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Erectile Dysfunction: Causes, Treatments, and Solutions

If you're struggling with erectile dysfunction, know that you're not alone. There are many potential causes and treatments for ED. Learn more about what might be causing your problem, and explore possible solutions.

Erectile Dysfunction Causes & Treatments

If you experience erectile dysfunction (ED), it doesn’t mean you’re getting old. ED is more common than you might think, particularly in men under 40. It’s nothing to be ashamed of and nothing to be afraid of. ED is treatable at any age, and knowing the cause can help you or your doctor treat it effectively


Erectile dysfunction (ED) is the inability to get or maintain an erection for satisfactory sexual activity. It’s also sometimes referred to as impotence.

While it’s normal to occasionally have trouble getting or keeping an erection, if it happens frequently, ED could be a sign of an underlying health condition, such as heart disease, diabetes, or low testosterone. If you’re experiencing ED, talk to your doctor.

Causes of ED

There are many possible causes of ED, both psychological and physical.

Psychological causes of ED can include:

  • Anxiety
  • Depression
  • Stress
  • Guilt
  • Low self-esteem
  • Relationship problems

Physical causes of ED can include:

  • Heart disease
  • High cholesterol
  • High blood pressure
  • Diabetes
  • Obesity
  • Metabolic syndrome
  • Parkinson’s disease
  • Multiple sclerosis
  • Peyronie’s disease
  • Sleep disorders
  • Tobacco use
  • Possible side effect of certain medications
  • Injuries or surgeries that affect the pelvic area or spinal cord
  • Hormonal imbalances

Certain lifestyle choices can also contribute to ED, such as:

  • Excessive alcohol use
  • Illegal drug use
  • Smoking


The treatment for ED will depend on the underlying cause. In some cases, making lifestyle changes may be all that’s needed to improve ED.

If there’s a physical cause, your doctor may recommend medications to treat it. These can include:

  • Oral phosphodiesterase type 5 (PDE5) inhibitors. These include sildenafil (Viagra), vardenafil (Levitra, Staxyn), tadalafil (Cialis) and avanafil (Stendra). These drugs increase blood flow to the penis, enabling an erection when sexually aroused.
  • Alprostadil. This medication comes as a pellet that’s inserted into the urethra (the tube that carries urine from the bladder out of the body). Alprostadil increases blood flow to the penis, enabling an erection.
  • Testosterone replacement therapy. This is only recommended if you have low testosterone levels. Testosterone therapy won’t improve sexual desire.
  • Penile implants. This treatment involves surgically placing devices (usually two cylinders) inside
What is erectile dysfunction (ED)?

Erectile dysfunction (ED) is the inability to get or keep an erection firm enough to have sexual intercourse. It’s sometimes referred to as impotence, although this term is now used less often.

Occasional ED isn’t uncommon. Many men experience it during times of stress. Frequent ED, however, can be a sign of health problems that need treatment. It can also be a sign of emotional or relationship difficulties that may need to be addressed by a professional.

What causes an erection?

ED can occur because of problems at any stage of the erection process. An erection is the result of increased blood flow into your penis. Blood flow is usually stimulated by either sexual thoughts or direct contact with your penis.

When a man is sexually excited, muscles in the penis relax. This allows for increased blood flow through the penile arteries, filling two chambers inside the penis. As the chambers fill with blood, the penis grows rigid.

An erection ends when the muscles contract and the accumulated blood can flow out through the penile veins.

Erectile dysfunction causes

There are many possible causes of ED, and they can include both emotional and physical conditions. Common causes include:

cardiovascular disease


hypertension, or high blood pressure

high cholesterol


low testosterone levels or other hormone imbalances

kidney disease

increased age




relationship problems

certain prescription medications, such as those used to treat high blood pressure or depression

sleep disorders

drug use

consuming too much alcohol

using tobacco products

certain health conditions, such as Parkinson’s disease or multiple sclerosis (MS)

damage to the pelvic area through injury or surgery

Peyronie’s disease, which causes scar tissue to develop in the penis

ED can be caused by only one of these factors or by several of them. That’s why it’s important to work with your doctor so that they can rule out or treat any underlying medical conditions. Learn more about the causes of ED.

Erectile dysfunction treatment

Treatment for ED will depend on the underlying cause. You may need to use a combination of treatments, including medication or talk therapy.


Your doctor may prescribe medication to help you manage the symptoms of ED. You may need to try several medications before you find one that works. The following oral medications stimulate blood flow to your penis to help treat ED:

avanafil (Stendra)

sildenafil (Viagra)

tadalafil (Cialis)

vardenafil (Levitra, Staxyn)

Alprostadil (Caverject, Edex, MUSE) is another medication that can be used to treat ED. It can be administered in two ways: as a penile suppository or as a self-injection at the base or side of the penis.

Testosterone therapy (TRT) may also be recommended if you have low levels of testosterone.

Medications used for other conditions may cause ED. Talk to your doctor about your medications and whether they could be causing your symptoms. There may be others that you can take instead. Never stop taking medications without first talking to your doctor.

Medications for ED can cause side effects. If you’re experiencing unpleasant side effects, talk to your doctor. They may be able to recommend a different medication. Get more information on the medications used to treat ED.

Talk therapy

A number of psychological factors can cause ED, including:



post-traumatic stress disorder (PTSD)


If you’re experiencing psychological ED, you may benefit from talk therapy. Over several sessions, you and your therapist will discuss:

major stress or anxiety factors

your feelings around sex

subconscious conflicts that could be affecting your sexual well-being

If ED is affecting your relationship, consider speaking with a relationship counselor as well. Relationship counseling can help you and you partner reconnect emotionally, which may also help your ED. Explore the effects of stress and anxiety on ED.

Vacu pumps

This treatment uses the creation of a vacu to stimulate an erection. Blood is drawn into the penis as the device is used, leading to an erection.

A vacu pump device consists of a few different components:

a plastic tube, which you place over your penis

a pump, which works to create the vacu by drawing air out of the plastic tube

an elastic ring, which you’ll move to the base of your penis as you remove the plastic tube

The elastic ring functions to maintain the erection, holding the blood in the penis and preventing it from returning to circulation. It can be left in place for 30 minutes. Read more about vacu pumps and how to use them.

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Video transcription:

Hey everyone I’m dr. Ross, today I’m going to discuss with you a very sensitive topic, a reptile dysfunction. Now this is a topic that would make any man nervous and, to be honest, it would make me nervous. That’s because it’s a very sensitive and personal issue. If you have it that can potentially be embarrassing. Now most men want to achieve this: okay when they have sex and who can blame them, but I want to point out- and you might find this surprising- that nearly eighteen million men over the age of 20 have some form of erectile dysfunction with as many as 40% having some issue before the age of 40. So there is this misconception that you have to be 65 and above to have a reptile dysfunction. That is not the case and that’s why I’m here today, because I want to break down what erectile dysfunction is what causes it and what we can do to prevent it. Erectile dysfunction is defined as the inability to maintain an erection firm enough to have sex now before I discuss why we get erectile dysfunction. Let’s discuss normal physiology of how you first achieve an erection now, when you get aroused your brain, sends chemical messages to your penis to open and dilate the blood chambers. This allows blood to flow in okay, and the pressure builds up to the point where the blood gets stuck in the chambers of the penis. That’s at the point at which you ultimately achieve an erection, but if the blood flow to the penis is insufficient or if the blood fails to stay in the blood chambers of the penis, you will then have some form of erectile dysfunction. There are two causes of erectile dysfunction: psychological and physical. Now most of you listening to this video are going to be Millennials, Generation, X or Y, so you’re most likely going to be affected by the psychological causes of erectile dysfunction. If you are coping with anxiety, stress or depression, these can negatively impact your ability to achieve an erection. Now the physical causes of erectile dysfunction have to do with circulation and blood pressure so commonly. If you had a chronic disease like heart disease, diabetes, high cholesterol, these are causes that can affect your ability to have proper blood flow to your penis. This condition can affect your self-esteem, your confidence and potentially impact your relationship, but luckily there are options that we can explore together. First and foremost, lifestyle changes are going to be vitally important, so proper diet and exercise. This is going to be especially important if you’re coping with the psychological causes of erectile dysfunction. Psychotherapy is also a great option. It’s going to help you boost your confidence and then, of course, Sudeten or better known as Viagra, which I’m sure you’ve heard of will help to stimulate the blood flow to your penis when choosing an erectile disfunction treatment. You should take your time because there are many alternatives out there. I hope you found this video informative. If you did, please leave your questions and comments below subscribe to our Channel and, as always, stay healthy.

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