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Male impotence erectile dysfunction: causes, symptoms, treatment, and prevention

Erectile dysfunction is a common problem, especially among men. Causes can include physical problems like diabetes or psychological factors like anxiety. Treatment options include medication, therapy, and lifestyle changes. Prevention is possible with healthy lifestyle choices and managing underlying conditions.

Male impotence erectile dysfunction causes, symptoms, treatment, and prevention

Erectile dysfunction (ED) is the inability to develop or maintain an erection of the penis during sexual performance. Causes of erectile dysfunction are usually physical but can also be psychological. Physical causes include:

  • Cardiovascular disease
  • Atherosclerosis
  • High cholesterol
  • High blood pressure
  • Diabetes
  • Obesity
  • Metabolic syndrome — a condition involving increased blood pressure, high insulin levels, body fat around the waist and high cholesterol
  • Parkinson’s disease
  • Multiple sclerosis
  • Peyronie’s disease — development of scar tissue inside the penis
  • Sleep disorders
  • Treatment for prostate cancer

Psychological causes include:

  • Anxiety
  • Depression
  • Relationship problems due to stress, poor communication or other concerns
  • Performance anxiety
  • Negative feelings about your sexual performance
  • Trouble with erections since your teenage years

Certain medications can also cause erectile dysfunction, including:

  • Blood pressure medications, such as diuretics (water pills)
  • Antiandrogens
  • Tricyclic antidepressants
  • Selective serotonin reuptake inhibitors (SSRIs)
  • Certain heart medications, such as beta blockers
  • Parkinson’s disease medications
  • Hormone medications, such as those used to treat prostate cancer
  • Drugs used to treat high blood pressure and enlarged prostate (alpha blockers)

Symptoms

Erectile dysfunction signs and symptoms may include:

  • Trouble getting an erection
  • Trouble keeping an erection
  • Reduced sexual desire

When to see a doctor

Erectile dysfunction can have a negative impact on your sexual life and your intimate relationships. Don’t be afraid to talk to your doctor about erectile dysfunction, especially if you’re experiencing any of the following:

  • Erectile dysfunction that occurs more frequently than occasionally
  • Decreased sexual desire
  • Trouble getting an erection
  • Trouble keeping an erection
  • An erection that is not as firm as you would like
  • An erection that does not last as long as you would like

Causes

Erectile dysfunction may be a symptom of underlying medical conditions, such as:

  • Vascular (blood vessel) disease — diseases of the blood vessels, such as hardening of the arteries, can restrict blood flow to the penis and cause erection difficulties.
  • Neurologic conditions, such as Parkinson’s disease or multiple sclerosis — nervous system disorders can disrupt the nerve signals needed to produce an erection.
  • Psychological conditions, such as anxiety or depression — psychological problems may interfere with your sexual response and cause erectile dysfunction.
  • Certain medications — blood pressure medications, antidepressants and antipsychotic drugs can interfere with erectile function.
  • Injury or disease of the prostate, bladder, pelvis or spinal

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