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experienced sleep disruption and mood swings as a result.

It echoes a study in the British Medical Journal that found: “Impotence has a considerable impact on men, with most more deeply shocked than generally realised, their masculinity and self esteem being particularly affected.”

Regardless of the cause, the study reported “their sense of masculinity is battered, with profound effects on their feeling of worth to their partner and in the workplace.”

Dr David, a member of the Eroxon ED Information Panel, says: “In my practice, men often talk about this lack of confidence spilling into their work-life and career, and this is confirmed by new consumer data which found a quarter of men with ED thought it had held them back at work.”

Just over half said this was because their ED was impairing their memory and concentration and a third said they were finding it difficult to keep up with workloads. One in 10 had even taken time off work due to issues around ED.

The new research shows ED also has a corrosive effect on relationships, particularly when men find it hard to talk about their problems with their partner. Nine in 10 confirmed it put pressure on their relationship and 17 per cent blamed it for a break up.

Dr David says: “Good communication is the bedrock of any relationship, and it is particularly important for couples dealing with ED because it immediately dispels any doubts about infidelity and minimises any feelings of insecurity.”

It can feed into the chicken-and-egg relationship between ED and poor mental health, with ED sufferers more likely to report depression and anxiety.

Dr Hood says: “Sexuality is inextricably linked to our sense of self and self-confidence, and many men see virility as a marker for masculinity and power. Time and again in studies we see men affected by ED talk about feeling emasculated or inadequate and this fuels existing insecurities.”

Unrealistic expectations created by porn make matters worse.

“If someone is escaping into porn for hours, they are usually avoiding something else, and their behaviour isn’t going to make them feel better. They have a temporary release, but are then back to where they started.

“They are not addressing the fundamental problem.”

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New research shows ED also has a corrosive effect on relationships