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Erectile Dysfunction: causes and treatments

Erectile dysfunction (impotence) is a sexual disorder that affects men of all ages. While the cause is often physical, psychological factors can also be involved. If you're dealing with erectile dysfunction, read on to learn about the possible causes and what you can do to treat it.

Erectile Dysfunction

Erectile dysfunction (ED), also known as impotence, is a type of sexual dysfunction characterized by the inability to develop or maintain an erection of the penis during sexual activity. ED can have psychological consequences as it can be tied to relationship difficulties and self-image.

A variety of causes exist for ED, with the most common being vascular insufficiency, hormonal deficiency, and psychogenic causes. Vascular insufficiency occurs when not enough blood flows to the penis, resulting in the inability to develop or maintain an erection. Hormonal deficiency can be caused by a number of factors, including hypogonadism, hyperprolactinemia, and pituitary tumors. Psychogenic causes of ED are often related to performance anxiety or relationship issues.

There are a number of treatment options available for ED, including oral medications, penile injections, and penile implants. The most appropriate treatment option depends on the underlying cause of ED.


Erectile dysfunction (ED) is defined as the inability to attain or maintain an erection sufficient for satisfactory sexual intercourse.1 It is characterized by the presence of one or more of the following three symptoms:

  • reduced sexual desire
  • difficulty in achieving an erection
  • difficulty in maintaining an erection

The cause of ED may be physical, psychological, or a combination of both.2,3

Physical Causes

The most common physical causes of ED are vascular and structural.4


Dysfunction of the blood vessels (veins and arteries) is a common cause of ED.4 This is often due to atherosclerosis, also known as hardening of the arteries.4 Other vascular risk factors include high blood pressure, high cholesterol, and diabetes.4


Structural problems with the penis, such as Peyronie’s disease, can also cause ED.4

Psychological Causes

Psychological causes of ED are often related to performance anxiety or relationship issues.5

Performance Anxiety

Performance anxiety is a common cause of ED.5 This is often the result of negative experiences in the past, such as previous ED episodes or erections that were not as hard as desired.5

Relationship Issues

Relationship issues are a common cause of ED.5 This can be due to problems with communication, intimacy, or trust.5


The most appropriate treatment option for ED depends on the underlying cause.4,6

Oral Medications

Oral medications are a common first-line treatment for ED.4 These include phosphodiesterase type 5 inhibitors, such as sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra).4

Penile Injections

Penile injections are another common treatment for ED.4 These injections work by increasing blood flow to the penis.4

Penile Implants

Penile implants are a more

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Known under many nicknames over time and feared by any man who seeks to enjoy life, erectile dysfunction is getting to be a more and more common dysfunction in these times. Higher levels of stress and pollution, lifestyles that are harmful to the body and exposure to beauty and sex standards that are not widely met within the society are the likely culprits for this situation.

Impotence may be caused by many different factors of both physical and psychological nature. The list of physical factors features inherited impotence, genetic disorders, various conditions and the medication prescribed for them. Studies have shown that many cases of impotence are inherited from ancestors who had similar problems. Long term consumption of alcohol and nicotine is also an established cause of impotence, due to the way alcohol influences the cardiovascular system.

Conditions and diseases that affect the flow of blood within the body are practically guaranteed to cause erectile dysfunction. Since erections are based on the amount of blood that can be trapped by the penis and on the time it takes to do so, it’s easy to see why people suffering from cardiovascular conditions or diabetes have problems getting erections.

The medication used to keep in check these conditions is also bound to affect the flow of blood, especially in the case of high blood pressure. Other types of medication that interfere with erections are those which modify the responses of the central nervous system to various reflex actions. Such drugs are likely to inhibit the reflex widening of arteries that allows an erection to occur. Antidepressants are well-known for listing erectile dysfunction among their side effects.

However, any man that wakes in the morning with a full or half-full erection can probably say that there is nothing wrong on the physical side. Which means, of course, that the problem probably lies within the mind. The best known psychological factors that cause impotence are stress and lack of confidence. Stress depletes the energy reserves of the human body and hinders the normal functioning of the brain. Men suffering from stress lose the ability to respond correctly to their impulses and reflexes.

Lack of confidence is a huge problem for certain men who should not have any problem at all. It breaks the focus needed for sex and puts all efforts in doubt. This intimate fear of failure is usually the start of a descent into depression. With each failed erection, the man becomes more and more convinced that his fear of failure is warranted, thus reinforcing his belief in his own inadequacy. If left untreated, this situation can spiral out of control and turn a physically healthy man into a recluse afraid of any intimate contact.

However, erectile dysfunction is not a death sentence. It can be treated. Not by moping about and waiting for the problem to solve itself, of course, but by taking the initiative. If there’s nothing wrong with physical side, then counseling and practice (yes, you read that right!) should help anyone drive impotence away. With every sex session that ends successfully for both partners, confidence returns and a positive view replaces the negative one.

If the problem is on the physical side, then men should look around and try to identify the source. It may be that the cause is medication or a condition, in which case a trip to a doctor for advice on how to handle the situation is in order. Heavy drinkers and smokers would do well to lay off the alcohol and cigarettes for a while and try to put their circulatory systems in order. Such a change in lifestyle choices has many benefits.

Of course, this is where penis exercises like the PenisHealth program and pills like VolumePills can help men put this old foe to rout. Penis enlargement exercises can help improve the responses of an untrained penis to the erection reflex. The exercises are also an excellent way of learning to control ejaculation, which is crucial for the confidence of fast comers. Knowing that you can hold back as much as you like in order to please your partner is priceless.

VolumePills, on the other hand, contains natural ingredients that promote the flow of blood to the penis and boost the production of testosterone. This serves to jumpstart the male sex drive and increases both the need to have sex and pleasure derived from satisfying this need. Not to mention that the increased production of sperm and the longer orgasms are a nice side effect.

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