Erectile Dysfunction - Know Erectile Dysfunction Causes Erectile Dysfunction is a sexual disorder in which a man is unable to maintain an erection during sexual intercourse. This can be due...Read More
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
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 of ED are often related to performance anxiety or relationship issues.5
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 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 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 are another common treatment for ED.4 These injections work by increasing blood flow to the penis.4
Penile implants are a more