It’s Not All in Your Head: When ED Has a Physical Cause
Understanding why erection problems are more about blood flow than willpower
If your erections have become less reliable, it’s easy to assume the problem is psychological. Maybe you're stressed. Maybe you're just "in your head."
But here’s what most men don’t realise:
Over 70% of erectile dysfunction in men over 40 has a physical cause.
Often, it’s linked to blood flow, not stress, not lack of attraction, and definitely not weakness. At Men’s Room, we treat men every day who’ve been told it’s all in their head, when in fact, their body is simply asking for help.
Let’s break it down clearly: what’s psychological ED, what’s physical ED, and how can you tell the difference?
What Is Psychological ED?
Psychological ED is when stress, anxiety, or mental pressure interrupts the body's natural arousal process. Common causes include:
Performance anxiety
Work or life stress
Relationship tension
Depression or low mood
You’re more likely dealing with psychological ED if:
Erections are fine when you're alone, but not with a partner
Symptoms started suddenly after a stressful life event
You get morning erections regularly
If this sounds like you, support from a therapist or stress reduction techniques may help. But for most men over 40, there’s another layer that needs attention.
What Is Vascular (Physical) ED?
Vascular ED happens when the blood flow to the penis is restricted. It’s the most common cause of ED, and the one that’s easiest to miss if you're only looking at stress or emotions.
It’s often linked to:
Reduced circulation
Ageing blood vessels
Lifestyle factors (sitting too much, poor sleep, alcohol)
Early signs of cardiovascular disease
You might be dealing with vascular ED if:
Morning erections have faded or stopped
Erections are weaker or don’t last
It takes more effort to get aroused
Symptoms have slowly built up over time
These are not just “ageing problems.” They’re signs your body wants support — and it can be reversed in many cases.
What Happens When You Only Treat the Mind?
Many men blame stress and push through. Others try therapy, mindfulness apps, or performance pills. But if the blood flow isn’t working properly, none of that will fix the physical issue.
This is why we don’t rely on pills at Men’s Room.
They’re a temporary patch. We help men rebuild their performance by fixing the cause, with science-backed, side-effect-free treatments.
How We Treat Physical ED at Men’s Room
We specialise in helping men over 40 fix ED naturally and permanently, using:
✅ Shockwave Therapy to restore blood flow
✅ Pelvic Floor Training to improve control and strength
✅ Lifestyle Advice that’s practical, not preachy
✅ Personalised Support from experts who get it
No pills, no awkward conversations, no pressure. Just private, effective help from a team that knows this space inside out.
Still Not Sure What's Causing It?
You don’t need to figure it out on your own.
Download our free ED Info Pack to learn more, or book a free call and speak to someone who can help you work out what’s really going on.
Most men wait too long. You don’t have to.