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Natural Changes in Older Men : As men age the ability to achieve an erection is affected. An erection will take longer to achieve, and will not be as firm as in youth. Some may find it difficult to achieve an erection at all. The causes of erectile difficulties can be either psychological or physiological, with psychological causes thought to be most prevalent.

The anxiety and pressure that a man might face as his body changes, may act as a catalyst for erectile difficulties. Achieving an erection becomes a process of prolonged stimulation and intimacy.

Psychological causes -
Psychological causes of erectile failure are often mistaken for physiological disorders. By far, the most likely causes of erectile failure are related to mental or emotional problems. The most common of these is performance anxiety. When a man feels pressured to achieve an erection (often spurred by occasional difficulty), he will commonly become anxious and nervous when in a sexually demanding situation. Anxiety conflicts with the ability to achieve an erection, and thus failure results, perpetuating further anxiety.

Neurological disorders -
Any neurological disorder which interrupts the nerve supply to the erectile tissues will generally cause an erectile failure. There is little known about the nerves which cause erection and therefore it is difficult to predict how damage to certain nerves will affect erectile capacity.