Step 4: Read and complete the decision guide to learn more about your symptoms.
Causes of Impotence
So far you've indicated that you don't take medications, don't use alcohol or drugs, don't have diabetes, haven't had pelvic surgery, haven't had spinal cord or nerve injury, and don't have symptoms of a hormonal problem.
Difficulty with erections can also be caused by stress, depression, anxiety or other psychological factors. Common triggers for difficulty with erections can include
distance or strain in the relationship between you and your partner
job or family related stress
fear or worries about sex or intimacy
anxiety about sexual performance
worries about your body image.
Do you feel that stress or other psychological factors may be affecting your sexual performance?