Psychogenic feedback loops can contribute to erectile dysfunction.

“You can really get in your head about erections when you have a problem in the bedroom with performance; it becomes a vicious cycle. Right. So you have a problem the next time you're really stressed. You're not present, you're not mindful in the moment with sex, and you're thinking about, oh, my God, am I going to perform okay? Am I going to perform okay? And then it doesn't perform again, and it's getting worse and worse, and the anxiety is through the roof, and that's actually causing your sexual dysfunction.”