Erectile dysfunction (impotence) is the inability to obtain and maintain an adequate hard erection for sexual activity.

Having occasional erection problems is not always cause for alarm. However, if erectile dysfunction persists, it can create stress, undermine self-confidence, and contribute to marital troubles. Having difficulty obtaining or maintaining an erection can also indicate an underlying health problem that requires treatment and a risk factor for heart disease.

If you are worried about erectile problems, talk to a physician even if uncomfortable. Sometimes, treating the root issue is enough to stop the erectile dysfunction. In other instances, it may require medication or other treatment.

The Signs of Erectile Dysfunction

Erectile dysfunction symptoms might include persistent:

  • Trouble getting an erection.
  • It is challenging to keep an erection.
  • Reduced sexual desire

When should you see a doctor?

A visit to the family doctor is an excellent place to begin for erectile issues. See a doctor if:

  • There are concerns regarding erections or other sexual problems like delay or premature ejaculation.
  • Suffering from a heart condition, diabetes, or another medical condition that could be related to erectile dysfunction.
  • Other signs go as well as Erectile dysfunction.

The Reasons for Erectile Dysfunction

In men, sexual arousal is a complex process involving the brain, hormones, emotions, nerves, blood vessels, and muscles. Erectile dysfunction may result from problems with any one of these. Additionally, stress and mental health problems can cause or exacerbate the condition.

Sometimes, a combination and mental issues can cause erectile dysfunction. For instance, a minor physical problem that reduces sexual activity could trigger anxiety over maintaining an erection. The stress that follows could lead to or even worsen erectile dysfunction.

Physical causes of Erectile dysfunction

In many instances, Erectile dysfunction is caused by physical factors. The most common causes are:

  • Heart disease
  • Blood vessels that are blocked (atherosclerosis)
  • High cholesterol
  • High blood pressure
  • Diabetes
  • Obesity
  • Metabolic syndrome is an illness that causes elevated blood pressure, high levels of insulin and belly fat, and high cholesterol levels.
  • Parkinson’s Disease
  • Multiple Sclerosis
  • Certain prescription drugs
  • Tobacco use
  • Peyronie’s Disease — the growth of scar tissue in the penis
  • Alcoholism and various other types of abuse
  • Sleep disorders
  • Prostate cancer treatments or an enlarged prostate
  • Injuries or surgeries which affect the pelvic region or the spinal cord
  • Low testosterone

Erectile dysfunction is a psychological issue that can be attributed to psychological causes.

The brain plays a crucial function in triggering physical triggers that lead to an erection. It all starts with feelings of exuberance. Various factors can affect sexual sensations and lead to or worsen the condition of erectile dysfunction. They include:

  • Depression, anxiety, or any other mental health problems
  • Stress
  • Relationship issues result from stress, ineffective communication, or any other issue.

Risk factors

The erections may become more challenging to get with age and may not be as strong. In addition, you may require a more precise contact with the penis to maintain and get an erection.

Many risk factors can cause erectile dysfunction, for example:

  • Medical ailments, particularly diabetes or heart problems
  • Tobacco consumption, which restricts blood flow to arteries and veins and arteries, may create chronic health issues that can cause erectile dysfunction.
  • Obesity, especially if someone is overweight.
  • Specific medical procedures, such as prostate surgery or radiation therapy for cancer
  • Ailments, mainly if they cause damage to the nerves or the arteries that regulate the erections.
  • Medical treatments, including antidepressants, antihistamines, and other medications for treating high blood pressure, prostate or pain
  • Psychological disorders, such as stress or anxiety, or depression
  • Alcohol and drug use, especially if someone a frequent drinking or drug addict.

Complications of Erectile Dysfunction

Erectile dysfunction related complications may be:

  • A sex life that is not satisfying when you have erectile dysfunction
  • Anxiety or stress
  • Self-esteem or embarrassment
  • Problems with relationships
  • The inability to get your partner pregnant


The most effective way to avoid erectile dysfunction is by making healthy lifestyle choices and taking care of any health issues that are present. Examples:

  • Consult with a physician to control the effects of diabetes, heart disease, or any other chronic health problems.
  • Visit a physician regularly for examinations or medical tests for screening.
  • Reduce or quit smoking cigarettes, abstain from alcohol, and never take illegal drugs.
  • Exercise regularly.
  • Make steps to lessen stress.
  • Find help for depression, anxiety, or other mental health problems.

Psychosocial history

The doctor may ask questions or require you to take a survey about symptoms, health history, and sexual past. The answers will aid in determining the extent of the ED.

The types of questions they can inquire about may include:

  • How many years has the patient experienced ED? Was it sudden or slow?
  • Is he having issues experiencing the sexual urge, ejaculating, or getting an orgasm?
  • How often do you experience sexual encounters? Did this frequency change recently?
  • How are the erections? Do you notice any changes in this? Circumstances or stimulation types?
  • Do you awake in the early morning or even in the middle of the night with sexual erections?
  • How is the relationship going? Are there any expectations you or your spouse have for one another? Are there any new expectations?
  • Have you been feeling lots of anxiety?
  • What are the medications you’re currently taking? Do you consume tobacco or alcohol? Or other nonprescription substances?
  • Do you have any other underlying medical conditions? Or have you undergone any procedure or injuries in the pelvic region?


To help you manage the symptoms of ED, your doctor may prescribe medication. You may have to test a few different medicines before finding one that works. To help treat ED, the following oral drugs promote blood flow to your penis:

avanafil is a drug that is used to treat erect (Stendra)

sildenafil citrate (Viagra)

tadalafil (Cialis)

Vardenafil (Levitra, Staxyn) and Alprostadil (Caverject, Edex, MUSE) are two other ED medications. It’s available in two forms: as a suppository for the penis or as a self-injection at the base or side of the penis.

Alprostadil is rarely used alone as an injection; instead, the combination medicine Trimix (alprostadil, phentolamine, and papaverine) is utilized.

Your doctor may recommend testosterone replacement treatment (TRT) if your testosterone levels are low.

ED can be caused by medications taken for various reasons. Discuss your drugs with your doctor to see if they’re the source of your symptoms. You might be able to substitute another option. Do not discontinue taking medications without consulting your doctor first.

Side effects are possible with ED medications. Consult your doctor if you’re experiencing any unpleasant side effects. They might be able to suggest a different treatment. Also, find out more about the drugs used to treat ED.

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