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Erectile Dysfunction: Causes and Treatments

If you're struggling with erectile dysfunction, you're not alone. Causes can range from physical to psychological, but there are treatments available. Learn more about what might be causing your ED, and what you can do about it.

What Causes Erectile Dysfunction?

Erectile dysfunction (ED) is the inability to get or keep an erection. It can be caused by physical problems, psychological factors, or a combination of both. Physical causes include:

  • heart disease
  • clogged blood vessels (atherosclerosis)
  • high blood pressure
  • diabetes
  • obesity
  • multiple sclerosis
  • Parkinson’s disease
  • hormonal problems
  • injury to the nerves that control erections
  • chronic illnesses, such as kidney disease or liver failure

Psychological causes include:

  • stress
  • anxiety
  • depression
  • relationship problems

Risk factors

Certain lifestyle choices can contribute to the development of ED, including:

  • smoking
  • drinking too much alcohol
  • using illegal drugs
  • being overweight or obese
  • lack of exercise

In addition, certain medical conditions can increase your risk of ED, such as:

  • high cholesterol
  • high blood pressure
  • metabolic syndrome
  • sleep disorders

Complications

If left untreated, ED can lead to complications, such as:

  • Anxiety and depression. ED can cause stress, anxiety, and depression, which can in turn worsen ED. It can also affect your ability to have an orgasm.
  • Low self-esteem and relationship problems. ED can cause men to feel insecure about their ability to please their partner. This can lead to performance anxiety and cause relationship problems.

Treatment

ED is treatable at any age. Treatment options may include:

  • lifestyle changes, such as losing weight, quitting smoking, and exercising regularly
  • psychotherapy
  • oral medications, such as sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra)
  • injections into the penis
  • vacuum devices
  • implants

Your doctor will work with you to find the best treatment option for you.

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