This is how you can solve your erection problems

Gepubliceerd op
17/3/25
Laatste update
26/1/2026
De samenvatting

Erection problems can have physical or psychological causes and have a major impact on your sex life. Fortunately, there are various treatment options, such as medication or psychological support. Fellos helps you with a safe, discreet and effective solution.

What are erection problems?

We speak of a erection problem when a man has trouble getting or maintaining an erection that is firm enough for sexual activity. The fact that this occurs occasionally is common and is not a cause for concern. However, if this happens regularly and affects sex life, it is considered a medical problem.

Erectile dysfunction can have various causes and vary in severity. Fortunately, erectile dysfunction is generally treatable. Often, shame or uncertainty is a reason for men to wait a long time to seek help. Hopefully, this blog offers information and knowledge to find a solution. We are happy to help you with it.

What are the causes of erection problems?

An erection problem can have both physical and psychological causes. Often, several factors play a role at the same time. It is always advisable to contact a doctor or sexologist to find out what causes your erection problem.

The four main physical causes of erection problems

1. Cardiovascular diseases

An erection requires healthy blood flow to the penis. Conditions such as arteriosclerosis, high blood pressure and heart disease can damage blood vessels. Which can limit blood flow to the penis. Limited blood flow makes it harder to get and maintain an erection. Regular exercise, a healthy diet, and quitting smoking can help keep blood vessels healthy and reduce erection problems.

2. Diabetes and Obesity

Men with diabetes have an increased risk of erection problems because the disease can damage the blood vessels and nerves involved in erection. This can lead to decreased sensitivity and impaired blood supply. Obesity contributes to this problem by promoting inflammation in the body and disrupting hormone levels. In addition, obesity increases the risk of cardiovascular disease, which can further worsen erectile function. From research shows that through a healthier lifestyle, with a balanced diet and sufficient exercise, many men experience an improvement.

3. Side effects of medication

Certain medications may cause erection problems as a side effect. This mainly applies to medicines for high blood pressure, antidepressants, sleep medications and certain medicines for prostate problems. These medications may affect your nerves or affect blood circulation. If you suspect that medication is playing a role in your erection problems, discuss this with your doctor. Sometimes an alternative medication may be prescribed without these side effects. This prevents you from having to take extra medication.

4. Excessive alcohol, smoking and drug use

Smoking damages blood vessels and can lead to reduced blood flow to the penis. This makes it difficult to get an erection. Excessive alcohol consumption affects the nerves and the endocrine system, disrupting erectile function. Drugs such as cannabis and cocaine can also have a negative impact on the ability to have an erection. Reducing or stopping the use of these drugs can make a big difference in sexual health. It is also important to mention that the combined use of drugs and erection medications is not wise and can cause health problems.

The four most important psychological causes of erection problems

1. Stress and performance pressure

One of the most common psychological causes of erection problems is stress and pressure to perform. Stress can be work-related, but can also result from personal situations or relational tensions. When a man is concerned about his performance in bed, it can actually have a negative impact on his ability to get or maintain an erection.

2. Anxiety and depression

Men who suffer from anxiety disorders or depression may also experience erection problems. Anxiety can lead to excessive tension in the body, which reduces blood flow to the penis. Depression can significantly lower libido and make sex feel less attractive or even tiring.

3. Relationship issues

Unspoken tension or emotional distance in a relationship can have a negative impact on sexual interaction. If there is a lack of communication or intimacy, this can lead to less arousal and erection problems. Sometimes it helps to have open conversations with the partner or consider relationship therapy.

4. Trauma or negative sexual experiences

Negative sexual experiences can affect your self-esteem during sex and sexual performance. This can lead to anxiety about sexuality and problems with getting an erection. Processing these experiences with a sexologist or psychologist can help break these blockages.

Many men suffer from erection problems

Erection problems are more common than many men think. In the Netherlands, an estimated 1 million men suffer from erection problems. Out research it appears that an average of 1 in 5 men will sooner or later suffer from erection problems and that this percentage rises to more than half of the men when they are around 70 years old.

Many men are ashamed to talk about erection problems, but there is no reason to keep walking around with these complaints. There are proven solutions that can help you regain control of your sexual health.

What can Fellos do for erection problems?

Fellos offers a safe, discreet and effective way to address erection problems. The process is 100% online and after an intake, you will be linked to one of our doctors. Based on your situation and preference, it will be determined which treatment suits you best.

Medication can be an effective solution for erection problems. Fellos offers the following medications:

• Viagra (sildenafil)

Sildenafil is the active ingredient in Viagra and works by relaxing the blood vessels in the penis, improving blood flow. This medicine works within 30-60 minutes and remains active for about four hours. It only helps if sexual stimulation takes place.

• Cialis (tadalafil)

Tadalafil is the active substance in Cialis. Tadalafil is known for its longer duration of action. This medicine can remain effective for up to 36 hours, making it more flexible than other erection pills. This allows you to be more spontaneous and the moment doesn't have to be planned as precisely.

Conversations with a sexologist

In addition to medication, it can be helpful to receive psychological support, especially if stress, anxiety, or relationship problems play a role. A combination of erection pills and a conversation with a sexologist can also be effective.

Wondering what we can do for you? Start your intake and see what options you have.

Bronnen

Fellos hanteert strikte redactionele richtlijnen voor bronnen om de nauwkeurigheid en actualiteit van onze inhoud te waarborgen. Onze inhoud is gebaseerd op wetenschappelijke publicaties, onderzoek van academische instellingen en gerenommeerde medische organisaties. Zie je een fout? Laat het ons weten via [email protected].

Dit artikel is uitsluitend bedoeld voor informatieve doeleinden en vormt geen medisch advies. De informatie hierin is geen vervanging voor professioneel medisch advies en mag hier nooit op worden vertrouwd. Bespreek de risico's en voordelen van elke behandeling altijd met je arts.

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26/1/2026

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