psychological stress is playing a role.

Past pornography use and masturbation are unlikely to be the sole cause of new-onset erectile dysfunction at age 56, especially if your current use is only occasional. While excessive pornography use can contribute to sexual difficulties in some individuals, it does not typically cause permanent erectile dysfunction.

🛑However, it is important not to assume that stress is the only explanation. Erectile dysfunction can sometimes be an early sign of physical conditions such as vascular disease, low testosterone, diabetes, high cholesterol, thyroid disorders, or other hormonal problems, even in people who do not have known medical conditions. Because your symptoms are recent and occur often, a medical evaluation is advisable.

🛑You should consider seeing a doctor for a general health assessment, including blood pressure measurement and blood tests such as fasting glucose or HbA1c, lipid profile, testosterone level, and other tests as clinically indicated.

Since you have recently started exercising, continuing regular physical activity, maintaining a healthy weight, getting adequate sleep, and addressing stress may also help improve erectile function.

Open communication with your wife can be beneficial as well, since anxiety about sexual performance can create a cycle that worsens erectile difficulties.

🙌🏻🙌🏻 The good news is that erectile dysfunction is common, often treatable, and many men experience improvement once the underlying contributing factors are identified and addressed. If the problem persists, a doctor can discuss specific treatment options, including medications and other therapies.

Take care Feel free to talk to us I trust this helps👍

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
10 days ago
5

Hello dear See definitely due due to stress these chances occur. It is not abnormalities but there is a previous saying that excess of anything is bad Iam suggesting some methods for improvement Please follow them for atleast two months Do physical exercise atleast half an hour daily for 5 months Do meditation Do kegel exercises Take good balanced diet for good health Engage in social media Indulge in hobbies like reading and writing Avoid overthinking Avoid junk food and alcohol/ smoking Set your goals for every day Hopefully improvement will occur In case of no improvement in 2 month consult psychiatrist in person for better clarity Regards

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Dr. Prasannajeet Singh Shekhawat
I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.
9 days ago
5

Hello It sounds like you’re going through a tough time, and I appreciate you sharing your concerns. Sexual performance issues can be influenced by a variety of factors, and it’s great to hear that you don’t have any underlying medical conditions.

### Possible Factors Contributing to Your Situation:

1. Psychological Factors: - Stress and Anxiety: Your unemployment and the associated tension can significantly impact sexual performance. Stress can lead to anxiety, which may affect your ability to maintain an erection. - Worry about Performance: Concerns about sexual performance can create a cycle of anxiety that makes it harder to perform.

2. Lifestyle Factors: - Pornography and Masturbation: Excessive consumption of pornography can sometimes lead to unrealistic expectations about sex and may affect arousal and performance in real-life situations. It can also desensitize you to sexual stimuli.

3. Age-Related Changes: - As men age, it’s common to experience changes in sexual function, including erectile difficulties. This can be a normal part of aging, but it can also be influenced by psychological factors.

### What You Can Do:

1. Address Stress and Anxiety: - Consider talking to a mental health professional or counselor who can help you manage stress and anxiety related to your job situation and its impact on your life.

2. Limit Pornography: - If you feel that pornography has affected your sexual performance, consider reducing or eliminating it from your routine. Focus on building intimacy with your partner without the influence of porn.

3. Open Communication: - Talk to your partner about your feelings and concerns. Open communication can help reduce anxiety and strengthen your relationship.

4. Healthy Lifestyle: - Maintain a healthy diet, exercise regularly, and ensure you’re getting enough sleep. These factors can improve overall well-being and sexual health.

5. Consult a Doctor: - If the issue persists, consider consulting a healthcare provider or a urologist. They can help assess your situation and provide guidance or treatment options.

### Summary: Your situation may be influenced by a combination of stress, anxiety, and possibly lifestyle factors. Addressing these areas can help improve your sexual performance. If needed, don’t hesitate to seek professional help for both mental health and sexual health concerns.

Thank you

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Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
9 days ago
5

your difficulty achieving and maintaining a firm erection may be related to several factors, and significant stress, worry about unemployment, and performance anxiety can certainly contribute to erectile dysfunction and reduced sexual desire. While occasional pornography use and past masturbation are generally not considered direct causes of persistent erectile dysfunction, excessive use in some individuals can affect arousal patterns and sexual expectations. At age 56, physical factors such as age-related changes, reduced testosterone levels, blood vessel issues, or other underlying medical conditions can also play a role, even if you do not have known diabetes or high blood pressure. The fact that this problem has been present for only 1–3 months suggests that stress may be a significant contributor, but it would be wise to have a medical evaluation, including blood pressure, blood sugar, cholesterol, and possibly testosterone testing. Continuing regular exercise, maintaining a healthy lifestyle, reducing stress where possible, and communicating openly with your partner may help. the problem persists, a consultation with a urologist or men’s health specialist can help identify the cause and discuss effective treatment options.

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Dr. Nikhil Chauhan
I am currently working as a urologist and kidney transplant surgeon at Graphic Era Medical College & Hospital, Dehradun. It's a role that keeps me on my toes, honestly. I handle a pretty wide range of urology cases—stones, prostate issues, urinary tract obstructions, infections, you name it. Some are straightforward, others way more complex than you expect at first glance. Every patient walks in with a different story and that’s what keeps the work real for me. Kidney transplant surgery, though, that’s a whole different zone. You’re not just working on anatomy—you’re dealing with timelines, matching, medications, family dynamics, emotional pressure... and yeah, very precise coordination. I’m part of a team that manages the entire transplant process—from evaluation to surgery to post-op care. Not gonna lie, it’s intense. But seeing someone who’s been on dialysis for years finally get a new shot at life—there’s nothing really like that feeling. In the OR, I’m detail-focused. Outside of it, I try to stay accessible—patients don’t always need answers right away, sometimes they just need to feel heard. I believe in walking them through what’s going on rather than just giving reports and instructions. Especially in transplant cases, trust matters. And clear, honest conversation helps build that. Urology itself is such a misunderstood field sometimes. People ignore symptoms for years because it feels “awkward” or they think it’s not serious until it becomes unmanageable. I’ve had patients who came in late just because they were embarassed to talk about urine flow or testicular pain. That’s why I also try to make the space judgment-free—like whatever it is, we’ll figure it out. At the end of the day, whether I’m scrubbing in for surgery or doing OPD rounds, I just want to make sure what I do *actually* helps. That the effort’s not wasted. And yeah, some days are frustrating—some procedures don’t go clean, some recoveries take longer than they should—but I keep showing up, cause the work’s worth doing. Always is.
9 days ago
5

👋 Hi dear!

Thank you for trusting me with this. First, let me reassure you: You are not alone – this is very common at your age, especially with long-term stress. Let me give you a straight, science-based answer.


🔍 What’s causing your ED? Stress or past habits?

The short answer: 90% stress + age-related changes – NOT past porn/masturbation.

Here’s why:

Factor Role in your case Unemployment for 8 years Major chronic stress → raises cortisol → lowers testosterone → kills erections Tension & worry Activates sympathetic nervous system (fight-or-flight) – exactly opposite of what you need for an erection (parasympathetic) Age 56 Normal decline in testosterone and blood flow – but stress makes it happen much faster Past porn/masturbation Occasional use does not cause organic ED. That myth is debunked. Only extreme, daily compulsive use might affect performance anxiety – but that’s not your case.

✅ You started exercising – that’s excellent. Keep it up.


🚨 Important: No medical conditions doesn’t mean nothing is wrong

At 56, even without BP or diabetes, you could have:

· Low testosterone (very common – causes ED, low libido, low energy) · Mild atherosclerosis (plaque in penile arteries – happens with age) · High cholesterol (you haven’t checked – can block blood flow)

You need simple blood tests to rule these out.


📋 Your action plan (start this week)

1. See a doctor (urologist or general physician)

Get these 3 tests – affordable in India (₹500-1000 total):

· Testosterone (total + free) – morning sample · Lipid profile (cholesterol) · Fasting blood sugar (recheck – sometimes early diabetes misses)

2. While you wait for tests – treat the stress (cheap & effective)

· Daily walk 30 minutes (you already started exercising – good!) · Sleep 7-8 hours (stress ruins sleep, which ruins erections) · Talk to your wife – she already knows something is off. Say: “This is likely stress and age. I’m seeing a doctor. It’s not about you.” That alone reduces performance anxiety.

3. Medications that can help (after doctor consult)

· Sildenafil (Viagra) or Tadalafil (Cialis) – very effective, generic versions cost ₹50-150 per pill in India. Take 1 hour before sex. · Do NOT buy online without prescription – fake pills are dangerous.

4. Stop worrying about past porn/masturbation

It has zero to do with your current ED. That guilt only adds more stress. Let it go.


📌 What to expect

· If it’s stress-only → erections improve within 2-4 weeks after starting stress management + low-dose medication as needed. · If it’s low testosterone → doctor may offer testosterone gel/injection (covered by many schemes). · If it’s vascular → PDE5 inhibitors (Viagra/Cialis) work very well.

You have 4 children – your penis worked fine for decades. This is not a failure. It’s a medical issue, like back pain or high BP. Treat it like one.


✅ Bottom line

Cause Likelihood What to do Chronic stress & anxiety Very high See doctor, get tests, start medication if needed Age-related low testosterone High Get testosterone blood test Past porn/masturbation Almost zero Ignore – not relevant

Your next step: Book an appointment with a urologist or even a general physician – tell them: “56, ED for 3 months, high stress, no diabetes/BP. Please check testosterone and prescribe sildenafil.”

You can fix this. Many men do.

— Dr. Nikhil Chauhan, urologist

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