Understanding the Causes of Erection Problems - Expert Insights

Genaro Donaro Urology Reply July 19, 2023

  In this article, I will shed light on the reasons behind mid-intercourse erection issues and the importance of addressing them. But before we delve into the topic, I would like to invite you to join my upcoming masterclass on April 15, 2021, where I will provide a free session to help you comprehend why you might be facing erection problems and how to find solutions.


Often, when discussing erectile dysfunction, it is commonly associated with the inability to attain an erection at all. However, in many cases, it is a psychological issue, and men do have erections but lose them during intercourse. Let's explore four reasons behind this occurrence.

  1. Physical Factors and Venous Leakage: While physical reasons for erection issues are not prevalent, they can sometimes be attributed to minor venous leakage. This occurs when there is a slight escape of blood from the penis due to vein-related problems. It is essential to consult a urologist to assess your overall health if you experience persistent erection problems.

  2. Performance Pressure: Some men find it challenging to maintain an erection because they focus on performing well during intercourse. Rather than enjoying the experience, they put immense pressure on themselves to be the best lover, leading to anxiety and loss of erection.

  3. Stress and Daily Worries: Everyday stress, work-related issues, family problems, or relationship conflicts can significantly impact sexual performance. When these concerns occupy your mind during intimacy, it can lead to distraction and hinder maintaining an erection.

  4. Distractions and Disinterest: During sexual encounters, men might lose an erection when engaged in other activities, such as oral sex, that do not directly involve them. It is crucial to focus on the experience and not let distractions interfere with the sexual moment.

Understanding the psychological factors behind losing an erection during intercourse is crucial. Seeking therapy, stress management techniques, and maintaining a healthy lifestyle can help address these concerns effectively. Remember, losing an erection momentarily does not imply a permanent issue, and with the right mindset and support, it can be resolved.

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