9 Causes of Erectile Dysfunction in 20s Although it is commonly believed that erectile dysfunction (ED) usually affects older men, more and more men in their 20s are dealing with this problem. While it is extremely upsetting, ED among younger men is rather a common issue, but manageable. Effective management begins with understanding the root causes of ED in young men. Several factors, including lifestyle choices and psychological stressors, can impair sexual function. The top nine most frequent reasons for ED symptoms in youthful men are discussed in this post. Here are the causes of Erectile Dysfunction in 20s; Performance Anxiety Performance anxiety is one of the most underrated yet significant causes of male impotency for those in their 20s. Stress hormones like cortisol can be released by the body in response to pressure to please a partner, live up to standards depicted in explicit material or the media, or fear of “not doing well” in the bedroom. Many yo...