From everything I've read and all the guys I've talked to about this over the years, I don't think anxiety is a major factor. If it were, then young men would be equally as susceptible to ED than older men,
I just now wrote a post that probably seems like a response to your post that I'm quoting here, but it wasn't. I read your post afterwards. But it mostly worked as though it was a reply!
I think I disagree with your quote above. I don't have any evidence to back it up. But I do know anxiety can be circumstantial. It can come and go in an undiagnosable way that makes it elusive from empirical pursuits.
I also disagree with your statement because of something I touched on in an earlier post. Actually, I don't know if we're really disagreeing or if there's a misunderstanding. I think
you're thinking my argument is that anxiety is the sole factor for ED. I don't believe that. Somewhere earlier it probably came across that way. But it's more accurate for me to say that I'm suggesting, or suspecting, that anxiety/MH is a very underrated and concurrent factor along with physical health. Of course many young men that are relatively anxiety-free could get older and have ED. Because the physical factor eventually breaks the camel's back, just as Father Time does in almost every area. Conversely (sort of) young men can perhaps have abnormal anxieties that could almost cock block them, but they're able to overcome it due to their youth and health. That's all I'm saying... that 2 different things can be happening at once. And that the mental factor is probably vastly underrated.
Besides, I'm sure there
are plenty of young men with a clean bill of vascular health that struggle with ED. I used to have a friend that probably qualified. Even if there are only a couple million such cases worldwide, that still leaves us with a couple million unanswered questions if we rule out mental factors.
And I do mean that... mental factors. Not solely anxiety, necessarily. I do think there's something to watching
too much porn, for example. I think that can condition the brain in unhelpful ways. And maybe that leads to objectifying women and disengaging from the types of emotions that most of us would consider healthy and associated with sexual activity.
But back to the circumstantial anxiety vs diagnosable anxiety thing... even if a guy does have a certain type of underlying mental health diagnosis it's not difficult at all for me to imagine how that could affect sex. Imagine he has a new girlfriend that he really likes and is about to have sex with for the first time. Foreplay starts and he's thinking "Oh God I hope I can get it up. Unlike last time. I don't want to disappoint this one too!' If someone has memories of disappointing previous partners, perhaps partners they respected and cared for, then I can see how the struggles could keep piling up which makes everything increasingly harder (no pun)
I don't know if it's essential to be relaxed and at ease when having sex, but I think it's pretty important. Maybe that's why THC is a popular sex ally. Obviously women don't have to worry about getting and maintaining erections. But I'm guessing women and men both mutually agree that sex is better when relaxed, comfortable with your partner, and devoid of an unusual amount of general anxiety and recent life stress. The opposite of all that, of course, would be anxiety.