Erectile dysfunction (ED) means you can’t get or keep an erection firm enough for sex. Several factors contribute. Physical causes include heart disease, high blood pressure, high cholesterol, and diabetes. These conditions damage blood vessels, hindering blood flow to the penis.
Neurological problems, such as multiple sclerosis or nerve damage from surgery, also interfere with the signals that trigger erections. Hormonal imbalances, particularly low testosterone, frequently play a role. Smoking constricts blood vessels, further impeding blood flow. Obesity reduces nitric oxide production, crucial for achieving an erection.
Medication side effects are another significant factor. Some antidepressants, blood pressure medications, and prostate medications can cause ED as an unintended consequence. Lifestyle choices matter significantly. Lack of exercise, poor diet, and excessive alcohol consumption negatively impact cardiovascular health and erectile function.
Psychological factors, including stress, anxiety, and depression, can disrupt the complex interplay of physical and mental processes required for an erection. Relationship problems and performance anxiety also contribute to ED. A doctor can help identify the underlying cause of your ED and recommend appropriate treatment options.