Materiały źródłowe

• #1 Erectile Dysfunction – StatPearls – NCBI BookshelfTwitterFacebookLinkedInGitHubNCBI Insights BlogTwitterFacebookYoutube

  https://www.ncbi.nlm.nih.gov/books/NBK562253/

  Erectile dysfunction (ED) is a prevalent and multifaceted condition that predominantly afflicts males beyond 40 years, with its prevalence escalating globally. This condition is characterized by the consistent or recurrent inability to attain and maintain an erection sufficient for satisfactory sexual performance. The etiology of ED is diverse, encompassing organic, psychogenic, and mixed factors, often interwoven with comorbidities such as diabetes, cardiovascular disease, and neurologic disorders. This complexity underscores the significance of discerning the root causes to guide appropriate management. […] The cause of ED is often multifactorial. Distinguish whether the condition has an underlying psychological cause or an organic etiology. Depression, performance anxiety, and other sexual disorders can be strong contributing factors even when organic causes also exist. Aging is an essential factor contributing to ED. As patients age, cardiovascular diseases, hypertension, and other co-morbidities play an increasingly significant role in this condition. Diabetes mellitus and metabolic syndrome can affect several organ systems, resulting in the accelerated deterioration of erectile function, and can disrupt the mechanisms underpinning erections on a molecular level.

• #2 Erectile Dysfunction (Impotence)

  https://www.webmd.com/erectile-dysfunction/understanding-erectile-dysfunction-basics

  Erectile dysfunction (ED), also known as impotence, happens when you can’t get or keep an erection of the penis that’s adequate for the sexual satisfaction of both partners. […] In the past, doctors tended to blame erectile dysfunction on psychological problems or, with older men, on the aging process. Medical opinion has changed. While it takes longer to get aroused as you age, regular erectile dysfunction deserves medical attention. Also, the problem isn’t usually psychological. Urologists now think physical problems contribute to most long-lasting cases of ED in men over 50. […] Erections mainly involve blood vessels. And the most common causes of ED in older men are conditions that block blood flow to the penis. These include hardening of the arteries (atherosclerosis) and diabetes. Another cause may be a faulty vein that lets blood drain too quickly from the penis. Other disorders, as well as hormonal imbalances and certain operations, may also cause ED.

• #3 Erectile dysfunction: Causes, symptoms, and treatments

  https://www.medicalnewstoday.com/articles/5702

  Atherosclerosis is a common cause of blood flow problems. It describes a narrowing or clogging of arteries in the penis, preventing the necessary blood flow to produce an erection. […] Physical causes account for 90% of ED cases, with psychological causes much less common. […] Psychological factors can cause or contribute to ED, with factors ranging from treatable mental health conditions to everyday emotional states that most people experience at some time. […] A person may also be unable to attain a full erection due to specific sexual performance anxiety, a common psychological factor in people with ED. […] Prostate surgery to remove tumors and radiation therapy to treat prostate cancer can cause ED. […] Some medications for prostate cancer may also result in ED. For example, hormone therapies can lower a persons libido, and by association lead to ED. […] A person may experience ED as a result of physical factors such as high cholesterol levels, or due to psychological reasons, such as sexual performance anxiety.

• #4 Erectile Dysfunction Causes & Treatment Options

  https://www.emedicinehealth.com/causes_of_erectile_dysfunction/article_em.htm

  To understand what causes erectile dysfunction (ED) or impotence, it is important to first review how an erection occurs. Erectile dysfunction is a term related to male sexual dysfunction and will be the only subject covered in this article. […] If one or more of the above physical and/or psychological processes is disrupted, erectile dysfunction can result. Erectile dysfunction (ED)/impotence is defined as the inability to achieve and maintain an erection that is satisfactory for the completion of sexual activity. […] In general, the cause of erectile dysfunction is divided into two types. Many men will have both psychological (mental) causes and physical or organic (having to do with a bodily organ or an organ system) causes. […] Physical causes of impotence are thought to be more common than psychological causes. However, as stated before, they often coexist. The inability to achieve an adequate erection can cause psychologic troubles, which then make it even more difficult to achieve an erection the next time.

• #5 Erectile Dysfunction | AAFP

  https://www.aafp.org/pubs/afp/issues/2016/1115/p820.html

  Erectile dysfunction (ED) is the inability to achieve or maintain an erection sufficient for satisfactory sexual performance. ED has vascular, neurologic, psychological, and hormonal causes. Conditions commonly associated with ED include diabetes mellitus, hypertension, hyperlipidemia, obesity, testosterone deficiency, and prostate cancer treatment. Performance anxiety and relationship issues are common psychological causes. […] Many medications cause or exacerbate ED. Antidepressants are a common cause, especially the selective serotonin reuptake inhibitors citalopram (Celexa), fluoxetine (Prozac), paroxetine (Paxil), and sertraline (Zoloft), and the serotonin-norepinephrine reuptake inhibitor venlafaxine. Tobacco, alcohol, and illicit drugs can cause ED. […] ED has been linked to each component of the metabolic syndrome, including increased fasting serum glucose levels, diabetes, hypertension, and abdominal obesity, as well as to an increased risk of cardiovascular disease (CVD).

• #6 Content – Health Encyclopedia – University of Rochester Medical Center

  https://www.urmc.rochester.edu/Encyclopedia/content.aspx?ContentTypeID=85&ContentID=P01482

  Erectile dysfunction (ED) or impotence means you cant get an erection. […] In the past, ED was thought to be due to psychological problems. It is now known that, for most men, ED is caused by physical problems. These are most often related to the blood supply of the penis. […] There are different types and causes of ED. These are some of the most common: […] Organic impotence. This involves the arteries or veins in the penis. It is the most common cause of ED, especially in older men. It can be related to hardening of the arteries throughout the body. Injury or a venous leak in the penis may also cause ED. […] Diabetes. ED is common in men with diabetes. It causes early and severe hardening of the arteries. Problems with the nerves controlling erections are also often seen in men with diabetes.

• #7 Erectile Dysfunction – StatPearls – NCBI BookshelfTwitterFacebookLinkedInGitHubNCBI Insights BlogTwitterFacebookYoutube

  https://www.ncbi.nlm.nih.gov/books/NBK562253/

  Other causes of ED include neurological diseases (such as multiple sclerosis), hormonal causes (hypogonadism, thyroid), traumatic (eg, pelvic fractures, spinal cord injuries), hyperlipidemia, stroke, sleep apnea, COPD, glaucoma, multiple sclerosis, sequela of priapism, depression, prostatic hyperplasia with lower urinary symptoms (BPH with LUTS), iatrogenic (eg, post transurethral resection of the prostate) and a variety of medications (antidepressants, antihypertensives, antipsychotics, opioids, and recreational drugs). […] Cardiovascular disease is a very significant risk factor for ED. Almost 50% of men with known coronary artery disease proven by cardiac catheterization have significant ED. Part of the reason for this is that the coronary arteries and the penile cavernosal arteries are similar in size and tend to develop atherosclerotic problems similarly. Since the cavernosal arteries are small, they can develop blockages from atherosclerotic plaques earlier, resulting in vasculogenic ED years before the clinical appearance of coronary artery disease. Both cardiovascular disease and ED involve endothelial cell dysfunction in their pathophysiology. […] Besides cardiovascular disease, there are strong correlations between ED, hypertension, hyperlipidemia, diabetes, hypogonadism, obesity, smoking, alcoholism, benign prostatic hyperplasia (BPH) with lower urinary symptoms (LUTS), depression, and premature ejaculation.

• #8 Erectile Dysfunction (ED) – Men’s Health Issues – Merck Manual Consumer Version

  https://www.merckmanuals.com/home/men-s-health-issues/sexual-function-and-dysfunction-in-men/erectile-dysfunction-ed

  Erectile dysfunction (ED) is the inability to attain or sustain an erection satisfactory for sexual intercourse. […] Most cases of ED are caused by abnormalities of the blood vessels or nerves of the penis. Other possible causes include hormonal disorders, structural disorders of the penis, use of certain medications, and psychological problems. The most common specific causes are hardening of the arteries (atherosclerosis) that affects the arteries to the penis, diabetes mellitus, complications of prostate surgery, and certain medications. […] Often several factors contribute to ED. For example, a man with a slight decrease in erectile function caused by diabetes or peripheral vascular disease can develop severe ED after starting a new medication or if stress increases. […] Atherosclerosis may partially block blood flow to the legs. Usually, arteries to the penis are also blocked, decreasing the amount of blood flow to the penis and causing ED. Diabetes, high cholesterol levels, high blood pressure, and smoking contribute to atherosclerosis and therefore to ED.

• #9 Erectile Dysfunction: Understanding the Root Causes Beyond Age | Balanced Medical SolutionsAccessibility ToolsIncrease TextDecrease TextGrayscaleHigh ContrastNegative ContrastLight BackgroundLinks UnderlineReadable FontReset

  https://balancedmedicalsolutions.com/erectile-dysfunction-root-causes-beyond-age/

  Erectile dysfunction (ED) is a condition that many associate with aging, but its root causes extend far beyond just the natural progression of time. […] Understanding these factors is key to addressing the problem effectively and finding the right treatment. […] The causes of ED can be complex, with physical, psychological, and lifestyle factors often intertwined. However, by addressing the core medical issues contributing to ED, many men can regain healthy erectile function. […] While it’s true that ED becomes more common with age, it’s important to recognize that aging itself isn’t the root cause. Instead, age often brings about health changes that can lead to ED. Understanding these medical causes can help men take proactive steps to restore their sexual health. […] One of the most significant factors in erectile dysfunction is vascular health. Erections depend on proper blood flow to the penis, and any condition that impairs circulation can lead to ED. Cardiovascular issues, such as atherosclerosis (hardening of the arteries), high blood pressure, and heart disease, are among the leading causes of ED.

• #10 4 Causes of Erectile Dysfunction You Might Not Know: Urology Associates Medical Group: Urologists

  https://www.urologymedicalgroup.com/blog/4-causes-of-erectile-dysfunction-you-might-not-know

  Did you know more than 50% of American men experience erectile dysfunction (ED), a condition in which men cannot maintain an erection, get fully erect, or have any erection at all? […] For this reason, many things can contribute to the development of ED. […] About 80% of the time, a physical issue triggers ED, the most common being chronic high blood pressure, or hypertension. […] Men with hypertension are at least two times more likely to have ED than men with normal blood pressure. […] Men with diabetes are three times more likely to have ED than men without diabetes. […] In fact, researchers report up to 75% of men with Type 2 diabetes also struggle with sexual dysfunction. […] If you have depression or another mental health issue, like anxiety, your risk of having ED increases. […] Sleep disorders, like sleep apnea, affect your oxygen levels. […] Since both oxygen and testosterone are key factors in getting and maintaining healthy erections, sleep disorders are highly correlated to ED.

• #11 Erectile Dysfunction (ED): Main Causes, Treatment, Drugs, Cure

  https://www.medicinenet.com/erectile_dysfunction_ed_impotence/article.htm

  Erectile dysfunction (ED), also known as impotence, is the inability to achieve or sustain a hard enough erection for satisfactory completion of sexual activity. […] ED affects about 50% of men aged 40 and over. […] Erectile dysfunction can occur if a man doesn’t meet one or more of these requirements. […] The following are common causes of erectile dysfunction (many men have more than one potential cause): […] Aging: There are two reasons why older men are more likely to experience erectile dysfunction than younger men. […] Diabetes mellitus: Erectile dysfunction tends to develop 10 to 15 years earlier in diabetic men than among nondiabetic men. […] Hypertension (high blood pressure): Men with high blood pressure have an increased risk of developing erectile dysfunction. […] Cardiovascular diseases: The most common cause of cardiovascular diseases in the United States is atherosclerosis, the narrowing, and hardening of arteries that reduces blood flow.

• #12 Erectile Dysfunction | AAFP

  https://www.aafp.org/pubs/afp/issues/2016/1115/p820.html

  Patients with diabetes are three times more likely to develop ED, and a longer duration of diabetes is strongly associated with ED. Metabolic syndrome is associated with a 2.6-fold increase in the incidence of ED, and the fasting blood glucose level is the component associated with the highest risk of ED. […] ED and CVD share similar risk factors, including older age, hypertension, dyslipidemia, smoking, obesity, and diabetes. ED is associated with an increased risk of CVD, coronary artery disease (CAD), stroke, and all-cause mortality, and it is probably an independent risk factor for CVD. […] ED typically occurs two to five years before CAD, providing a potential window during which men diagnosed with ED can make lifestyle changes to prevent CAD.

• #13 Erectile Dysfunction – Genitourinary Disorders – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/genitourinary-disorders/male-sexual-function-and-dysfunction/erectile-dysfunction

  The major organic causes of ED are physiological (organic): Vascular disorders, Neurologic disorders. […] The most common vascular cause is atherosclerosis of cavernous arteries of the penis, often caused by smoking, endothelial dysfunction, and diabetes. […] Endothelial dysfunction appears to be mediated by reduced levels of nitric oxide and can result from smoking, diabetes, and/or low testosterone levels. […] Neurologic causes include stroke, partial complex seizures, multiple sclerosis, peripheral and autonomic neuropathies, and spinal cord injuries. […] Complications of pelvic surgery (eg, radical prostatectomy, radical cystectomy, rectal cancer surgery) are other common causes. […] Any endocrinopathy or aging with testosterone deficiency (hypogonadism) may decrease libido and cause ED. […] Numerous medications are possible culprits. Alcohol can cause temporary ED.

• #14 Erectile Dysfunction | AAFP

  https://www.aafp.org/pubs/afp/issues/2016/1115/p820.html

  Patients with diabetes are three times more likely to develop ED, and a longer duration of diabetes is strongly associated with ED. Metabolic syndrome is associated with a 2.6-fold increase in the incidence of ED, and the fasting blood glucose level is the component associated with the highest risk of ED. […] ED and CVD share similar risk factors, including older age, hypertension, dyslipidemia, smoking, obesity, and diabetes. ED is associated with an increased risk of CVD, coronary artery disease (CAD), stroke, and all-cause mortality, and it is probably an independent risk factor for CVD. […] ED typically occurs two to five years before CAD, providing a potential window during which men diagnosed with ED can make lifestyle changes to prevent CAD.

• #15 Erectile Dysfunction – StatPearls – NCBI BookshelfTwitterFacebookLinkedInGitHubNCBI Insights BlogTwitterFacebookYoutube

  https://www.ncbi.nlm.nih.gov/books/NBK562253/

  Other causes of ED include neurological diseases (such as multiple sclerosis), hormonal causes (hypogonadism, thyroid), traumatic (eg, pelvic fractures, spinal cord injuries), hyperlipidemia, stroke, sleep apnea, COPD, glaucoma, multiple sclerosis, sequela of priapism, depression, prostatic hyperplasia with lower urinary symptoms (BPH with LUTS), iatrogenic (eg, post transurethral resection of the prostate) and a variety of medications (antidepressants, antihypertensives, antipsychotics, opioids, and recreational drugs). […] Cardiovascular disease is a very significant risk factor for ED. Almost 50% of men with known coronary artery disease proven by cardiac catheterization have significant ED. Part of the reason for this is that the coronary arteries and the penile cavernosal arteries are similar in size and tend to develop atherosclerotic problems similarly. Since the cavernosal arteries are small, they can develop blockages from atherosclerotic plaques earlier, resulting in vasculogenic ED years before the clinical appearance of coronary artery disease. Both cardiovascular disease and ED involve endothelial cell dysfunction in their pathophysiology. […] Besides cardiovascular disease, there are strong correlations between ED, hypertension, hyperlipidemia, diabetes, hypogonadism, obesity, smoking, alcoholism, benign prostatic hyperplasia (BPH) with lower urinary symptoms (LUTS), depression, and premature ejaculation.

• #16 Erectile Dysfunction | AAFP

  https://www.aafp.org/pubs/afp/issues/2016/1115/p820.html

  Patients with diabetes are three times more likely to develop ED, and a longer duration of diabetes is strongly associated with ED. Metabolic syndrome is associated with a 2.6-fold increase in the incidence of ED, and the fasting blood glucose level is the component associated with the highest risk of ED. […] ED and CVD share similar risk factors, including older age, hypertension, dyslipidemia, smoking, obesity, and diabetes. ED is associated with an increased risk of CVD, coronary artery disease (CAD), stroke, and all-cause mortality, and it is probably an independent risk factor for CVD. […] ED typically occurs two to five years before CAD, providing a potential window during which men diagnosed with ED can make lifestyle changes to prevent CAD.

• #17 5 Common Erectile Dysfunction Causes | University of Utah Health

  https://healthcare.utah.edu/healthfeed/2021/01/5-common-erectile-dysfunction-causes

  Erectile dysfunction (ED) is when you can’t get and maintain a satisfying erection for sex. ED affects more than 30 million men in the United States. […] There could be a health condition contributing to your erectile dysfunction. […] Many men are uncomfortable speaking with their physician about erectile dysfunction symptoms. However, it is important to treat your symptoms as ED can be a warning sign of current or future heart disease. […] ED often happens before coronary artery disease in almost 70% of cases. […] Diabetes is the second most common cause of erectile dysfunction. Half of men with diabetes will experience ED within ten years of their diagnosis. […] High blood sugar levels can damage the nerves that control sexual stimulation. […] Pelvic surgeries are a common cause of sexual dysfunction. Erectile dysfunction is a potential complication following prostate cancer surgery.

• #18 Erection Problems (Erectile Dysfunction) Causes: Cancer, Diabetes, and Other Physical Conditions

  https://www.webmd.com/erectile-dysfunction/understanding-ed-causes

  Sometimes, another disease will lead to ED, including: […] Diabetes: Nerves and blood vessels that aid in getting you ready for sex are damaged by this. Your chances of ED can double if your diabetes is not well-controlled. […] Kidney disease: Along with the other issues associated with kidney disease, your hormones, blood flow to your penis, and your nervous system — all vital for getting an erection — are affected. It can also sap your energy and sex drive. […] Nerve and brain disorders: You can’t get an erection without help from your nervous system. Things like stroke, multiple sclerosis, Alzheimer’s disease, and Parkinson’s disease disrupt vital signals. […] Blood vessel diseases: These can slow the flow of blood, making your bodys preparation for sex difficult. Narrowed or blocked arteries, high blood pressure, and high cholesterol are among the most common causes of ED.

• #19 Content – Health Encyclopedia – University of Rochester Medical Center

  https://www.urmc.rochester.edu/Encyclopedia/content.aspx?ContentTypeID=85&ContentID=P01482

  Erectile dysfunction (ED) or impotence means you cant get an erection. […] In the past, ED was thought to be due to psychological problems. It is now known that, for most men, ED is caused by physical problems. These are most often related to the blood supply of the penis. […] There are different types and causes of ED. These are some of the most common: […] Organic impotence. This involves the arteries or veins in the penis. It is the most common cause of ED, especially in older men. It can be related to hardening of the arteries throughout the body. Injury or a venous leak in the penis may also cause ED. […] Diabetes. ED is common in men with diabetes. It causes early and severe hardening of the arteries. Problems with the nerves controlling erections are also often seen in men with diabetes.

• #20 The 6 Primary Causes of Erectile Dysfunction – Precise Men’s Medical

  https://precisemensmedical.com/blog/primary-causes-erectile-dysfunction/

  Atherosclerosis is a condition in which fatty deposits build up on the inside of artery walls. This can eventually lead to a narrowing of the arteries, which reduces blood flow to the penis. […] Diabetes is a leading cause of ED, as it can damage small blood vessels and nerves throughout the body. This damage can interfere with the ability to get and maintain an erection. […] Hypertension, or high blood pressure, can cause dilation problems in the arteries around the body. This makes it harder for blood to flow to the penis, losing or impairing its ability to stay erect for long periods. […] Heart disease is another common cause of ED. Erectile dysfunction and the vascular system are heavily linked with one another—and not doing anything to improve your lifestyle can pose some serious consequences down the line.

• #21 Erectile Dysfunction – StatPearls – NCBI BookshelfTwitterFacebookLinkedInGitHubNCBI Insights BlogTwitterFacebookYoutube

  https://www.ncbi.nlm.nih.gov/books/NBK562253/

  Erectile dysfunction (ED) is a prevalent and multifaceted condition that predominantly afflicts males beyond 40 years, with its prevalence escalating globally. This condition is characterized by the consistent or recurrent inability to attain and maintain an erection sufficient for satisfactory sexual performance. The etiology of ED is diverse, encompassing organic, psychogenic, and mixed factors, often interwoven with comorbidities such as diabetes, cardiovascular disease, and neurologic disorders. This complexity underscores the significance of discerning the root causes to guide appropriate management. […] The cause of ED is often multifactorial. Distinguish whether the condition has an underlying psychological cause or an organic etiology. Depression, performance anxiety, and other sexual disorders can be strong contributing factors even when organic causes also exist. Aging is an essential factor contributing to ED. As patients age, cardiovascular diseases, hypertension, and other co-morbidities play an increasingly significant role in this condition. Diabetes mellitus and metabolic syndrome can affect several organ systems, resulting in the accelerated deterioration of erectile function, and can disrupt the mechanisms underpinning erections on a molecular level.

• #22 Understand 10 Causes of Erectile Dysfunction – Samaritan Health Servicescircle-chevronemailfacebookSHS AffiliateinstagramlinkedinMyChart IconMyHealthPlan IconphonepinterestSearch Iconsilhouettetwitteryoutube

  https://samhealth.org/news/understand-10-causes-of-erectile-dysfunction/

  Research published in the journal Diabetes Care found that 58% of men with diabetes reported frequent or occasional ED. This can occur if blood sugars are poorly controlled and there has been damage to the blood vessels or nerves. […] Several studies have linked depression and ED. According to research published in the Journal of Urology, depression increases the risk of ED and having ED increases the risk of depression. […] Testosterone is the main sex hormone in men. If testosterone levels drop below the normal range, the result can be an inability to get and keep an erection. […] A prospective study published in The American Journal of Medicine found that physical inactivity was an independent risk factor for developing ED. […] Obstructive sleep apnea is a sleep-breathing disorder characterized by the cycle of stopping breathing during sleep, waking up briefly, then falling back asleep only to stop breathing again, up to hundreds of times throughout the night. […] The reasons for erectile dysfunction can be complicated, and many men have more than one contributing factor.

• #23 4 Causes of Erectile Dysfunction You Might Not Know: Urology Associates Medical Group: Urologists

  https://www.urologymedicalgroup.com/blog/4-causes-of-erectile-dysfunction-you-might-not-know

  Did you know more than 50% of American men experience erectile dysfunction (ED), a condition in which men cannot maintain an erection, get fully erect, or have any erection at all? […] For this reason, many things can contribute to the development of ED. […] About 80% of the time, a physical issue triggers ED, the most common being chronic high blood pressure, or hypertension. […] Men with hypertension are at least two times more likely to have ED than men with normal blood pressure. […] Men with diabetes are three times more likely to have ED than men without diabetes. […] In fact, researchers report up to 75% of men with Type 2 diabetes also struggle with sexual dysfunction. […] If you have depression or another mental health issue, like anxiety, your risk of having ED increases. […] Sleep disorders, like sleep apnea, affect your oxygen levels. […] Since both oxygen and testosterone are key factors in getting and maintaining healthy erections, sleep disorders are highly correlated to ED.

• #24 Erectile Dysfunction (ED) – Men’s Health Issues – Merck Manual Consumer Version

  https://www.merckmanuals.com/home/men-s-health-issues/sexual-function-and-dysfunction-in-men/erectile-dysfunction-ed

  If the nerves sending messages to the penis are damaged, ED can occur. In addition to causing atherosclerosis, diabetes can also affect the nerves that supply the penis. […] Hormonal disturbances (such as abnormally low levels of testosterone) tend to decrease sex drive but can also result in ED. […] Drugs, including alcohol and illicit drugs such as cocaine and amphetamines, can also cause or contribute to ED. […] Sometimes psychological problems (such as performance anxiety or depression) or factors that decrease a man’s energy level (such as illness, fatigue, or stress) cause or contribute to ED. […] Erectile dysfunction may be situational, involving a particular place, time, or partner. […] ED commonly results from psychological, nervous system, or blood vessel disorders, from injury, or from the side effects of some medications or surgery.

• #25 Erectile Dysfunction | Conditions | UCSF Health

  https://www.ucsfhealth.org/conditions/erectile-dysfunction

  Aging causes a progressive decline in sexual function even in healthy patients. […] ED is the most common side effect of both surgical and radiation treatments for prostate cancer. […] Depression and performance anxiety both can lead to ED. […] Penile erection depends on an intact nervous system, so any neurological injury or disease can cause ED. […] Anything that decreases circulating testosterone in the body, including undergoing chemical or surgical castration or hormone therapy for prostate cancer, decreases libido and may make natural erections more difficult. […] A variety of conditions and habits can damage penile blood vessels over time and contribute to ED. […] ED is common in patients with diabetes, cirrhosis (liver scarring), chronic kidney failure and many other chronic medical issues. […] Many types of drugs are associated with developing ED.

• #26 Erection Problems (Erectile Dysfunction) Causes: Cancer, Diabetes, and Other Physical Conditions

  https://www.webmd.com/erectile-dysfunction/understanding-ed-causes

  Sometimes, another disease will lead to ED, including: […] Diabetes: Nerves and blood vessels that aid in getting you ready for sex are damaged by this. Your chances of ED can double if your diabetes is not well-controlled. […] Kidney disease: Along with the other issues associated with kidney disease, your hormones, blood flow to your penis, and your nervous system — all vital for getting an erection — are affected. It can also sap your energy and sex drive. […] Nerve and brain disorders: You can’t get an erection without help from your nervous system. Things like stroke, multiple sclerosis, Alzheimer’s disease, and Parkinson’s disease disrupt vital signals. […] Blood vessel diseases: These can slow the flow of blood, making your bodys preparation for sex difficult. Narrowed or blocked arteries, high blood pressure, and high cholesterol are among the most common causes of ED.

• #27 Erectile Dysfunction (Impotence): Symptoms & Causes – Bangkok Hospital Pattaya

  https://bangkokpattayahospital.com/health-articles-urology-en/erectile-dysfunction-overview/?srsltid=AfmBOoqMcUGg7yNYxYH0Yo9a6003fzGXJ6y53Ph33om9QUVD-x90nbjS

  Erectile dysfunction (ED), also known as impotence, is defined as the inability to get or maintain a firm erection for sexual activity. […] The likelihood of erectile dysfunction increases with factors such as age, chronic diseases, smoking, medication, low testosterone, and obesity. […] Erectile dysfunction can result from issues with any of these components. […] In many cases, erectile dysfunction is linked to physical conditions, including: heart disease, clogged blood vessels (atherosclerosis), high cholesterol, high blood pressure, diabetes, obesity, metabolic syndrome, Parkinson’s disease, multiple sclerosis, certain prescription medications, tobacco use, Peyronie’s disease, alcoholism and substance abuse, sleep disorders, treatments for prostate cancer or enlarged prostate, surgeries or injuries affecting the pelvic area or spinal cord, low testosterone.

• #28 Erectile Dysfunction – Genitourinary Disorders – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/genitourinary-disorders/male-sexual-function-and-dysfunction/erectile-dysfunction

  The major organic causes of ED are physiological (organic): Vascular disorders, Neurologic disorders. […] The most common vascular cause is atherosclerosis of cavernous arteries of the penis, often caused by smoking, endothelial dysfunction, and diabetes. […] Endothelial dysfunction appears to be mediated by reduced levels of nitric oxide and can result from smoking, diabetes, and/or low testosterone levels. […] Neurologic causes include stroke, partial complex seizures, multiple sclerosis, peripheral and autonomic neuropathies, and spinal cord injuries. […] Complications of pelvic surgery (eg, radical prostatectomy, radical cystectomy, rectal cancer surgery) are other common causes. […] Any endocrinopathy or aging with testosterone deficiency (hypogonadism) may decrease libido and cause ED. […] Numerous medications are possible culprits. Alcohol can cause temporary ED.

• #29 Content – Health Encyclopedia – University of Rochester Medical Center

  https://www.urmc.rochester.edu/Encyclopedia/content.aspx?ContentTypeID=85&ContentID=P01482

  Nervous system causes. Several nervous system problems can lead to ED. These include multiple sclerosis, stroke, and spinal cord and nerve injuries. Nerve damage from pelvic surgeries can cause ED. […] Medicine-induced impotence. Blood pressure medicines, anti-anxiety and antidepressant medicines, glaucoma eye drops, and cancer chemotherapy medicines are just some of the many medicines that can cause ED. […] Hormone-induced impotence. Hormone abnormalities can cause ED. These include increased prolactin, a hormone made by the pituitary gland. They also include steroid abuse by bodybuilders, too much or too little thyroid hormone, and hormones used to treat prostate cancer. Low testosterone can also cause ED. […] Low testosterone. Low testosterone can be linked to ED. […] There are many different types and causes of ED. Mental health problems, physical problems, certain diseases and health conditions, certain prescription medicines, and lifestyle choices have all been linked to ED. […] ED can be treated. Treatments are based on the cause of the problem and can range from lifestyle changes to prescription medicines to penile implants.

• #30 Sudden Erectile Dysfunction: Causes and When to Worry

  https://www.verywellhealth.com/sudden-ed-5203072

  Damaged nerves from medical conditions such as multiple sclerosis, diabetes, spinal cord damage, or prostate surgery may cause ED. Nerve damage can make it challenging to get or keep an erection. […] Hormone levels, such as decreased testosterone levels, can play a role in erectile dysfunction and overall sex drive. […] Psychological issues may also affect sexual performance. […] Sudden erectile dysfunction results in the same inability to have or maintain an erection. However, it is different because it comes on suddenly or seemingly out of nowhere, instead of slowly over time. […] Erectile dysfunction that occurs suddenly usually stems from medication or a psychological issue. […] Sudden ED may be brought on by: Excessive alcohol intake, Medications such as sedatives, antidepressants, appetite suppressants, or blood pressure medication, Smoking or drug use. […] Sudden erectile dysfunction typically suggests a psychological problem or medication is causing the issue. Sudden ED is also known as sudden impotence. […] Reasons for this may include underlying conditions, certain medications, or psychological issues.

• #31 Erectile dysfunction: Causes, symptoms, and treatments

  https://www.medicalnewstoday.com/articles/5702

  Erectile dysfunction makes it difficult to regularly attain or keep a firm enough erection to have sex. […] People may sometimes refer to ED as impotence. […] Normal erectile function can be affected by problems with a persons blood flow, nervous system, and hormone levels. A person may also experience ED due to psychological factors, such as anxiety over sexual performance. […] Most cases of ED are secondary. This means that erectile function has been normal but becomes problematic. Causes of a new and persistent problem are usually physical. […] In rare cases, a person may have primary ED. This is where a person has never achieved an erection. The cause of primary ED may be psychological or the result of a physical condition. […] Some of the most common physical causes of ED include: heart disease and narrowing of blood vessels, diabetes, high blood pressure, high cholesterol, obesity and metabolic syndrome, Parkinsons disease, multiple sclerosis, hormonal disorders, including thyroid conditions and testosterone deficiency, structural or anatomical disorders of the penis, such as Peyronie disease, smoking, alcohol use disorder, and substance abuse, including cocaine use, treatments for prostate disease, surgical complications, injuries in the pelvic area or spinal cord, radiation therapy to the pelvic region.

• #32 Erectile dysfunction | NHS inform

  https://www.nhsinform.scot/illnesses-and-conditions/sexual-and-reproductive/erectile-dysfunction-impotence/

  There are four main types of health conditions that can cause physical problems resulting in erectile dysfunction. These are: conditions affecting the flow of blood to your penis – vasculogenic; conditions affecting your nervous system, which is made up of your brain, nerves and spinal cord – neurogenic; conditions affecting your hormone levels – hormonal; conditions affecting the physical structure of your penis – anatomical. […] Erectile dysfunction is also thought to occur in up to 15-25% of people who experience a severe head injury. […] Erectile dysfunction is strongly associated with cardiovascular disease. For this reason, it may be one of the first causes your GP considers when making a diagnosis and planning your treatment. […] Possible psychological causes of erectile dysfunction include: depression – feelings of extreme sadness that last for a long time; anxiety – a feeling of unease, such as worry or fear.

• #33 Erectile Dysfunction | Kettering Health

  https://ketteringhealth.org/conditions/erectile-dysfunction-impotence/

  Nervous system causes. Several nervous system problems can lead to ED. For instance, multiple sclerosis, stroke, and spinal cord and nerve injuries. Nerve damage from pelvic surgeries can cause ED. […] Medicine-induced impotence. Blood pressure medicines, anti-anxiety and antidepressant medicines, glaucoma eye drops, and cancer chemotherapy medicines are just some of the many medicines that can cause ED. […] Hormone-induced impotence. Hormone abnormalities can cause ED. These include increased prolactin, a hormone made by the pituitary gland. They also include steroid abuse by bodybuilders, too much or too little thyroid hormone, and hormones used to treat prostate cancer. In rare cases, low testosterone causes ED. […] Low testosterone. Low testosterone can be linked to ED. […] Lifestyle choices. Smoking, excessive alcohol use, being overweight, and not exercising can also lead to ED. […] There are many different types and causes of ED. Mental health problems, physical problems, certain diseases and health conditions, certain prescription medicines, and lifestyle choices have all been linked to ED.

• #34 Impotence (Erectile Dysfunction) – Harvard Health

  https://www.health.harvard.edu/a_to_z/impotence-erectile-dysfunction-a-to-z

  Abnormal levels of certain hormones can interfere with erections and sex drive. Hormonal problems, such as a low testosterone level, are an uncommon cause of impotence. […] Impotence caused by psychological factors may get better on its own. But treatment is needed if the problem is caused by a physical factor. […] In general, the outlook for most men with erectile dysfunction is positive.

• #35 Content – Health Encyclopedia – University of Rochester Medical Center

  https://www.urmc.rochester.edu/Encyclopedia/content.aspx?ContentTypeID=85&ContentID=P01482

  Nervous system causes. Several nervous system problems can lead to ED. These include multiple sclerosis, stroke, and spinal cord and nerve injuries. Nerve damage from pelvic surgeries can cause ED. […] Medicine-induced impotence. Blood pressure medicines, anti-anxiety and antidepressant medicines, glaucoma eye drops, and cancer chemotherapy medicines are just some of the many medicines that can cause ED. […] Hormone-induced impotence. Hormone abnormalities can cause ED. These include increased prolactin, a hormone made by the pituitary gland. They also include steroid abuse by bodybuilders, too much or too little thyroid hormone, and hormones used to treat prostate cancer. Low testosterone can also cause ED. […] Low testosterone. Low testosterone can be linked to ED. […] There are many different types and causes of ED. Mental health problems, physical problems, certain diseases and health conditions, certain prescription medicines, and lifestyle choices have all been linked to ED. […] ED can be treated. Treatments are based on the cause of the problem and can range from lifestyle changes to prescription medicines to penile implants.

• #36 Erectile Dysfunction (ED) – Men’s Health Issues – Merck Manual Consumer Version

  https://www.merckmanuals.com/home/men-s-health-issues/sexual-function-and-dysfunction-in-men/erectile-dysfunction-ed

  If the nerves sending messages to the penis are damaged, ED can occur. In addition to causing atherosclerosis, diabetes can also affect the nerves that supply the penis. […] Hormonal disturbances (such as abnormally low levels of testosterone) tend to decrease sex drive but can also result in ED. […] Drugs, including alcohol and illicit drugs such as cocaine and amphetamines, can also cause or contribute to ED. […] Sometimes psychological problems (such as performance anxiety or depression) or factors that decrease a man’s energy level (such as illness, fatigue, or stress) cause or contribute to ED. […] Erectile dysfunction may be situational, involving a particular place, time, or partner. […] ED commonly results from psychological, nervous system, or blood vessel disorders, from injury, or from the side effects of some medications or surgery.

• #37 Erectile Dysfunction | Kettering Health

  https://ketteringhealth.org/conditions/erectile-dysfunction-impotence/

  Nervous system causes. Several nervous system problems can lead to ED. For instance, multiple sclerosis, stroke, and spinal cord and nerve injuries. Nerve damage from pelvic surgeries can cause ED. […] Medicine-induced impotence. Blood pressure medicines, anti-anxiety and antidepressant medicines, glaucoma eye drops, and cancer chemotherapy medicines are just some of the many medicines that can cause ED. […] Hormone-induced impotence. Hormone abnormalities can cause ED. These include increased prolactin, a hormone made by the pituitary gland. They also include steroid abuse by bodybuilders, too much or too little thyroid hormone, and hormones used to treat prostate cancer. In rare cases, low testosterone causes ED. […] Low testosterone. Low testosterone can be linked to ED. […] Lifestyle choices. Smoking, excessive alcohol use, being overweight, and not exercising can also lead to ED. […] There are many different types and causes of ED. Mental health problems, physical problems, certain diseases and health conditions, certain prescription medicines, and lifestyle choices have all been linked to ED.

• #38 Reddit – The heart of the internet

  https://www.reddit.com/r/erectiledysfunction/comments/1iu0aqe/9_causes_of_erectile_dysfunction/

  VASCULAR DISEASES – Sometimes due to diseases of arteries like atherosclerosis due to high cholesterol the blood supply can be disturbed in the penile region. […] TRAUMA – Injury to the male reproductive organs can affect arteries and veins which can lead to an imbalance in blood supply and make it difficult to achieve erection. […] Aging – With the increase in age the arteries lose their tonicity and it reduces the blood to the penis. But it doesn’t affect all old men. […] Hypogonadism- In this disease, the body of the patient produces less testosterone due to which the patient suffers from erectile dysfunction. […] Hyperprolactinemia- when the prolactin level increases in the body then it results in decreased production of gonadotropin-releasing hormone because of which there is decreased amount of libido in the patient and it leads to erectile dysfunction.

• #39 Erectile Dysfunction | Kettering Health

  https://ketteringhealth.org/conditions/erectile-dysfunction-impotence/

  Nervous system causes. Several nervous system problems can lead to ED. For instance, multiple sclerosis, stroke, and spinal cord and nerve injuries. Nerve damage from pelvic surgeries can cause ED. […] Medicine-induced impotence. Blood pressure medicines, anti-anxiety and antidepressant medicines, glaucoma eye drops, and cancer chemotherapy medicines are just some of the many medicines that can cause ED. […] Hormone-induced impotence. Hormone abnormalities can cause ED. These include increased prolactin, a hormone made by the pituitary gland. They also include steroid abuse by bodybuilders, too much or too little thyroid hormone, and hormones used to treat prostate cancer. In rare cases, low testosterone causes ED. […] Low testosterone. Low testosterone can be linked to ED. […] Lifestyle choices. Smoking, excessive alcohol use, being overweight, and not exercising can also lead to ED. […] There are many different types and causes of ED. Mental health problems, physical problems, certain diseases and health conditions, certain prescription medicines, and lifestyle choices have all been linked to ED.

• #40 Erectile Dysfunction (ED) – Men’s Health Issues – Merck Manual Consumer Version

  https://www.merckmanuals.com/home/men-s-health-issues/sexual-function-and-dysfunction-in-men/erectile-dysfunction-ed

  Testosterone therapy may help restore erectile function in men with low serum testosterone levels and ED, but a low testosterone level is not a common cause of ED. […] Most men with ED may be successfully treated with an oral phosphodiesterase inhibitor such as sildenafil, vardenafil, avanafil, or tadalafil. […] Vacuum erection devices and penile prosthesis surgery are effective treatments for men with severe ED.

• #41 Erectile Dysfunction | Conditions | UCSF Health

  https://www.ucsfhealth.org/conditions/erectile-dysfunction

  Aging causes a progressive decline in sexual function even in healthy patients. […] ED is the most common side effect of both surgical and radiation treatments for prostate cancer. […] Depression and performance anxiety both can lead to ED. […] Penile erection depends on an intact nervous system, so any neurological injury or disease can cause ED. […] Anything that decreases circulating testosterone in the body, including undergoing chemical or surgical castration or hormone therapy for prostate cancer, decreases libido and may make natural erections more difficult. […] A variety of conditions and habits can damage penile blood vessels over time and contribute to ED. […] ED is common in patients with diabetes, cirrhosis (liver scarring), chronic kidney failure and many other chronic medical issues. […] Many types of drugs are associated with developing ED.

• #42 Erectile dysfunction – Wikipedia

  https://en.wikipedia.org/wiki/Erectile_dysfunction

  Kidney disease: ED and chronic kidney disease have pathological mechanisms in common, including vascular and hormonal dysfunction, and may share other comorbidities, such as hypertension and diabetes mellitus that can contribute to ED […] Lifestyle habits, particularly smoking, which is a key risk factor for ED as it promotes arterial narrowing. […] COVID-19: preliminary research indicates that COVID-19 viral infection may affect sexual and reproductive health. […] ED can also be associated with bicycling due to both neurological and vascular problems due to compression. […] In seemingly rare cases, medications such as SSRIs, isotretinoin (Accutane) and finasteride (Propecia) are reported to induce long-lasting iatrogenic disorders characterized by sexual dysfunction symptoms, including erectile dysfunction in males; these disorders are known as post-SSRI sexual dysfunction (PSSD), post-retinoid sexual dysfunction/post-Accutane syndrome (PRSD/PAS), and post-finasteride syndrome (PFS). These conditions remain poorly understood and lack effective treatments, although they have been suggested to share a common etiology.

• #43 Erectile Dysfunction (Impotence)

  https://healthlibrary.ecuhealth.org/Library/DiseasesConditions/Adult/Liver/85,P01482

  ED is a symptom that is linked to many health problems such as: […] Many long-term (chronic) diseases, especially kidney failure and dialysis. […] ED can be treated. Treatments are based on the cause of the problem and can range from lifestyle changes to prescription medicines to penile implants.

• #44 Causes of ED (Erectile dysfunction and Male Impotence or ED Dysfunction) – Sexual Health: ED and Libido & Fertility

  http://www.dralexurology.com/sexual-health/causes-ed-erectile-dysfunction-male-impotence/

  Heart problems (CAD) […] Hypertension (high blood pressure) […] Tobacco smoking […] Stress, Fatigue […] Performance Anxiety […] System drug abuse including alcohol, marijuana and and other recreational drugs […] Hypercholesteremia […] Medications( blood pressure medications/antihypertensives, antidepressant medications including SSRI) […] Prostate cancer treatments( radical prostatectomy surgery, radiation therapy, hormonal therapy) […] Pelvic surgery( for colon cancer bladder cancer (in) […] Pelvic radiation (colon cancer prostate cancer bladder cancer) […] Pelvic injury or trauma […] Liver problems (liver failure, cirrhosis) […] Obesity […] Low testosterone […] Kidney problems (dialysis, kidney failure or renal insufficiency)

• #45 Erectile Dysfunction – StatPearls – NCBI BookshelfTwitterFacebookLinkedInGitHubNCBI Insights BlogTwitterFacebookYoutube

  https://www.ncbi.nlm.nih.gov/books/NBK562253/

  Other causes of ED include neurological diseases (such as multiple sclerosis), hormonal causes (hypogonadism, thyroid), traumatic (eg, pelvic fractures, spinal cord injuries), hyperlipidemia, stroke, sleep apnea, COPD, glaucoma, multiple sclerosis, sequela of priapism, depression, prostatic hyperplasia with lower urinary symptoms (BPH with LUTS), iatrogenic (eg, post transurethral resection of the prostate) and a variety of medications (antidepressants, antihypertensives, antipsychotics, opioids, and recreational drugs). […] Cardiovascular disease is a very significant risk factor for ED. Almost 50% of men with known coronary artery disease proven by cardiac catheterization have significant ED. Part of the reason for this is that the coronary arteries and the penile cavernosal arteries are similar in size and tend to develop atherosclerotic problems similarly. Since the cavernosal arteries are small, they can develop blockages from atherosclerotic plaques earlier, resulting in vasculogenic ED years before the clinical appearance of coronary artery disease. Both cardiovascular disease and ED involve endothelial cell dysfunction in their pathophysiology. […] Besides cardiovascular disease, there are strong correlations between ED, hypertension, hyperlipidemia, diabetes, hypogonadism, obesity, smoking, alcoholism, benign prostatic hyperplasia (BPH) with lower urinary symptoms (LUTS), depression, and premature ejaculation.

• #46 Erectile Dysfunction – StatPearls – NCBI BookshelfTwitterFacebookLinkedInGitHubNCBI Insights BlogTwitterFacebookYoutube

  https://www.ncbi.nlm.nih.gov/books/NBK562253/

  Other causes of ED include neurological diseases (such as multiple sclerosis), hormonal causes (hypogonadism, thyroid), traumatic (eg, pelvic fractures, spinal cord injuries), hyperlipidemia, stroke, sleep apnea, COPD, glaucoma, multiple sclerosis, sequela of priapism, depression, prostatic hyperplasia with lower urinary symptoms (BPH with LUTS), iatrogenic (eg, post transurethral resection of the prostate) and a variety of medications (antidepressants, antihypertensives, antipsychotics, opioids, and recreational drugs). […] Cardiovascular disease is a very significant risk factor for ED. Almost 50% of men with known coronary artery disease proven by cardiac catheterization have significant ED. Part of the reason for this is that the coronary arteries and the penile cavernosal arteries are similar in size and tend to develop atherosclerotic problems similarly. Since the cavernosal arteries are small, they can develop blockages from atherosclerotic plaques earlier, resulting in vasculogenic ED years before the clinical appearance of coronary artery disease. Both cardiovascular disease and ED involve endothelial cell dysfunction in their pathophysiology. […] Besides cardiovascular disease, there are strong correlations between ED, hypertension, hyperlipidemia, diabetes, hypogonadism, obesity, smoking, alcoholism, benign prostatic hyperplasia (BPH) with lower urinary symptoms (LUTS), depression, and premature ejaculation.

• #47 The Causes of Erectile Dysfunction: A Comprehensive GuideAccessibility ToolsIncrease TextDecrease TextGrayscaleHigh ContrastNegative ContrastLight BackgroundLinks UnderlineReadable FontReset

  https://www.iowauro.com/blog/the-causes-of-erectile-dysfunction-a-comprehensive-guide

  Hypertension: Hypertension or high blood pressure can contribute to vascular problems and worsen erectile dysfunction. […] Neurological Disorders: Conditions such as Multiple Sclerosis, Parkinson’s disease, and spinal cord injuries can interfere with nerve signals that control erections. […] Hormonal Imbalances: Low testosterone levels can significantly contribute to erectile dysfunction. Other hormonal imbalances, such as thyroid or other endocrine disorders, may also play a role in sexual dysfunction. […] Diabetes: Diabetes can damage the blood vessels and the nerves, even the ones that control the penis, which can cause erectile dysfunction. […] Medications: Medications, including antidepressants, blood pressure medications, and sedatives, may have side effects that can contribute to erectile dysfunction.

• #48 Erectile Dysfunction (Impotence) | University Hospitals

  https://www.uhhospitals.org/health-information/health-and-wellness-library/article/diseases-and-conditions/impotenceerectile-dysfunction

  Nervous system causes. Several nervous system problems can lead to ED. These include multiple sclerosis, stroke, and spinal cord and nerve injuries. Nerve damage from pelvic surgeries can cause ED. […] Medicine-induced impotence. Blood pressure medicines, anti-anxiety and antidepressant medicines, glaucoma eye drops, and cancer chemotherapy medicines are just some of the many medicines that can cause ED. […] Hormone-induced impotence. Hormone abnormalities can cause ED. These include increased prolactin, a hormone made by the pituitary gland. They also include steroid abuse by bodybuilders, too much or too little thyroid hormone, and hormones used to treat prostate cancer. Low testosterone can also cause ED. […] Low testosterone. Low testosterone can be linked to ED. […] Lifestyle choices. Smoking, excessive alcohol use, being overweight, and not exercising can also lead to ED.

• #49 4 Causes of Erectile Dysfunction You Might Not Know: Urology Associates Medical Group: Urologists

  https://www.urologymedicalgroup.com/blog/4-causes-of-erectile-dysfunction-you-might-not-know

  Did you know more than 50% of American men experience erectile dysfunction (ED), a condition in which men cannot maintain an erection, get fully erect, or have any erection at all? […] For this reason, many things can contribute to the development of ED. […] About 80% of the time, a physical issue triggers ED, the most common being chronic high blood pressure, or hypertension. […] Men with hypertension are at least two times more likely to have ED than men with normal blood pressure. […] Men with diabetes are three times more likely to have ED than men without diabetes. […] In fact, researchers report up to 75% of men with Type 2 diabetes also struggle with sexual dysfunction. […] If you have depression or another mental health issue, like anxiety, your risk of having ED increases. […] Sleep disorders, like sleep apnea, affect your oxygen levels. […] Since both oxygen and testosterone are key factors in getting and maintaining healthy erections, sleep disorders are highly correlated to ED.

• #50 Erectile Dysfunction – StatPearls – NCBI BookshelfTwitterFacebookLinkedInGitHubNCBI Insights BlogTwitterFacebookYoutube

  https://www.ncbi.nlm.nih.gov/books/NBK562253/

  Other causes of ED include neurological diseases (such as multiple sclerosis), hormonal causes (hypogonadism, thyroid), traumatic (eg, pelvic fractures, spinal cord injuries), hyperlipidemia, stroke, sleep apnea, COPD, glaucoma, multiple sclerosis, sequela of priapism, depression, prostatic hyperplasia with lower urinary symptoms (BPH with LUTS), iatrogenic (eg, post transurethral resection of the prostate) and a variety of medications (antidepressants, antihypertensives, antipsychotics, opioids, and recreational drugs). […] Cardiovascular disease is a very significant risk factor for ED. Almost 50% of men with known coronary artery disease proven by cardiac catheterization have significant ED. Part of the reason for this is that the coronary arteries and the penile cavernosal arteries are similar in size and tend to develop atherosclerotic problems similarly. Since the cavernosal arteries are small, they can develop blockages from atherosclerotic plaques earlier, resulting in vasculogenic ED years before the clinical appearance of coronary artery disease. Both cardiovascular disease and ED involve endothelial cell dysfunction in their pathophysiology. […] Besides cardiovascular disease, there are strong correlations between ED, hypertension, hyperlipidemia, diabetes, hypogonadism, obesity, smoking, alcoholism, benign prostatic hyperplasia (BPH) with lower urinary symptoms (LUTS), depression, and premature ejaculation.

• #51 Erectile Dysfunction | AAFP

  https://www.aafp.org/pubs/afp/issues/2016/1115/p820.html

  Erectile dysfunction (ED) is the inability to achieve or maintain an erection sufficient for satisfactory sexual performance. ED has vascular, neurologic, psychological, and hormonal causes. Conditions commonly associated with ED include diabetes mellitus, hypertension, hyperlipidemia, obesity, testosterone deficiency, and prostate cancer treatment. Performance anxiety and relationship issues are common psychological causes. […] Many medications cause or exacerbate ED. Antidepressants are a common cause, especially the selective serotonin reuptake inhibitors citalopram (Celexa), fluoxetine (Prozac), paroxetine (Paxil), and sertraline (Zoloft), and the serotonin-norepinephrine reuptake inhibitor venlafaxine. Tobacco, alcohol, and illicit drugs can cause ED. […] ED has been linked to each component of the metabolic syndrome, including increased fasting serum glucose levels, diabetes, hypertension, and abdominal obesity, as well as to an increased risk of cardiovascular disease (CVD).

• #52 Erectile dysfunction | NHS inform

  https://www.nhsinform.scot/illnesses-and-conditions/sexual-and-reproductive/erectile-dysfunction-impotence

  In some men, certain medicines can cause erectile dysfunction, including: diuretics, antihypertensives, fibrates, antipsychotics, antidepressants, corticosteroids, H2-antagonists, anticonvulsants, antihistamines, anti-androgens, cytotoxics. […] Possible psychological causes of erectile dysfunction include: depression, anxiety. […] Erectile dysfunction can often have both physical and psychological causes. […] Other possible causes of erectile dysfunction include: excessive alcohol intake, tiredness, using illegal drugs, such as cannabis, heroin or cocaine.

• #53 Erectile dysfunction | NHS inform

  https://www.nhsinform.scot/illnesses-and-conditions/sexual-and-reproductive/erectile-dysfunction-impotence

  In some men, certain medicines can cause erectile dysfunction, including: diuretics, antihypertensives, fibrates, antipsychotics, antidepressants, corticosteroids, H2-antagonists, anticonvulsants, antihistamines, anti-androgens, cytotoxics. […] Possible psychological causes of erectile dysfunction include: depression, anxiety. […] Erectile dysfunction can often have both physical and psychological causes. […] Other possible causes of erectile dysfunction include: excessive alcohol intake, tiredness, using illegal drugs, such as cannabis, heroin or cocaine.

• #54 Reddit – The heart of the internet

  https://www.reddit.com/r/erectiledysfunction/comments/1iu0aqe/9_causes_of_erectile_dysfunction/

  Diabetes-In diabetic patients if the blood glucose level is not in control then it can lead to many microvascular as well as macrovascular problems that decrease blood supply to various organs including the reproductive organs due to which the patient cannot attend satisfactory erection. […] Medicine- Diuretics like thiazide, Antihypertensive like Calcium channel blockers and beta blockers, H2 antagonists like Ranitidine, and Cardiac medicine like digoxin. […] Psychological- It can be due to stress, work problems, relationship problems, anxiety, fear of getting pregnant, or fear of getting sexually transmitted diseases like HIV. […] Substance abuse – Prolonged use of alcohol, tobacco, and other types of substance abuse can lead to erectile dysfunction in some males.

• #55 Erectile Dysfunction | AAFP

  https://www.aafp.org/pubs/afp/issues/2016/1115/p820.html

  Erectile dysfunction (ED) is the inability to achieve or maintain an erection sufficient for satisfactory sexual performance. ED has vascular, neurologic, psychological, and hormonal causes. Conditions commonly associated with ED include diabetes mellitus, hypertension, hyperlipidemia, obesity, testosterone deficiency, and prostate cancer treatment. Performance anxiety and relationship issues are common psychological causes. […] Many medications cause or exacerbate ED. Antidepressants are a common cause, especially the selective serotonin reuptake inhibitors citalopram (Celexa), fluoxetine (Prozac), paroxetine (Paxil), and sertraline (Zoloft), and the serotonin-norepinephrine reuptake inhibitor venlafaxine. Tobacco, alcohol, and illicit drugs can cause ED. […] ED has been linked to each component of the metabolic syndrome, including increased fasting serum glucose levels, diabetes, hypertension, and abdominal obesity, as well as to an increased risk of cardiovascular disease (CVD).

• #56 Erectile dysfunction | NHS inform

  https://www.nhsinform.scot/illnesses-and-conditions/sexual-and-reproductive/erectile-dysfunction-impotence

  In some men, certain medicines can cause erectile dysfunction, including: diuretics, antihypertensives, fibrates, antipsychotics, antidepressants, corticosteroids, H2-antagonists, anticonvulsants, antihistamines, anti-androgens, cytotoxics. […] Possible psychological causes of erectile dysfunction include: depression, anxiety. […] Erectile dysfunction can often have both physical and psychological causes. […] Other possible causes of erectile dysfunction include: excessive alcohol intake, tiredness, using illegal drugs, such as cannabis, heroin or cocaine.

• #57 Erectile dysfunction | NHS inform

  https://www.nhsinform.scot/illnesses-and-conditions/sexual-and-reproductive/erectile-dysfunction-impotence

  In some men, certain medicines can cause erectile dysfunction, including: diuretics, antihypertensives, fibrates, antipsychotics, antidepressants, corticosteroids, H2-antagonists, anticonvulsants, antihistamines, anti-androgens, cytotoxics. […] Possible psychological causes of erectile dysfunction include: depression, anxiety. […] Erectile dysfunction can often have both physical and psychological causes. […] Other possible causes of erectile dysfunction include: excessive alcohol intake, tiredness, using illegal drugs, such as cannabis, heroin or cocaine.

• #58 Erectile dysfunction | NHS inform

  https://www.nhsinform.scot/illnesses-and-conditions/sexual-and-reproductive/erectile-dysfunction-impotence

  In some men, certain medicines can cause erectile dysfunction, including: diuretics, antihypertensives, fibrates, antipsychotics, antidepressants, corticosteroids, H2-antagonists, anticonvulsants, antihistamines, anti-androgens, cytotoxics. […] Possible psychological causes of erectile dysfunction include: depression, anxiety. […] Erectile dysfunction can often have both physical and psychological causes. […] Other possible causes of erectile dysfunction include: excessive alcohol intake, tiredness, using illegal drugs, such as cannabis, heroin or cocaine.

• #59 Erectile dysfunction | NHS inform

  https://www.nhsinform.scot/illnesses-and-conditions/sexual-and-reproductive/erectile-dysfunction-impotence

  In some men, certain medicines can cause erectile dysfunction, including: diuretics, antihypertensives, fibrates, antipsychotics, antidepressants, corticosteroids, H2-antagonists, anticonvulsants, antihistamines, anti-androgens, cytotoxics. […] Possible psychological causes of erectile dysfunction include: depression, anxiety. […] Erectile dysfunction can often have both physical and psychological causes. […] Other possible causes of erectile dysfunction include: excessive alcohol intake, tiredness, using illegal drugs, such as cannabis, heroin or cocaine.

• #60 Erectile dysfunction: Causes, symptoms, and treatments

  https://www.medicalnewstoday.com/articles/5702

  Atherosclerosis is a common cause of blood flow problems. It describes a narrowing or clogging of arteries in the penis, preventing the necessary blood flow to produce an erection. […] Physical causes account for 90% of ED cases, with psychological causes much less common. […] Psychological factors can cause or contribute to ED, with factors ranging from treatable mental health conditions to everyday emotional states that most people experience at some time. […] A person may also be unable to attain a full erection due to specific sexual performance anxiety, a common psychological factor in people with ED. […] Prostate surgery to remove tumors and radiation therapy to treat prostate cancer can cause ED. […] Some medications for prostate cancer may also result in ED. For example, hormone therapies can lower a persons libido, and by association lead to ED. […] A person may experience ED as a result of physical factors such as high cholesterol levels, or due to psychological reasons, such as sexual performance anxiety.

• #61 Erectile dysfunction | NHS inform

  https://www.nhsinform.scot/illnesses-and-conditions/sexual-and-reproductive/erectile-dysfunction-impotence

  In some men, certain medicines can cause erectile dysfunction, including: diuretics, antihypertensives, fibrates, antipsychotics, antidepressants, corticosteroids, H2-antagonists, anticonvulsants, antihistamines, anti-androgens, cytotoxics. […] Possible psychological causes of erectile dysfunction include: depression, anxiety. […] Erectile dysfunction can often have both physical and psychological causes. […] Other possible causes of erectile dysfunction include: excessive alcohol intake, tiredness, using illegal drugs, such as cannabis, heroin or cocaine.

• #62 Symptoms & Causes of Erectile Dysfunction – NIDDK

  https://www.niddk.nih.gov/health-information/urologic-diseases/erectile-dysfunction/symptoms-causes

  ED can have different causes. Some diseases or health conditions that affect your blood vessels, nerves, or hormones can lead to ED. […] The most common diseases and conditions that can lead to ED include diabetes, chronic health conditions, such as chronic kidney disease, obesity and overweight, and chronic obstructive pulmonary disease, heart and blood vessel diseases, such as atherosclerosis, high blood pressure, and stroke, hormone issues, such as low testosterone and thyroid imbalance, nerve damage or disorders, such as multiple sclerosis, spinal cord injuries, and damage from pelvic surgery, problems of the male reproductive system, such as enlarged prostate and penile curvature, also called Peyronies disease. […] ED can be a side effect of many common prescription and over-the-counter medicines, such as antidepressants, appetite suppressants, or medicines that make you less hungry, antihistamines, or medicines for allergies or heartburn, blood pressure medicines and diuretics, or water pills, chemotherapy and hormone medicines, some pain relievers, such as nonsteroidal anti-inflammatory drugs, codeine, and oxycodone, sedatives, or medicines that make you calm or sleepy, ulcer medicines.

• #63 Erectile Dysfunction (Impotence)

  https://www.webmd.com/erectile-dysfunction/understanding-erectile-dysfunction-basics

  In younger men, psychological problems are the most likely reason for ED. Poor communication with your partner, or differences in sexual preferences, can lead to tension and anxiety. […] Alcohol is a sedative, so heavy drinking can make you too sleepy to perform. Drinking a lot of alcohol can also slow the flow of messages from the brain down the spinal cord. […] The treatment for your ED will depend on what’s causing it, as well as what you and your partner think will work best. Your doctor can help you decide. Treatments include medications, lifestyle changes, counseling, vacuum devices, and surgery. […] You’re more likely to develop ED if you have heart disease, high blood pressure, diabetes, and certain chronic diseases. Taking steps to avoid or manage these conditions effectively may help prevent ED.

• #64 Erection Problems (Erectile Dysfunction) Causes: Cancer, Diabetes, and Other Physical Conditions

  https://www.webmd.com/erectile-dysfunction/understanding-ed-causes

  Tobacco, alcohol, or drug use: All three can damage your blood vessels. If you have artery problems, smoking will make ED much more likely. […] Prescription drugs: There are more than 200 prescription drugs that can cause erectile dysfunction. Speak with your doctor if you think one of your medications may be causing this in you. […] Prostate enlargement: Its a normal part of aging for many men. It may also play a role. […] A lot of men have dealt with or are dealing with erectile dysfunction. If you think you may have it, talk with your doctor and figure out the plan thats best for you.

• #65 Erectile Dysfunction (ED): Main Causes, Treatment, Drugs, Cure

  https://www.medicinenet.com/erectile_dysfunction_ed_impotence/article.htm

  Metabolic syndrome is associated with multiple risk factors for erectile dysfunction including: Diabetes, Abnormal lipid profile, Hypertension, Obesity. […] Cigarette smoking: Cigarette smoking aggravates atherosclerosis and can cause vasospasm (spasms of the arteries) thereby increasing the risk for erectile dysfunction. […] Nerve or spinal cord damage: Damage to the spinal cord and nerves in the pelvis can cause erectile dysfunction. […] BPH: Benign enlargement of the prostate is associated with erectile dysfunction. […] Trauma: Trauma to the pelvis, including pelvic fracture, may cause erectile dysfunction, and an untreated penile fracture may result in erectile dysfunction. […] Substance abuse: Marijuana, heroin, cocaine, methamphetamine, crystal meth, and narcotic and alcohol abuse contribute to erectile dysfunction.

• #66 Erectile dysfunction | NHS inform

  https://www.nhsinform.scot/illnesses-and-conditions/sexual-and-reproductive/erectile-dysfunction-impotence

  In some men, certain medicines can cause erectile dysfunction, including: diuretics, antihypertensives, fibrates, antipsychotics, antidepressants, corticosteroids, H2-antagonists, anticonvulsants, antihistamines, anti-androgens, cytotoxics. […] Possible psychological causes of erectile dysfunction include: depression, anxiety. […] Erectile dysfunction can often have both physical and psychological causes. […] Other possible causes of erectile dysfunction include: excessive alcohol intake, tiredness, using illegal drugs, such as cannabis, heroin or cocaine.

• #67 Erectile Dysfunction (ED): Main Causes, Treatment, Drugs, Cure

  https://www.medicinenet.com/erectile_dysfunction_ed_impotence/article.htm

  Metabolic syndrome is associated with multiple risk factors for erectile dysfunction including: Diabetes, Abnormal lipid profile, Hypertension, Obesity. […] Cigarette smoking: Cigarette smoking aggravates atherosclerosis and can cause vasospasm (spasms of the arteries) thereby increasing the risk for erectile dysfunction. […] Nerve or spinal cord damage: Damage to the spinal cord and nerves in the pelvis can cause erectile dysfunction. […] BPH: Benign enlargement of the prostate is associated with erectile dysfunction. […] Trauma: Trauma to the pelvis, including pelvic fracture, may cause erectile dysfunction, and an untreated penile fracture may result in erectile dysfunction. […] Substance abuse: Marijuana, heroin, cocaine, methamphetamine, crystal meth, and narcotic and alcohol abuse contribute to erectile dysfunction.

• #68 Erection Problems (Erectile Dysfunction) Causes: Cancer, Diabetes, and Other Physical Conditions

  https://www.webmd.com/erectile-dysfunction/understanding-ed-causes

  Other reasons for ED can include: […] Surgery: Nerves and tissue needed for an erection can be affected during procedures to treat prostate and bladder cancer. The problem often clears up, but it may take months. In some cases, the damage is permanent. If it is, there are treatments available to help you be ready for sex. […] Injury: If you hurt your pelvis, bladder, spinal cord, or penis — and you require surgery — you may get ED. […] Hormone problems: Hormones fuel sex drive. An imbalance can make you uninterested in sex. If youve had pituitary gland tumors, kidney or liver disease, depression, or hormone treatment for prostate cancer, talk with your doctor. […] Venous leak: To keep an erection, the blood that flows into your penis has to stay a while. If it flows out too quickly, youll lose your erection. Injury or disease can cause this.

• #69 Erectile Dysfunction – Genitourinary Disorders – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/genitourinary-disorders/male-sexual-function-and-dysfunction/erectile-dysfunction

  The major organic causes of ED are physiological (organic): Vascular disorders, Neurologic disorders. […] The most common vascular cause is atherosclerosis of cavernous arteries of the penis, often caused by smoking, endothelial dysfunction, and diabetes. […] Endothelial dysfunction appears to be mediated by reduced levels of nitric oxide and can result from smoking, diabetes, and/or low testosterone levels. […] Neurologic causes include stroke, partial complex seizures, multiple sclerosis, peripheral and autonomic neuropathies, and spinal cord injuries. […] Complications of pelvic surgery (eg, radical prostatectomy, radical cystectomy, rectal cancer surgery) are other common causes. […] Any endocrinopathy or aging with testosterone deficiency (hypogonadism) may decrease libido and cause ED. […] Numerous medications are possible culprits. Alcohol can cause temporary ED.

• #70 Erectile Dysfunction | Conditions | UCSF Health

  https://www.ucsfhealth.org/conditions/erectile-dysfunction

  Aging causes a progressive decline in sexual function even in healthy patients. […] ED is the most common side effect of both surgical and radiation treatments for prostate cancer. […] Depression and performance anxiety both can lead to ED. […] Penile erection depends on an intact nervous system, so any neurological injury or disease can cause ED. […] Anything that decreases circulating testosterone in the body, including undergoing chemical or surgical castration or hormone therapy for prostate cancer, decreases libido and may make natural erections more difficult. […] A variety of conditions and habits can damage penile blood vessels over time and contribute to ED. […] ED is common in patients with diabetes, cirrhosis (liver scarring), chronic kidney failure and many other chronic medical issues. […] Many types of drugs are associated with developing ED.

• #71 Erectile Dysfunction – Genitourinary Disorders – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/genitourinary-disorders/male-sexual-function-and-dysfunction/erectile-dysfunction

  The major organic causes of ED are physiological (organic): Vascular disorders, Neurologic disorders. […] The most common vascular cause is atherosclerosis of cavernous arteries of the penis, often caused by smoking, endothelial dysfunction, and diabetes. […] Endothelial dysfunction appears to be mediated by reduced levels of nitric oxide and can result from smoking, diabetes, and/or low testosterone levels. […] Neurologic causes include stroke, partial complex seizures, multiple sclerosis, peripheral and autonomic neuropathies, and spinal cord injuries. […] Complications of pelvic surgery (eg, radical prostatectomy, radical cystectomy, rectal cancer surgery) are other common causes. […] Any endocrinopathy or aging with testosterone deficiency (hypogonadism) may decrease libido and cause ED. […] Numerous medications are possible culprits. Alcohol can cause temporary ED.

• #72 Erectile Dysfunction – Genitourinary Disorders – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/genitourinary-disorders/male-sexual-function-and-dysfunction/erectile-dysfunction

  The major organic causes of ED are physiological (organic): Vascular disorders, Neurologic disorders. […] The most common vascular cause is atherosclerosis of cavernous arteries of the penis, often caused by smoking, endothelial dysfunction, and diabetes. […] Endothelial dysfunction appears to be mediated by reduced levels of nitric oxide and can result from smoking, diabetes, and/or low testosterone levels. […] Neurologic causes include stroke, partial complex seizures, multiple sclerosis, peripheral and autonomic neuropathies, and spinal cord injuries. […] Complications of pelvic surgery (eg, radical prostatectomy, radical cystectomy, rectal cancer surgery) are other common causes. […] Any endocrinopathy or aging with testosterone deficiency (hypogonadism) may decrease libido and cause ED. […] Numerous medications are possible culprits. Alcohol can cause temporary ED.

• #73 Causes of ED (Erectile dysfunction and Male Impotence or ED Dysfunction) – Sexual Health: ED and Libido & Fertility

  http://www.dralexurology.com/sexual-health/causes-ed-erectile-dysfunction-male-impotence/

  Heart problems (CAD) […] Hypertension (high blood pressure) […] Tobacco smoking […] Stress, Fatigue […] Performance Anxiety […] System drug abuse including alcohol, marijuana and and other recreational drugs […] Hypercholesteremia […] Medications( blood pressure medications/antihypertensives, antidepressant medications including SSRI) […] Prostate cancer treatments( radical prostatectomy surgery, radiation therapy, hormonal therapy) […] Pelvic surgery( for colon cancer bladder cancer (in) […] Pelvic radiation (colon cancer prostate cancer bladder cancer) […] Pelvic injury or trauma […] Liver problems (liver failure, cirrhosis) […] Obesity […] Low testosterone […] Kidney problems (dialysis, kidney failure or renal insufficiency)

• #74 Erectile Dysfunction Causes & Treatment Options

  https://www.emedicinehealth.com/causes_of_erectile_dysfunction/article_em.htm

  Erectile dysfunction related to medical/physical causes is often treatable but less commonly curable. In some cases of medication-induced erectile dysfunction, changes in medication may improve erections. […] In the evaluation of physical causes of ED, the health care provider is assessing for conditions that may affect the nerves, arteries, veins, and functional anatomy of the penis […] Almost any disease or condition can affect erectile function by altering the nervous, vascular, or hormonal systems. […] An imbalance in your hormones, such as testosterone, prolactin, or thyroid, can cause erectile dysfunction. […] Medications used in the treatment of other medical disorders may cause erectile dysfunction. […] Surgery in the pelvic area may injure the nerves and the arteries near the penis, resulting in ED. […] Trauma or injury to the penis and/or the pelvic blood vessels and nerves is another potential factor in the development of ED.

• #75 Erectile Dysfunction – StatPearls – NCBI BookshelfTwitterFacebookLinkedInGitHubNCBI Insights BlogTwitterFacebookYoutube

  https://www.ncbi.nlm.nih.gov/books/NBK562253/

  Other causes of ED include neurological diseases (such as multiple sclerosis), hormonal causes (hypogonadism, thyroid), traumatic (eg, pelvic fractures, spinal cord injuries), hyperlipidemia, stroke, sleep apnea, COPD, glaucoma, multiple sclerosis, sequela of priapism, depression, prostatic hyperplasia with lower urinary symptoms (BPH with LUTS), iatrogenic (eg, post transurethral resection of the prostate) and a variety of medications (antidepressants, antihypertensives, antipsychotics, opioids, and recreational drugs). […] Cardiovascular disease is a very significant risk factor for ED. Almost 50% of men with known coronary artery disease proven by cardiac catheterization have significant ED. Part of the reason for this is that the coronary arteries and the penile cavernosal arteries are similar in size and tend to develop atherosclerotic problems similarly. Since the cavernosal arteries are small, they can develop blockages from atherosclerotic plaques earlier, resulting in vasculogenic ED years before the clinical appearance of coronary artery disease. Both cardiovascular disease and ED involve endothelial cell dysfunction in their pathophysiology. […] Besides cardiovascular disease, there are strong correlations between ED, hypertension, hyperlipidemia, diabetes, hypogonadism, obesity, smoking, alcoholism, benign prostatic hyperplasia (BPH) with lower urinary symptoms (LUTS), depression, and premature ejaculation.

• #76 Erectile dysfunction: Causes, symptoms, and treatments

  https://www.medicalnewstoday.com/articles/5702

  Atherosclerosis is a common cause of blood flow problems. It describes a narrowing or clogging of arteries in the penis, preventing the necessary blood flow to produce an erection. […] Physical causes account for 90% of ED cases, with psychological causes much less common. […] Psychological factors can cause or contribute to ED, with factors ranging from treatable mental health conditions to everyday emotional states that most people experience at some time. […] A person may also be unable to attain a full erection due to specific sexual performance anxiety, a common psychological factor in people with ED. […] Prostate surgery to remove tumors and radiation therapy to treat prostate cancer can cause ED. […] Some medications for prostate cancer may also result in ED. For example, hormone therapies can lower a persons libido, and by association lead to ED. […] A person may experience ED as a result of physical factors such as high cholesterol levels, or due to psychological reasons, such as sexual performance anxiety.

• #77 9 Erectile Dysfunction Causes and Their Solutions | Ironwood Urology

  https://www.urophoenix.com/2023/01/06/9-common-erectile-dysfunction-causes-and-their-solutions/

  There are a number of chronic medical conditions that can cause or worsen erectile dysfunction. These include diabetes, heart disease, kidney disease, multiple sclerosis, high blood pressure, and obesity. […] Psychological issues such as depression, anxiety, relationship problems, fear, embarrassment, guilt, and low self-esteem can make getting and keeping an erection difficult. […] High levels of stress can cause ED because it can make it difficult to become and remain aroused. […] Prostate cancer treatment, such as chemotherapy or radiation therapy, can inhibit the production of testosterone, causing low T and erectile dysfunction. […] Scar tissue inside the penis can cause it to contract and abnormally bend when erect – this is Peyronie’s disease. […] While age itself doesn’t cause erectile dysfunction, older men tend to be impacted by a greater variety of ED-causing problems. […] In many cases, erectile dysfunction is entirely reversible. […] The treatment required will depend on the cause of the erectile dysfunction. […] If low-T is the cause of your erectile dysfunction, testosterone replacement therapy may be recommended.

• #78 Causes and Risk Factors of Erectile Dysfunction

  https://www.verywellhealth.com/erectile-dysfunction-causes-and-risk-factors-1124108

  A number of psychological concerns are associated with sexual function problems in men. Depression, anxiety, post-traumatic stress disorder, and even issues with anger have all been related to problems with desire, erectile function, and ejaculation. […] There are a number of other conditions and diseases that can impact sexual function in men, leading to problems such as ED. […] Among the many potential causes of erectile dysfunction are quite a few that can be eliminated altogether. […] Age is a key risk factor: ED is four times more common in men over 60 than those over 40. Diabetic men are also at increased risk, with anywhere from 30% to 95% experiencing some degree of ED. […] Psychological factors are involved in up to 30% of all cases of ED.

• #79 Erectile dysfunction – Wikipedia

  https://en.wikipedia.org/wiki/Erectile_dysfunction

  Erectile dysfunction (ED), also referred to as impotence, is a form of sexual dysfunction in males characterized by the persistent or recurring inability to achieve or maintain a penile erection with sufficient rigidity and duration for satisfactory sexual activity. […] The majority of ED cases are attributed to physical risk factors and predictive factors. These factors can be categorized as vascular, neurological, local penile, hormonal, and drug-induced. Notable predictors of ED include aging, cardiovascular disease, diabetes mellitus, high blood pressure, obesity, abnormal lipid levels in the blood, hypogonadism, smoking, depression, and medication use. Approximately 10% of cases are linked to psychosocial factors, encompassing conditions such as depression, stress, and problems within relationships.

• #80 Symptoms & Causes of Erectile Dysfunction – NIDDK

  https://www.niddk.nih.gov/health-information/urologic-diseases/erectile-dysfunction/symptoms-causes

  Some mental health or emotional issues can either cause ED or make it worse, including anxiety, depression, or stress, feeling isolated or lonely, low self-esteem, lack of confidence, or negative body image. […] Certain lifestyle behaviors may contribute to ED, including not getting enough physical activity, drinking too much alcohol, smoking cigarettes, using recreational and illicit drugs.

• #81 What You Should Know About Occasional Erectile Dysfunction – MidLantic Urology LLC

  http://midlanticurology.com/what-you-should-know-about-occasional-erectile-dysfunction/

  Occasional erectile dysfunction does not necessarily signal the onset of full-on erectile dysfunction the persistent inability to get firm enough for sexual intercourse, also known as impotence. […] Occasional ED can be situational, but it also could be temporary due to a health issue that reduces blood flow to the penis or damaged the penile tissue. […] Some medications taken for these conditions also can cause erectile dysfunction. […] In certain situations, stress, performance anxiety, depression, and other psychological issues can interfere with sexual performance. […] Smoking, alcohol, and recreational drugs are known to stymie sexual performance, and heavy use of any of them can put you at risk of ED. […] Occasional erectile dysfunction is normal and can be treated through lifestyle adjustments and/or medical assistance.

• #82 Erectile Dysfunction | Male impotence – Causes and Treatment | BPAS

  https://www.bpas.org/more-services-information/erectile-dysfunction/

  The most common cause of erectile dysfunction for young men is anxiety. This may include concerns about getting someone pregnant, not wanting to appear inexperienced, or worrying about using a condom without embarrassment or losing your erection while putting a condom on. […] Common causes of erectile dysfunction for middle aged men may include stress, guilt, or having sex with a new partner after many years of monogamy. Other causes may include diabetes. […] Although 70% of men over the age of 70 are still sexually active, erectile dysfunction does get more likely as you get older. This may be linked to the deterioration to the blood vessels that carry blood to the penis, and also to the deterioration of heart or brain arteries. […] Physical reasons for erectile dysfunction may include: Side effects from medication (mainly medication for blood pressure or depression), Other illness or infection, Diabetes, Smoking and or excessive drinking, Being unfit or overweight, Deterioration of the arteries, common in older men especially those with high blood pressure, Use of recreational drugs such as cocaine. […] Psychological reasons for erectile dysfunction may include: Stress, which may be related to sex and or other parts of your life, Concerns about your current sexual relationship(s), Depression and related fatigue, Any feelings of guilt about your sexual performance or your sexual health.

• #83 Causes and Risk Factors of Erectile Dysfunction

  https://www.verywellhealth.com/erectile-dysfunction-causes-and-risk-factors-1124108

  Sometimes a man will experience anxiety about sexual performance that inhibits his ability to get an erection, possibly because of a bad sexual experience or a previous occurrence of ED. […] Any surgery that involves structures in the pelvic area can damage penile nerves, blood vessels, or both, which in turn can affect a man’s ability to get an erection or maintain one. […] An injury to the nerves, arteries, or veins of the pelvis has the potential to cause sexual problems. […] ED is common among men with both type 1 diabetes and type 2 diabetes. […] Given that an erection depends on adequate blood flow to the penis, it’s easy to see how any condition or medical problem affecting the heart and other structures in the cardiovascular system might have an impact on erectile function. This is particularly true for high blood pressure (hypertension).

• #84 The Causes of Erectile Dysfunction: A Comprehensive GuideAccessibility ToolsIncrease TextDecrease TextGrayscaleHigh ContrastNegative ContrastLight BackgroundLinks UnderlineReadable FontReset

  https://www.iowauro.com/blog/the-causes-of-erectile-dysfunction-a-comprehensive-guide

  Mental health can have a profound effect on sexual function. If there are psychological issues, they can lead to ED. […] Stress and Anxiety: High levels of stress and anxiety, whether it be due to work, relationships, or other life factors, can interfere with sexual performance. […] Depression: Depression can cause changes in the neurotransmitters that affect sexual function within the brain. Certain antidepressant medications can also have the side effect of erectile dysfunction. […] Performance Anxiety: Men who have had difficulty performing in the past can suffer from the fear of not performing well, which can worsen erectile problems. […] Certain behaviors and lifestyle factors can cause ED. Fortunately, many of them are reversible by changing them. […] Smoking: Smoking damages blood vessels and can cause plaque to build up within them, altering the normal flow of blood. These blood vessel changes can significantly contribute to erectile dysfunction.

• #85 Erectile Dysfunction: Causes, Symptoms & Treatment Options

  https://familydoctor.org/condition/erectile-dysfunction/

  Problems in your relationship with your sexual partner can also cause erectile dysfunction. Improving your relationship may help your sex life. If you decide to seek therapy, it will probably be most effective if your sex partner is included. […] Certain feelings can lead to erectile dysfunction, including: Feeling nervous about sex. This could be because of a bad experience or a previous episode of ED, Feeling stressed, including work and family stress, Feeling depressed, Feeling self-conscious about your body or performance, Thinking your partner is reacting negatively toward you.

• #86 I am facing erection issues. How to tackle?

  https://www.icliniq.com/qa/erectile-dysfunction/what-causes-erectile-dysfunction

  Erectile dysfunction (ED) can be caused by physical, psychological, or lifestyle factors. […] Possible causes of your ED: Psychological factors (most common in sudden cases) – Stress and anxiety. Worrying about performance or recent stress can affect erections. […] Physical and lifestyle factors – Lack of sleep or fatigue. Poor rest affects testosterone and blood flow. […] Alcohol, smoking, or drug use. These can temporarily reduce erection strength. […] Hormonal or circulatory issues. […] Low testosterone can affect libido and erection quality. […] Poor blood circulation. If you have diabetes, high blood pressure, or heart issues, blood flow might be affected. […] If you experience low libido, fatigue, or other health changes, get testosterone levels checked. […] If you have diabetes, high blood pressure, or heart issues, underlying conditions might be affecting your erections.

• #87 Erectile dysfunction: six common causes of impotence | Spire Healthcare

  https://www.spirehealthcare.com/health-hub/specialties/men-s-health/erectile-dysfunction-six-common-causes-of-impotence/

  Your hormones control sexual function and your endocrine system produces hormones. So if theres a problem with your endocrine system it can affect your sexual health, including your ability to get or maintain an erection. […] Ironically, fear of impotence can trigger erectile dysfunction. […] Depression and anxiety are also linked to erectile dysfunction, both as a cause and as a result of not being able to maintain an erection.

• #88 Erectile dysfunction | NHS inform

  https://www.nhsinform.scot/illnesses-and-conditions/sexual-and-reproductive/erectile-dysfunction-impotence

  In some men, certain medicines can cause erectile dysfunction, including: diuretics, antihypertensives, fibrates, antipsychotics, antidepressants, corticosteroids, H2-antagonists, anticonvulsants, antihistamines, anti-androgens, cytotoxics. […] Possible psychological causes of erectile dysfunction include: depression, anxiety. […] Erectile dysfunction can often have both physical and psychological causes. […] Other possible causes of erectile dysfunction include: excessive alcohol intake, tiredness, using illegal drugs, such as cannabis, heroin or cocaine.

• #89 Understand 10 Causes of Erectile Dysfunction – Samaritan Health Servicescircle-chevronemailfacebookSHS AffiliateinstagramlinkedinMyChart IconMyHealthPlan IconphonepinterestSearch Iconsilhouettetwitteryoutube

  https://samhealth.org/news/understand-10-causes-of-erectile-dysfunction/

  Research published in the journal Diabetes Care found that 58% of men with diabetes reported frequent or occasional ED. This can occur if blood sugars are poorly controlled and there has been damage to the blood vessels or nerves. […] Several studies have linked depression and ED. According to research published in the Journal of Urology, depression increases the risk of ED and having ED increases the risk of depression. […] Testosterone is the main sex hormone in men. If testosterone levels drop below the normal range, the result can be an inability to get and keep an erection. […] A prospective study published in The American Journal of Medicine found that physical inactivity was an independent risk factor for developing ED. […] Obstructive sleep apnea is a sleep-breathing disorder characterized by the cycle of stopping breathing during sleep, waking up briefly, then falling back asleep only to stop breathing again, up to hundreds of times throughout the night. […] The reasons for erectile dysfunction can be complicated, and many men have more than one contributing factor.

• #90 Causes and Risk Factors of Erectile Dysfunction

  https://www.verywellhealth.com/erectile-dysfunction-causes-and-risk-factors-1124108

  A number of psychological concerns are associated with sexual function problems in men. Depression, anxiety, post-traumatic stress disorder, and even issues with anger have all been related to problems with desire, erectile function, and ejaculation. […] There are a number of other conditions and diseases that can impact sexual function in men, leading to problems such as ED. […] Among the many potential causes of erectile dysfunction are quite a few that can be eliminated altogether. […] Age is a key risk factor: ED is four times more common in men over 60 than those over 40. Diabetic men are also at increased risk, with anywhere from 30% to 95% experiencing some degree of ED. […] Psychological factors are involved in up to 30% of all cases of ED.

• #91 Erectile dysfunction – symptoms and treatment | healthdirect

  https://www.healthdirect.gov.au/erectile-dysfunction

  Chronic health conditions that can contribute to erectile dysfunction include: high blood pressure, diabetes, high cholesterol, cardiovascular disease, obesity or metabolic syndrome, sleep disorders. […] Psychological factors that can cause erectile dysfunction include: unresolved problems, conflicts or issues within a sexual and emotional relationship, anxiety about sexual performance (this is most common at the start of a new relationship, especially if you have had previous problems with sexual performance), stress, mental health conditions such as depression or anxiety.

• #92 Understanding What Causes Erectile Dysfunction – BuzzRx Select permission for Location

  https://www.buzzrx.com/blog/what-causes-ed

  Neurological conditions such as multiple sclerosis and Parkinson’s disease can affect nerve function and the ability to obtain and keep erections. […] Low testosterone (hypogonadism) can cause erection problems. […] Side effects of prescription medications can contribute to erectile dysfunction. […] Health conditions that can affect erectile function include: Peyronie’s disease (scar tissue formation in the penis), Chronic kidney disease, Sleep disorders, Injuries to the nerves and blood vessels that control erections. […] Research suggests that stress and anxiety can play a major role in the development of erection problems. […] Depression, anxiety, and other mental health conditions can cause erectile dysfunction. […] Relationship problems can be a significant cause of erectile dysfunction (ED) by contributing to stress, anxiety, and negative emotions.

• #93 Understand 10 Causes of Erectile Dysfunction – Samaritan Health Servicescircle-chevronemailfacebookSHS AffiliateinstagramlinkedinMyChart IconMyHealthPlan IconphonepinterestSearch Iconsilhouettetwitteryoutube

  https://samhealth.org/news/understand-10-causes-of-erectile-dysfunction/

  Research published in the journal Diabetes Care found that 58% of men with diabetes reported frequent or occasional ED. This can occur if blood sugars are poorly controlled and there has been damage to the blood vessels or nerves. […] Several studies have linked depression and ED. According to research published in the Journal of Urology, depression increases the risk of ED and having ED increases the risk of depression. […] Testosterone is the main sex hormone in men. If testosterone levels drop below the normal range, the result can be an inability to get and keep an erection. […] A prospective study published in The American Journal of Medicine found that physical inactivity was an independent risk factor for developing ED. […] Obstructive sleep apnea is a sleep-breathing disorder characterized by the cycle of stopping breathing during sleep, waking up briefly, then falling back asleep only to stop breathing again, up to hundreds of times throughout the night. […] The reasons for erectile dysfunction can be complicated, and many men have more than one contributing factor.

• #94 Erectile Dysfunction: Causes, Symptoms & Treatment Options

  https://familydoctor.org/condition/erectile-dysfunction/

  Problems in your relationship with your sexual partner can also cause erectile dysfunction. Improving your relationship may help your sex life. If you decide to seek therapy, it will probably be most effective if your sex partner is included. […] Certain feelings can lead to erectile dysfunction, including: Feeling nervous about sex. This could be because of a bad experience or a previous episode of ED, Feeling stressed, including work and family stress, Feeling depressed, Feeling self-conscious about your body or performance, Thinking your partner is reacting negatively toward you.

• #95 Understanding What Causes Erectile Dysfunction – BuzzRx Select permission for Location

  https://www.buzzrx.com/blog/what-causes-ed

  Neurological conditions such as multiple sclerosis and Parkinson’s disease can affect nerve function and the ability to obtain and keep erections. […] Low testosterone (hypogonadism) can cause erection problems. […] Side effects of prescription medications can contribute to erectile dysfunction. […] Health conditions that can affect erectile function include: Peyronie’s disease (scar tissue formation in the penis), Chronic kidney disease, Sleep disorders, Injuries to the nerves and blood vessels that control erections. […] Research suggests that stress and anxiety can play a major role in the development of erection problems. […] Depression, anxiety, and other mental health conditions can cause erectile dysfunction. […] Relationship problems can be a significant cause of erectile dysfunction (ED) by contributing to stress, anxiety, and negative emotions.

• #96 5 common causes of erectile dysfunction – Vital Record

  https://vitalrecord.tamu.edu/5-common-causes-of-erectile-dysfunction/

  Other medical conditions that put men at risk for erectile dysfunction are diabetes, chronic kidney disease, multiple sclerosis and Peyronies disease. […] Certain medications may make it difficult for you to get or keep an erection, like antidepressants, antihistamines or blood pressure medications. […] Relationship problems causing stress can lead to struggling in the bedroom. […] Depression, anxiety, low self-esteem, guilt, and fear of sexual failure are other contributing factors. […] Men who are overweight, habitual smokers, alcoholics, or substance abusers are more prone to experiencing erectile dysfunction. […] While exercise is great for your health, be cautious of any physical activity that could injure your lower half, as injuries to these areas of the body can cause erectile dysfunction. […] With 30 million Americans currently suffering from erectile dysfunction, a number estimated to rise to 320 million worldwide by 2025, its important to be active in your health care.

• #97 Top 3 Causes of Erectile Dysfunction: Urologist: Michael Rotman, MD: Urologists

  https://www.michaelrotmanurology.com/blog/top-3-causes-of-erectile-dysfunction

  Erectile dysfunction (ED) affects nearly 30 million men and is one of the most common topics of concern men discuss with their doctors. […] Your ED may be a symptom of an underlying health condition. […] High blood sugar caused by diabetes may damage nerve endings, including the ones found in your penis, which may affect sensation and make it more difficult for you to get an erection. […] A decrease in testosterone, which occurs in men as they get older, affects libido and may cause ED. […] Common emotional causes of ED include: Depression or anxiety, Stress at home or work, Poor communication with your sexual partner. […] Prescription medications often have many side effects, some of which may affect your ability to become aroused or sustain an erection. […] Medical treatments, such as surgery or cancer treatments in your abdominal or pelvic region may also affect the nerve endings that provide sensation to your penis and lead to ED.

• #98 Erectile Dysfunction | AAFP

  https://www.aafp.org/pubs/afp/issues/2016/1115/p820.html

  Erectile dysfunction (ED) is the inability to achieve or maintain an erection sufficient for satisfactory sexual performance. ED has vascular, neurologic, psychological, and hormonal causes. Conditions commonly associated with ED include diabetes mellitus, hypertension, hyperlipidemia, obesity, testosterone deficiency, and prostate cancer treatment. Performance anxiety and relationship issues are common psychological causes. […] Many medications cause or exacerbate ED. Antidepressants are a common cause, especially the selective serotonin reuptake inhibitors citalopram (Celexa), fluoxetine (Prozac), paroxetine (Paxil), and sertraline (Zoloft), and the serotonin-norepinephrine reuptake inhibitor venlafaxine. Tobacco, alcohol, and illicit drugs can cause ED. […] ED has been linked to each component of the metabolic syndrome, including increased fasting serum glucose levels, diabetes, hypertension, and abdominal obesity, as well as to an increased risk of cardiovascular disease (CVD).

• #99 Causes of Erectile Dysfunction

  https://www.healthline.com/health/erectile-dysfunction-causes

  Finally, relationship factors can cause ED. Loss of interest in a partner can make it more difficult to get an erection. When sex becomes a chore it can also cause ED. […] Many things can contribute to it, both physical and psychological issues, as can lifestyles and certain medications and medical conditions.

• #100 Erectile Dysfunction | Male impotence – Causes and Treatment | BPAS

  https://www.bpas.org/more-services-information/erectile-dysfunction/

  The most common cause of erectile dysfunction for young men is anxiety. This may include concerns about getting someone pregnant, not wanting to appear inexperienced, or worrying about using a condom without embarrassment or losing your erection while putting a condom on. […] Common causes of erectile dysfunction for middle aged men may include stress, guilt, or having sex with a new partner after many years of monogamy. Other causes may include diabetes. […] Although 70% of men over the age of 70 are still sexually active, erectile dysfunction does get more likely as you get older. This may be linked to the deterioration to the blood vessels that carry blood to the penis, and also to the deterioration of heart or brain arteries. […] Physical reasons for erectile dysfunction may include: Side effects from medication (mainly medication for blood pressure or depression), Other illness or infection, Diabetes, Smoking and or excessive drinking, Being unfit or overweight, Deterioration of the arteries, common in older men especially those with high blood pressure, Use of recreational drugs such as cocaine. […] Psychological reasons for erectile dysfunction may include: Stress, which may be related to sex and or other parts of your life, Concerns about your current sexual relationship(s), Depression and related fatigue, Any feelings of guilt about your sexual performance or your sexual health.

• #101 Erectile Dysfunction: Causes, Symptoms & Treatment Options

  https://familydoctor.org/condition/erectile-dysfunction/

  Problems in your relationship with your sexual partner can also cause erectile dysfunction. Improving your relationship may help your sex life. If you decide to seek therapy, it will probably be most effective if your sex partner is included. […] Certain feelings can lead to erectile dysfunction, including: Feeling nervous about sex. This could be because of a bad experience or a previous episode of ED, Feeling stressed, including work and family stress, Feeling depressed, Feeling self-conscious about your body or performance, Thinking your partner is reacting negatively toward you.

• #102 Symptoms & Causes of Erectile Dysfunction – NIDDK

  https://www.niddk.nih.gov/health-information/urologic-diseases/erectile-dysfunction/symptoms-causes

  Some mental health or emotional issues can either cause ED or make it worse, including anxiety, depression, or stress, feeling isolated or lonely, low self-esteem, lack of confidence, or negative body image. […] Certain lifestyle behaviors may contribute to ED, including not getting enough physical activity, drinking too much alcohol, smoking cigarettes, using recreational and illicit drugs.

• #103 The 6 Primary Causes of Erectile Dysfunction – Precise Men’s Medical

  https://precisemensmedical.com/blog/primary-causes-erectile-dysfunction/

  Kidney diseases like chronic kidney disease are when your kidneys’ function is reduced and it can’t filter the blood as it should. […] Psychological risk factors such as stress and depression are known to be associated with erectile dysfunction. During a depressed state, hormone levels in the brain aren’t enough to stimulate blood flow around the body, including the penis. […] Low self-esteem can lead to sexual performance anxiety, which in turn, can make it hard for men to maintain an erection.

• #104 Symptoms & Causes of Erectile Dysfunction – NIDDK

  https://www.niddk.nih.gov/health-information/urologic-diseases/erectile-dysfunction/symptoms-causes

  Some mental health or emotional issues can either cause ED or make it worse, including anxiety, depression, or stress, feeling isolated or lonely, low self-esteem, lack of confidence, or negative body image. […] Certain lifestyle behaviors may contribute to ED, including not getting enough physical activity, drinking too much alcohol, smoking cigarettes, using recreational and illicit drugs.

• #105 Symptoms & Causes of Erectile Dysfunction – NIDDK

  https://www.niddk.nih.gov/health-information/urologic-diseases/erectile-dysfunction/symptoms-causes

  Some mental health or emotional issues can either cause ED or make it worse, including anxiety, depression, or stress, feeling isolated or lonely, low self-esteem, lack of confidence, or negative body image. […] Certain lifestyle behaviors may contribute to ED, including not getting enough physical activity, drinking too much alcohol, smoking cigarettes, using recreational and illicit drugs.

• #106 Erectile Dysfunction | Conditions | UCSF Health

  https://www.ucsfhealth.org/conditions/erectile-dysfunction

  Erectile Dysfunction, or ED, is difficulty or inability to attain and maintain an erection sufficient for satisfactory sexual activity. […] A variety of factors frequently in combination can cause ED. These factors include neurological, hormonal and vascular disorders, as well as the natural aging process and certain chronic diseases. […] The single biggest factor associated with ED is aging. […] Having any of the following can elevate ED risk: Chronic medical conditions, such as cancer, high blood pressure, high cholesterol, heart disease or diabetes […] ED is most commonly related to aging, but it also has a wide range of psychological, neurological, vascular, hormonal and pharmaceutical causes, and may result from radiation and surgical treatments for prostate and bladder cancer.

• #107 Erectile Dysfunction – Genitourinary Disorders – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/genitourinary-disorders/male-sexual-function-and-dysfunction/erectile-dysfunction

  Erectile dysfunction is the inability to attain or sustain an erection satisfactory for sexual intercourse. Most erectile dysfunction is related to vascular, neurologic, psychological, and hormonal disorders; use of a medication can also be a cause. […] The prevalence of ED increases with age, affecting the majority of men aged 50 years. ED significantly impairs patients mental health and relationships. […] Primary ED is rare and is almost always due to psychological factors or clinically obvious anatomic abnormalities. […] Secondary ED is more common, and 90% of cases have an organic etiology. Many men with secondary ED develop reactive psychological difficulties that compound the problem. […] Psychological factors must be considered in every case of ED. Psychological causes of primary ED include guilt, fear of intimacy, depression, or anxiety. In secondary ED, causes may relate to performance anxiety, stress, or depression.

• #108 Erectile dysfunction in young men: Causes and treatments

  https://www.medicalnewstoday.com/articles/316215

  Erectile dysfunction becomes more likely with age, as testosterone levels fall. […] However, it can also affect younger males due to factors such as stress, excess weight, and some underlying health conditions. […] Erectile dysfunction (ED), once called impotence, occurs when the penis does not receive enough blood to produce an erection for satisfactory intercourse. […] According to some estimates, ED affects 30 million males in the United States alone. […] Age is a main risk factor for ED. According to some estimates, males have a 40% chance of having some form of ED by their 40s. The risk then increases about 10% per decade. […] However, as people get older, they are more likely to develop medical conditions that increase the risk of ED. These include: type 2 diabetes, high blood pressure, or hypertension, a buildup of plaque in the arteries, called atherosclerosis, low testosterone levels, or hypogonadism, obesity.

• #109 Erectile dysfunction in young men: Causes and treatments

  https://www.medicalnewstoday.com/articles/316215

  Erectile dysfunction becomes more likely with age, as testosterone levels fall. […] However, it can also affect younger males due to factors such as stress, excess weight, and some underlying health conditions. […] Erectile dysfunction (ED), once called impotence, occurs when the penis does not receive enough blood to produce an erection for satisfactory intercourse. […] According to some estimates, ED affects 30 million males in the United States alone. […] Age is a main risk factor for ED. According to some estimates, males have a 40% chance of having some form of ED by their 40s. The risk then increases about 10% per decade. […] However, as people get older, they are more likely to develop medical conditions that increase the risk of ED. These include: type 2 diabetes, high blood pressure, or hypertension, a buildup of plaque in the arteries, called atherosclerosis, low testosterone levels, or hypogonadism, obesity.

• #110 Erectile dysfunction in young men: Causes and treatments

  https://www.medicalnewstoday.com/articles/316215

  Erectile dysfunction becomes more likely with age, as testosterone levels fall. […] However, it can also affect younger males due to factors such as stress, excess weight, and some underlying health conditions. […] Erectile dysfunction (ED), once called impotence, occurs when the penis does not receive enough blood to produce an erection for satisfactory intercourse. […] According to some estimates, ED affects 30 million males in the United States alone. […] Age is a main risk factor for ED. According to some estimates, males have a 40% chance of having some form of ED by their 40s. The risk then increases about 10% per decade. […] However, as people get older, they are more likely to develop medical conditions that increase the risk of ED. These include: type 2 diabetes, high blood pressure, or hypertension, a buildup of plaque in the arteries, called atherosclerosis, low testosterone levels, or hypogonadism, obesity.

• #111 5 common causes of erectile dysfunction – Vital Record

  https://vitalrecord.tamu.edu/5-common-causes-of-erectile-dysfunction/

  It’s not just an inevitable part of growing older common causes of erectile dysfunction […] Also known as ED or impotence, erectile dysfunction occurs when a man is unable to get or keep an erection firm enough to engage in sexual intercourse. […] The likelihood of erectile dysfunction does increase with age (22 percent of men over the age of 60 and 30 percent of men over the age of 70 suffer from impotence), but its not an inevitable part of growing older. Instead, the cause is more likely related to an underlying physical or psychological condition. […] Serious medical conditions, such as heart disease, could be the origin of your erectile dysfunction. […] Atherosclerosis, the narrowing of blood vessels throughout parts of the body, is believed to be the most common cause of erectile dysfunction and a warning sign of a future heart attack or stroke.

• #112 Erectile dysfunction – Wikipedia

  https://en.wikipedia.org/wiki/Erectile_dysfunction

  Causes of or contributors to ED include the following: Diets high in saturated fat are linked to heart diseases, and males with heart diseases are more likely to experience ED. By contrast, plant-based diets show a lower risk for ED. […] Prescription drugs (e.g., SSRIs, beta blockers, antihistamines, alpha-2 adrenergic receptor agonists, thiazides, hormone modulators, and 5α-reductase inhibitors) […] Neurogenic disorders (e.g., diabetic neuropathy, temporal lobe epilepsy, multiple sclerosis, Parkinson’s disease, multiple system atrophy) […] Cavernosal disorders (e.g., Peyronie’s disease) […] Hyperprolactinemia (e.g., due to a prolactinoma) […] Psychological causes: performance anxiety, stress, and mental disorders […] Surgery (e.g., radical prostatectomy) […] Ageing: after age 40 years, ageing itself is a risk factor for ED, although numerous other pathologies that may occur with ageing, such as testosterone deficiency, cardiovascular diseases, or diabetes, among others, appear to have interacting effects

• #113 Erectile Dysfunction | Conditions | UCSF Health

  https://www.ucsfhealth.org/conditions/erectile-dysfunction

  Aging causes a progressive decline in sexual function even in healthy patients. […] ED is the most common side effect of both surgical and radiation treatments for prostate cancer. […] Depression and performance anxiety both can lead to ED. […] Penile erection depends on an intact nervous system, so any neurological injury or disease can cause ED. […] Anything that decreases circulating testosterone in the body, including undergoing chemical or surgical castration or hormone therapy for prostate cancer, decreases libido and may make natural erections more difficult. […] A variety of conditions and habits can damage penile blood vessels over time and contribute to ED. […] ED is common in patients with diabetes, cirrhosis (liver scarring), chronic kidney failure and many other chronic medical issues. […] Many types of drugs are associated with developing ED.

• #114 Erectile Dysfunction (Impotence) | University Hospitals

  https://www.uhhospitals.org/health-information/health-and-wellness-library/article/diseases-and-conditions/impotenceerectile-dysfunction

  Nervous system causes. Several nervous system problems can lead to ED. These include multiple sclerosis, stroke, and spinal cord and nerve injuries. Nerve damage from pelvic surgeries can cause ED. […] Medicine-induced impotence. Blood pressure medicines, anti-anxiety and antidepressant medicines, glaucoma eye drops, and cancer chemotherapy medicines are just some of the many medicines that can cause ED. […] Hormone-induced impotence. Hormone abnormalities can cause ED. These include increased prolactin, a hormone made by the pituitary gland. They also include steroid abuse by bodybuilders, too much or too little thyroid hormone, and hormones used to treat prostate cancer. Low testosterone can also cause ED. […] Low testosterone. Low testosterone can be linked to ED. […] Lifestyle choices. Smoking, excessive alcohol use, being overweight, and not exercising can also lead to ED.

• #115 Understanding What Causes Erectile Dysfunction – BuzzRx Select permission for Location

  https://www.buzzrx.com/blog/what-causes-ed

  An unhealthy diet and obesity (excess body weight) can contribute to erectile dysfunction. […] Men who do not get regular physical activity are at risk of a host of health problems, including high blood pressure, high cholesterol, diabetes, and obesity. […] Heavy alcohol consumption and use of other types of substances (drugs such as cocaine, heroin, and marijuana) damage blood vessels and decrease nitric oxide levels. […] Tobacco use is a known risk factor for erectile dysfunction. […] The most common cause of erectile dysfunction is a condition that affects blood flow to the penis, for example, cardiovascular disease, peripheral artery disease, high blood pressure, diabetes, high cholesterol, Peyronie disease, smoking, and alcohol use. […] Yes, erectile dysfunction can be cured. ED treatment depends on the underlying cause and may include lifestyle changes, medications, the use of penile devices, surgery, and/or psychological counseling.

• #116 Erectile Dysfunction (Impotence)

  https://www.webmd.com/erectile-dysfunction/understanding-erectile-dysfunction-basics

  In younger men, psychological problems are the most likely reason for ED. Poor communication with your partner, or differences in sexual preferences, can lead to tension and anxiety. […] Alcohol is a sedative, so heavy drinking can make you too sleepy to perform. Drinking a lot of alcohol can also slow the flow of messages from the brain down the spinal cord. […] The treatment for your ED will depend on what’s causing it, as well as what you and your partner think will work best. Your doctor can help you decide. Treatments include medications, lifestyle changes, counseling, vacuum devices, and surgery. […] You’re more likely to develop ED if you have heart disease, high blood pressure, diabetes, and certain chronic diseases. Taking steps to avoid or manage these conditions effectively may help prevent ED.

• #117 Understand 10 Causes of Erectile Dysfunction – Samaritan Health Servicescircle-chevronemailfacebookSHS AffiliateinstagramlinkedinMyChart IconMyHealthPlan IconphonepinterestSearch Iconsilhouettetwitteryoutube

  https://samhealth.org/news/understand-10-causes-of-erectile-dysfunction/

  Research published in the journal Diabetes Care found that 58% of men with diabetes reported frequent or occasional ED. This can occur if blood sugars are poorly controlled and there has been damage to the blood vessels or nerves. […] Several studies have linked depression and ED. According to research published in the Journal of Urology, depression increases the risk of ED and having ED increases the risk of depression. […] Testosterone is the main sex hormone in men. If testosterone levels drop below the normal range, the result can be an inability to get and keep an erection. […] A prospective study published in The American Journal of Medicine found that physical inactivity was an independent risk factor for developing ED. […] Obstructive sleep apnea is a sleep-breathing disorder characterized by the cycle of stopping breathing during sleep, waking up briefly, then falling back asleep only to stop breathing again, up to hundreds of times throughout the night. […] The reasons for erectile dysfunction can be complicated, and many men have more than one contributing factor.

• #118 Erection Problems (Erectile Dysfunction) Causes: Cancer, Diabetes, and Other Physical Conditions

  https://www.webmd.com/erectile-dysfunction/understanding-ed-causes

  A lot goes into achieving an erection. When you’re turned on, nerves fire in your brain. Blood then flows into your penis. If all goes well, youre ready for sex. […] Sometimes, all does not go well. Occasional problems arent anything that need treatment. If issues happen more often, you may have erectile dysfunction or ED. […] There are many things that can lead to ED. Some are psychological, and some are physical: […] Stress and anxiety. These are leading causes of temporary ED. If your minds too occupied, its hard to relax enough to be in the mood. […] Being overweight. Carrying extra pounds raises your risk of blood vessel disease, a cause of ED. […] Inactive lifestyle. If you want to reduce your chance of getting ED, get off the couch. Regular exercise can help to make sure that when the time comes, youre ready.

• #119 The Causes of Erectile Dysfunction: A Comprehensive GuideAccessibility ToolsIncrease TextDecrease TextGrayscaleHigh ContrastNegative ContrastLight BackgroundLinks UnderlineReadable FontReset

  https://www.iowauro.com/blog/the-causes-of-erectile-dysfunction-a-comprehensive-guide

  Consuming Excessive Alcohol: Chronic alcohol use can interfere with the nervous system and lead to sexual dysfunction. […] Drug Abuse: Illicit drugs like cocaine and methamphetamines can cause erectile dysfunction. […] Obesity: Obesity is associated with various health conditions, such as diabetes and heart disease, which are risk factors for erectile dysfunction. Even being 10 pounds overweight can significantly impact sexual function. […] Sedentary Lifestyle: Lack of physical activity can contribute to obesity and blood vessel disorders, which can impact erectile function. […] Poor Diet: Diets high in sugar, saturated fats, and processed foods can contribute to obesity and cardiovascular disease, which we know can lead to sexual problems. […] Age: Although age is not a direct cause of erectile issues, aging is associated with the natural decline in testosterone levels. Low testosterone levels can increase the risk of erectile dysfunction. […] Sleep Difficulties: Certain sleep disorders like sleep apnea can contribute to erectile dysfunction due to the disruption in oxygen supply and the effect on your overall health. […] Erectile dysfunction can have many potential causes, and most often, it is caused by more than one factor.

• #120 Erectile dysfunction – Wikipedia

  https://en.wikipedia.org/wiki/Erectile_dysfunction

  Causes of or contributors to ED include the following: Diets high in saturated fat are linked to heart diseases, and males with heart diseases are more likely to experience ED. By contrast, plant-based diets show a lower risk for ED. […] Prescription drugs (e.g., SSRIs, beta blockers, antihistamines, alpha-2 adrenergic receptor agonists, thiazides, hormone modulators, and 5α-reductase inhibitors) […] Neurogenic disorders (e.g., diabetic neuropathy, temporal lobe epilepsy, multiple sclerosis, Parkinson’s disease, multiple system atrophy) […] Cavernosal disorders (e.g., Peyronie’s disease) […] Hyperprolactinemia (e.g., due to a prolactinoma) […] Psychological causes: performance anxiety, stress, and mental disorders […] Surgery (e.g., radical prostatectomy) […] Ageing: after age 40 years, ageing itself is a risk factor for ED, although numerous other pathologies that may occur with ageing, such as testosterone deficiency, cardiovascular diseases, or diabetes, among others, appear to have interacting effects

• #121 Understand 10 Causes of Erectile Dysfunction – Samaritan Health Servicescircle-chevronemailfacebookSHS AffiliateinstagramlinkedinMyChart IconMyHealthPlan IconphonepinterestSearch Iconsilhouettetwitteryoutube

  https://samhealth.org/news/understand-10-causes-of-erectile-dysfunction/

  Research published in the journal Diabetes Care found that 58% of men with diabetes reported frequent or occasional ED. This can occur if blood sugars are poorly controlled and there has been damage to the blood vessels or nerves. […] Several studies have linked depression and ED. According to research published in the Journal of Urology, depression increases the risk of ED and having ED increases the risk of depression. […] Testosterone is the main sex hormone in men. If testosterone levels drop below the normal range, the result can be an inability to get and keep an erection. […] A prospective study published in The American Journal of Medicine found that physical inactivity was an independent risk factor for developing ED. […] Obstructive sleep apnea is a sleep-breathing disorder characterized by the cycle of stopping breathing during sleep, waking up briefly, then falling back asleep only to stop breathing again, up to hundreds of times throughout the night. […] The reasons for erectile dysfunction can be complicated, and many men have more than one contributing factor.

• #122 Erectile Dysfunction (ED): Main Causes, Treatment, Drugs, Cure

  https://www.medicinenet.com/erectile_dysfunction_ed_impotence/article.htm

  Low testosterone levels: Testosterone (the primary sex hormone in men) is not only necessary for sex drive (libido) but also is necessary to maintain nitric oxide levels in the penis. […] Medications: Many common medicines produce erectile dysfunction as a side effect. […] Depression and anxiety: Psychological factors may be responsible for erectile dysfunction. […] The common risk factors for ED include the following: Advanced age, Cardiovascular disease, Hypertension, Diabetes mellitus, High cholesterol, Cigarette smoking, Recreational drug use, Depression or other psychiatric disorders, Pelvic surgery, including radical prostatectomy and colorectal surgery, Pelvic radiation, such as for prostate cancer and some colorectal cancers, Trauma to the pelvis (pelvic fracture), penis (penile fracture), and perineum.

• #123 Erectile Dysfunction | AAFP

  https://www.aafp.org/pubs/afp/issues/2016/1115/p820.html

  Patients with diabetes are three times more likely to develop ED, and a longer duration of diabetes is strongly associated with ED. Metabolic syndrome is associated with a 2.6-fold increase in the incidence of ED, and the fasting blood glucose level is the component associated with the highest risk of ED. […] ED and CVD share similar risk factors, including older age, hypertension, dyslipidemia, smoking, obesity, and diabetes. ED is associated with an increased risk of CVD, coronary artery disease (CAD), stroke, and all-cause mortality, and it is probably an independent risk factor for CVD. […] ED typically occurs two to five years before CAD, providing a potential window during which men diagnosed with ED can make lifestyle changes to prevent CAD.

• #124 Erectile Dysfunction | AAFP

  https://www.aafp.org/pubs/afp/issues/2016/1115/p820.html

  Patients with diabetes are three times more likely to develop ED, and a longer duration of diabetes is strongly associated with ED. Metabolic syndrome is associated with a 2.6-fold increase in the incidence of ED, and the fasting blood glucose level is the component associated with the highest risk of ED. […] ED and CVD share similar risk factors, including older age, hypertension, dyslipidemia, smoking, obesity, and diabetes. ED is associated with an increased risk of CVD, coronary artery disease (CAD), stroke, and all-cause mortality, and it is probably an independent risk factor for CVD. […] ED typically occurs two to five years before CAD, providing a potential window during which men diagnosed with ED can make lifestyle changes to prevent CAD.

• #125 Erectile Dysfunction – StatPearls – NCBI BookshelfTwitterFacebookLinkedInGitHubNCBI Insights BlogTwitterFacebookYoutube

  https://www.ncbi.nlm.nih.gov/books/NBK562253/

  Other causes of ED include neurological diseases (such as multiple sclerosis), hormonal causes (hypogonadism, thyroid), traumatic (eg, pelvic fractures, spinal cord injuries), hyperlipidemia, stroke, sleep apnea, COPD, glaucoma, multiple sclerosis, sequela of priapism, depression, prostatic hyperplasia with lower urinary symptoms (BPH with LUTS), iatrogenic (eg, post transurethral resection of the prostate) and a variety of medications (antidepressants, antihypertensives, antipsychotics, opioids, and recreational drugs). […] Cardiovascular disease is a very significant risk factor for ED. Almost 50% of men with known coronary artery disease proven by cardiac catheterization have significant ED. Part of the reason for this is that the coronary arteries and the penile cavernosal arteries are similar in size and tend to develop atherosclerotic problems similarly. Since the cavernosal arteries are small, they can develop blockages from atherosclerotic plaques earlier, resulting in vasculogenic ED years before the clinical appearance of coronary artery disease. Both cardiovascular disease and ED involve endothelial cell dysfunction in their pathophysiology. […] Besides cardiovascular disease, there are strong correlations between ED, hypertension, hyperlipidemia, diabetes, hypogonadism, obesity, smoking, alcoholism, benign prostatic hyperplasia (BPH) with lower urinary symptoms (LUTS), depression, and premature ejaculation.

• #126 Erectile Dysfunction | AAFP

  https://www.aafp.org/pubs/afp/issues/2016/1115/p820.html

  Patients with diabetes are three times more likely to develop ED, and a longer duration of diabetes is strongly associated with ED. Metabolic syndrome is associated with a 2.6-fold increase in the incidence of ED, and the fasting blood glucose level is the component associated with the highest risk of ED. […] ED and CVD share similar risk factors, including older age, hypertension, dyslipidemia, smoking, obesity, and diabetes. ED is associated with an increased risk of CVD, coronary artery disease (CAD), stroke, and all-cause mortality, and it is probably an independent risk factor for CVD. […] ED typically occurs two to five years before CAD, providing a potential window during which men diagnosed with ED can make lifestyle changes to prevent CAD.

• #127 Content – Health Encyclopedia – University of Rochester Medical Center

  https://www.urmc.rochester.edu/Encyclopedia/content.aspx?ContentTypeID=85&ContentID=P01482

  Nervous system causes. Several nervous system problems can lead to ED. These include multiple sclerosis, stroke, and spinal cord and nerve injuries. Nerve damage from pelvic surgeries can cause ED. […] Medicine-induced impotence. Blood pressure medicines, anti-anxiety and antidepressant medicines, glaucoma eye drops, and cancer chemotherapy medicines are just some of the many medicines that can cause ED. […] Hormone-induced impotence. Hormone abnormalities can cause ED. These include increased prolactin, a hormone made by the pituitary gland. They also include steroid abuse by bodybuilders, too much or too little thyroid hormone, and hormones used to treat prostate cancer. Low testosterone can also cause ED. […] Low testosterone. Low testosterone can be linked to ED. […] There are many different types and causes of ED. Mental health problems, physical problems, certain diseases and health conditions, certain prescription medicines, and lifestyle choices have all been linked to ED. […] ED can be treated. Treatments are based on the cause of the problem and can range from lifestyle changes to prescription medicines to penile implants.

• #128 Erectile Dysfunction (ED): Main Causes, Treatment, Drugs, Cure

  https://www.medicinenet.com/erectile_dysfunction_ed_impotence/article.htm

  Metabolic syndrome is associated with multiple risk factors for erectile dysfunction including: Diabetes, Abnormal lipid profile, Hypertension, Obesity. […] Cigarette smoking: Cigarette smoking aggravates atherosclerosis and can cause vasospasm (spasms of the arteries) thereby increasing the risk for erectile dysfunction. […] Nerve or spinal cord damage: Damage to the spinal cord and nerves in the pelvis can cause erectile dysfunction. […] BPH: Benign enlargement of the prostate is associated with erectile dysfunction. […] Trauma: Trauma to the pelvis, including pelvic fracture, may cause erectile dysfunction, and an untreated penile fracture may result in erectile dysfunction. […] Substance abuse: Marijuana, heroin, cocaine, methamphetamine, crystal meth, and narcotic and alcohol abuse contribute to erectile dysfunction.

• #129 Erection Problems (Erectile Dysfunction) Causes: Cancer, Diabetes, and Other Physical Conditions

  https://www.webmd.com/erectile-dysfunction/understanding-ed-causes

  Sometimes, another disease will lead to ED, including: […] Diabetes: Nerves and blood vessels that aid in getting you ready for sex are damaged by this. Your chances of ED can double if your diabetes is not well-controlled. […] Kidney disease: Along with the other issues associated with kidney disease, your hormones, blood flow to your penis, and your nervous system — all vital for getting an erection — are affected. It can also sap your energy and sex drive. […] Nerve and brain disorders: You can’t get an erection without help from your nervous system. Things like stroke, multiple sclerosis, Alzheimer’s disease, and Parkinson’s disease disrupt vital signals. […] Blood vessel diseases: These can slow the flow of blood, making your bodys preparation for sex difficult. Narrowed or blocked arteries, high blood pressure, and high cholesterol are among the most common causes of ED.

• #130 Erectile Dysfunction (ED)

  https://uvahealth.com/services/mens-health/erectile-dysfunction-ed

  Erectile dysfunction (ED) or impotence is the inability to attain or maintain an erection of the penis that is firm enough for sexual intercourse. […] The following factors can cause erectile dysfunction. […] Problems with the nerves and blood vessels can cause impotence. Conditions that can cause problems include: Nerve dysfunction can reduce feeling in the penis, resulting in impotence. […] Emotional problems may play a role in men who suddenly develop impotence. […] Factors that increase your chance of developing impotence include: Age: 65 and older, Race: Hispanic, Obesity, Medical conditions: Diabetes, Hardening of arteries, Chronic kidney disease, Liver failure, Peyronie’s disease bending of the penis caused by scar tissue, Endocrine disorders, Neurological disorders such as multiple sclerosis, peripheral neuropathy and stroke, Hypertension, Psychiatric disorders, such as anxiety and depression. […] Vascular surgery repairs the blood vessel leaks.

• #131 Erectile Dysfunction – Genitourinary Disorders – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/genitourinary-disorders/male-sexual-function-and-dysfunction/erectile-dysfunction

  Erectile dysfunction is the inability to attain or sustain an erection satisfactory for sexual intercourse. Most erectile dysfunction is related to vascular, neurologic, psychological, and hormonal disorders; use of a medication can also be a cause. […] The prevalence of ED increases with age, affecting the majority of men aged 50 years. ED significantly impairs patients mental health and relationships. […] Primary ED is rare and is almost always due to psychological factors or clinically obvious anatomic abnormalities. […] Secondary ED is more common, and 90% of cases have an organic etiology. Many men with secondary ED develop reactive psychological difficulties that compound the problem. […] Psychological factors must be considered in every case of ED. Psychological causes of primary ED include guilt, fear of intimacy, depression, or anxiety. In secondary ED, causes may relate to performance anxiety, stress, or depression.

• #132 The Causes of Erectile Dysfunction: A Comprehensive GuideAccessibility ToolsIncrease TextDecrease TextGrayscaleHigh ContrastNegative ContrastLight BackgroundLinks UnderlineReadable FontReset

  https://www.iowauro.com/blog/the-causes-of-erectile-dysfunction-a-comprehensive-guide

  Consuming Excessive Alcohol: Chronic alcohol use can interfere with the nervous system and lead to sexual dysfunction. […] Drug Abuse: Illicit drugs like cocaine and methamphetamines can cause erectile dysfunction. […] Obesity: Obesity is associated with various health conditions, such as diabetes and heart disease, which are risk factors for erectile dysfunction. Even being 10 pounds overweight can significantly impact sexual function. […] Sedentary Lifestyle: Lack of physical activity can contribute to obesity and blood vessel disorders, which can impact erectile function. […] Poor Diet: Diets high in sugar, saturated fats, and processed foods can contribute to obesity and cardiovascular disease, which we know can lead to sexual problems. […] Age: Although age is not a direct cause of erectile issues, aging is associated with the natural decline in testosterone levels. Low testosterone levels can increase the risk of erectile dysfunction. […] Sleep Difficulties: Certain sleep disorders like sleep apnea can contribute to erectile dysfunction due to the disruption in oxygen supply and the effect on your overall health. […] Erectile dysfunction can have many potential causes, and most often, it is caused by more than one factor.

• #133 Erectile dysfunction | NHS inform

  https://www.nhsinform.scot/illnesses-and-conditions/sexual-and-reproductive/erectile-dysfunction-impotence/

  Erectile dysfunction can often have both physical and psychological causes. For example, if you have diabetes, it may be difficult for you to get an erection, which may cause you to become anxious about the situation. The combination of diabetes and anxiety may lead to an episode of erectile dysfunction. […] Other possible causes of erectile dysfunction include: excessive alcohol intake; tiredness; using illegal drugs, such as cannabis, heroin or cocaine.

• #134 Erectile Dysfunction | AAFP

  https://www.aafp.org/pubs/afp/issues/2016/1115/p820.html

  Patients with diabetes are three times more likely to develop ED, and a longer duration of diabetes is strongly associated with ED. Metabolic syndrome is associated with a 2.6-fold increase in the incidence of ED, and the fasting blood glucose level is the component associated with the highest risk of ED. […] ED and CVD share similar risk factors, including older age, hypertension, dyslipidemia, smoking, obesity, and diabetes. ED is associated with an increased risk of CVD, coronary artery disease (CAD), stroke, and all-cause mortality, and it is probably an independent risk factor for CVD. […] ED typically occurs two to five years before CAD, providing a potential window during which men diagnosed with ED can make lifestyle changes to prevent CAD.

• #135 5 Common Erectile Dysfunction Causes | University of Utah Health

  https://healthcare.utah.edu/healthfeed/2021/01/5-common-erectile-dysfunction-causes

  Erectile dysfunction (ED) is when you can’t get and maintain a satisfying erection for sex. ED affects more than 30 million men in the United States. […] There could be a health condition contributing to your erectile dysfunction. […] Many men are uncomfortable speaking with their physician about erectile dysfunction symptoms. However, it is important to treat your symptoms as ED can be a warning sign of current or future heart disease. […] ED often happens before coronary artery disease in almost 70% of cases. […] Diabetes is the second most common cause of erectile dysfunction. Half of men with diabetes will experience ED within ten years of their diagnosis. […] High blood sugar levels can damage the nerves that control sexual stimulation. […] Pelvic surgeries are a common cause of sexual dysfunction. Erectile dysfunction is a potential complication following prostate cancer surgery.

• #136 Erectile Dysfunction (ED) – Men’s Health Issues – Merck Manual Consumer Version

  https://www.merckmanuals.com/home/men-s-health-issues/sexual-function-and-dysfunction-in-men/erectile-dysfunction-ed

  Testosterone therapy may help restore erectile function in men with low serum testosterone levels and ED, but a low testosterone level is not a common cause of ED. […] Most men with ED may be successfully treated with an oral phosphodiesterase inhibitor such as sildenafil, vardenafil, avanafil, or tadalafil. […] Vacuum erection devices and penile prosthesis surgery are effective treatments for men with severe ED.

• #137 Erectile Dysfunction | University of Michigan Health

  https://www.uofmhealth.org/conditions-treatments/adult-urology/erectile-dysfunction

  Erectile dysfunction (ED) is an extremely common condition that can have far-reaching consequences on the self-esteem and relationships of those involved. […] There are several underlying causes that contribute to ED: arteriogenic, venogenic, endocrinologic, neurologic, psychological, and medicinal. Vascular disease, such as hypertension, is one of the most common causes of organic ED and as the severity of hypertension increases, so do reports of ED severity from patients. […] Many men will complain of erectile problems and will self-refer for evaluation of erectile issues in the absence of any disease. In these cases ED may provide a clue to the subtle onset of numerous systemic diseases. ED can be successfully treated even without the knowledge of the precise nature of its cause. […] Medical management of erectile dysfunction can be very successful, and patients may typically progress from less invasive to more invasive options.

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