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In a 2013 Danish study on the psychological and sexual costs of income comparison in marriage, researchers found that men out-earned by their wives were more likely to use erectile dysfunction (ED) drugs (e.g., Viagra, Cialis or Levitra) than male breadwinners, even when the earning inequity was small.
It’s interesting to note, however, that this wasn’t the case with unmarried couples, or with men who earned less than their fiancée prior to marriage.
Times are changing
As the study’s abstract, which was published along with the full article in Personality and Social Psychology Bulletin, states: “As the percentage of wives out-earning their husbands grow, the traditional social norm of the male breadwinner is challenged. The upward income comparison of the husband may cause psychological distress that affects partners’ mental and physical health in ways that affect decisions on marriage, divorce, and careers.”
So why would out-earned husbands need to use erectile dysfunction medications?
One theory is that by losing their status as a breadwinner, they developed erectile dysfunction.
Another theory is that felt pressure to showcase their virility and manliness because they were no longer the “provider” for their wife and/or family.
The psychology of erectile dysfunction
Although there are plenty of physical causes of erectile dysfunction, including diabetes, Parkinson’s, excessive alcohol or drugs, prostate surgery, high cholesterol, high blood pressure, smoking and side effects from medication, there are also plenty of emotional factors that can cause ED.
Depression, stress, and anxiety can all cause erectile dysfunction, and “performance anxiety” can be a Catch-22: the more a man worries he’ll get erectile dysfunction, the more likely he’ll actually develop it.
Luckily, erectile dysfunction is treatable for most men, no matter what their age. The more common erectile dysfunction drugs, such as Viagra are all available by prescription. Just talk with your doctor.

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