If you're struggling with erectile dysfunction, don't worry - you're not alone. Learn about the causes of ED and the best treatment options to fix the problem.

Causes of ED and Best Treatment Options for Erectile Dysfunction

What is Erectile Dysfunction?

Erectile Dysfunction (ED) is the inability to develop or maintain an erection of the penis during sexual performance. It can affect men of all ages, but becomes more common as men get older.

Causes of Erectile Dysfunction

There are many potential causes of ED, and often multiple factors contribute to the condition. Some of the most common causes include:

  • Cardiovascular disease – Diseases of the heart and blood vessels are the most common cause of ED, as they can restrict blood flow to the penis.
  • Diabetes – High blood sugar levels can damage nerves and blood vessels, leading to ED.
  • Obesity – Excess weight can cause ED by damaging nerves and blood vessels, as well as increasing the risk of conditions like diabetes and cardiovascular disease.
  • Hormonal problems – Low levels of testosterone can lead to ED. Other hormonal conditions, such as hypothyroidism or adrenal gland disorders, can also cause ED.
  • Injury or surgery – Surgery, such as surgery for prostate cancer, can sometimes damage nerves and blood vessels near the penis, leading to ED. Injuries to the pelvis or spinal cord can also cause ED.
  • Medications – Some medications, such as certain antidepressants and blood pressure medications, can cause ED.
  • Substance abuse – Alcoholism and other forms of substance abuse can lead to ED by damaging nerves and blood vessels.
  • Psychological problems – Stress, anxiety, depression, and other psychological issues can sometimes cause or worsen ED.

Treatment Options for Erectile Dysfunction

There are many potential treatment options for ED, depending on the underlying causes. Some of the most common treatments include:

  • Lifestyle changes – Making lifestyle changes, such as losing weight, quitting smoking, and exercising regularly, can often help to improve ED.
  • Oral medications – There are several oral medications that are effective in treating ED, such as sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra).
  • Injections – Medications injected directly into the penis can be effective in treating ED.
  • Suppositories – Medications inserted into the urethra can also be effective in treating ED.
  • Penis pumps – Penis pumps can also be effective in treating ED, by creating a vacuum that helps to draw blood into the penis.
  • Surgery – In some cases, surgery may be necessary to treat ED. Surgery is typically only considered when other treatment options have failed.


Erectile Dysfunction is a common condition that can be caused by a variety of factors. There are many

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Various treatment options are available for men with Erectile Dysfunction and a proper evaluation should be done before prior to starting any therapy.

Typically, the first goal in treating ED is to get your blood sugar level or blood pressure under control. If you smoke cigarettes, it is strongly recommended that you stop, as tobacco causes blood vessels to narrow.

Experiencing erection problems? Whether you’re 25 or 60+ years old, you’re certainly not alone.

About 20 million American men are affected by erectile dysfunction, or ED. Interestingly, while ED is often thought of as a condition that affects middle aged and older men, around a quarter of all men under 40 experience ED on a regular basis.

Luckily, a range of treatments are available to treat the effects of ED and help you develop and maintain an erection without any problems.

The three most popular erectile dysfunction treatments on the market are sildenafil, vardenafil and tadalafil. These are most commonly sold under the brand names Viagra, Levitra and Cialis.

There are also some less common ED drugs out there, such as avanafil.

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Erectile dysfunction (impotence) is the inability to get and keep an erection firm enough for sex.

Having erection trouble from time to time isn’t necessarily a cause for concern. If erectile dysfunction is an ongoing issue, however, it can cause stress, affect your self-confidence and contribute to relationship problems. Problems getting or keeping an erection can also be a sign of an underlying health condition that needs treatment and a risk factor for heart disease.


Erectile dysfunction symptoms might include persistent:

Trouble getting an erection

Trouble keeping an erection

Reduced sexual desire

When to see a doctor

A family doctor is a good place to start when you have erectile problems. See your doctor if:

You have concerns about your erections or you’re experiencing other sexual problems such as premature or delayed ejaculation

You have diabetes, heart disease or another known health condition that might be linked to erectile dysfunction

You have other symptoms along with erectile dysfunction


The best way to prevent erectile dysfunction is to make healthy lifestyle choices and to manage any existing health conditions. For example:

Work with your doctor to manage diabetes, heart disease or other chronic health conditions.

See your doctor for regular checkups and medical screening tests.

Stop smoking, limit or avoid alcohol, and don’t use illegal drugs.

Exercise regularly.

Take steps to reduce stress.

Get help for anxiety, depression or other mental health concerns.

Once evaluated, there are a number of treatments for erectile dysfunction, varying from oral therapies that can be taken on demand (for example, sildenafil [Viagra, Revatio], vardenafil [Levitra, Staxyn], avanafil [Stendra], and tadalafil [Cialis, Adcirca]) or once daily (tadalafil), intraurethral therapies (alprostadil [Muse]), injection therapies (alprostadil, combination therapies), the vacu device, and penile prostheses. Less commonly, arterial revascularization procedures can be performed. It is important to discuss the indications and risks of each of these therapies to determine which is best for you.