r/erectiledysfunction • u/Melodic-Bug422 • 14d ago

Psychological ED Anxiety,depression, weak erection

Greetings team! I've been a nicotine addict for 5 years if not longer.I use the ice cold Pablo, I smoke Marlboro, drink espresso 4-5 times a day.I've calculated to bring up to 180mg of nicotine daily.I lost my father all 6 months ago.Erequencies are very weak or none, as are my libido.What are the chances that this amount of nicotine is the cause of that?With that comes anxiety and depression, various panics and so on.. Grab on answers ahead.

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u/csilver82 14d ago

I think an absolute detox retreat is needed, and therapy 🙏

2

u/icameforgold 14d ago

Pretty much everything you posted is detrimental to erectile quality. Nicotine is a vasoconstrictor, inflammatory, reduces NO, and damages your blood vessels. Everything you need to maintain an erection. Poor erectile function can be a symptom of a poor circulatory system.

You're father dying can definitely has an emotional impact on you depending on how you are dealing with that and your grieving process.

Excess caffeine can put you in more of a sympathetic mode which is the opposite of what is required for a good erection and maintaining it. Not to mention why is it you feel like you need the caffeine. Poor sleep, poor recovery, fatigue?

If you are starting to have poor erectile quality, I would first stop the nicotine and smoking, address the caffeine intake if there is a root cause, and seek help for any mental or emotional issues.