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Understanding erectile dysfunction

Erectile dysfunction (ED), also known as impotence, is the inability to get and maintain an erection. It is a common condition that affects up to one in five men over the age of 40. It can be caused by physical or psychological factors, or a combination of both.

Physical causes of ED include:

• cardiovascular disease
• high cholesterol
• high blood pressure
• obesity
• metabolic syndrome – a combination of high blood pressure, high cholesterol and obesity
• hormonal problems, such as low levels of testosterone
• neurological problems, such as Parkinson’s disease or multiple sclerosis (MS)
• injury to the nerves that control erections
• injury to the penis, such as from prostate cancer surgery
• chronic illnesses, such as diabetes or kidney disease
• certain medications, such as antidepressants, antihistamines and blood pressure medications
• substance abuse, such as alcohol or drug abuse

Psychological causes of ED include:

• anxiety
• depression
• stress
• relationship problems

ED can also be caused by a combination of physical and psychological factors.

Treatment for ED will depend on the underlying cause. In some cases, medication or surgery may be required.

Cardiovascular disease

Cardiovascular disease is the most common cause of ED. It is often a sign of underlying cardiovascular health problems, such as atherosclerosis or heart disease.

Atherosclerosis is the buildup of plaque in the arteries. This can restrict blood flow and cause ED.

Heart disease can also cause ED. If the heart is not able to pump enough blood, it can lead to ED.

High cholesterol

High cholesterol is a common cause of ED. It can cause the buildup of plaque in the arteries, which can restrict blood flow and cause ED.

High blood pressure

High blood pressure is a common cause of ED. It can cause the buildup of plaque in the arteries, which can restrict blood flow and cause ED.

Obesity

Obesity is a common cause of ED. It can cause the buildup of plaque in the arteries, which can restrict blood flow and cause ED. It can also lead to low testosterone levels, which can cause ED.

Metabolic syndrome

Metabolic syndrome is a combination of high blood pressure, high cholesterol and obesity. It is a common cause of ED. It can cause the buildup of plaque in the arteries, which can restrict blood flow and cause ED. It can also lead to low testosterone levels, which can cause ED.

Hormonal problems

Hormonal problems,