Causes
Male sexual arousal is
a complex process that involves the brain, hormones, emotions, nerves, muscles
and blood vessels. Erectile dysfunction can result from a problem with any of
these. Likewise, stress and mental health concerns can cause or worsen erectile
dysfunction.
Sometimes a
combination of physical and psychological issues causes erectile dysfunction.
For instance, a minor physical condition that slows your sexual response might
cause anxiety about maintaining an erection. The resulting anxiety can lead to
or worsen erectile dysfunction.
Physical causes of erectile dysfunction
In most cases,
erectile dysfunction is caused by something physical. Common causes include:
· Heart disease
· Clogged blood vessels (atherosclerosis)
· High cholesterol
· High blood pressure
· Diabetes
· Obesity
· Metabolic syndrome — a condition involving increased blood
pressure, high insulin levels, body fat around the waist and high cholesterol
· Parkinson's disease
· Multiple sclerosis
· Peyronie's disease — development of scar tissue inside the penis
· Certain prescription medications
· Tobacco use
· Alcoholism and other forms of substance abuse
· Sleep disorders
· Treatments for prostate cancer or enlarged prostate
· Surgeries or injuries that affect the pelvic area or spinal cord
Psychological causes of erectile dysfunction
The brain plays a key
role in triggering the series of physical events that cause an erection,
starting with feelings of sexual excitement. A number of things can interfere
with sexual feelings and cause or worsen erectile dysfunction. These include:
· Depression, anxiety or other mental health conditions
· Stress
· Relationship problems due to stress, poor communication or other
concerns
Symptoms
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, including ejaculatory dysfunction, 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.
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