Erectile dysfunction (ED), sometimes called impotence, refers to the inability to get or keep an erection firm enough for sexual intercourse. ED is very common, affecting about 30 million men in the United States alone. It can be caused by a variety of factors, both physical and psychological.
Some potential physical causes include:
- Cardiovascular disease - conditions that clog or harden the arteries can restrict blood flow to the penis. These include atherosclerosis, high blood pressure, and high cholesterol.
- Diabetes - over time high blood sugar levels from uncontrolled diabetes can damage nerves and blood vessels needed for an erection.
- Certain medications - blood pressure drugs, antihistamines, antidepressants, and others can make it difficult to get an erection as a side effect.
Psychological causes are also very common, like stress, anxiety, depression, and relationship issues. In many cases ED ends up being related to a combination of physical and psychological factors.
The good news is ED is very treatable in most men. Oral medications like Viagra, Cialis, and Levitra improve blood flow to the penis to help produce an erection. Penis pumps and implants are other options. Making healthy lifestyle changes through diet, exercise, and stress management can also help significantly.
The key is to speak with your doctor to identify the likely causes of ED. They can check for any underlying conditions and help find the right treatment approach, whether medications, lifestyle changes, devices, counseling, or often a combination. Most men can overcome ED and regain their confidence and enjoyment in their sex life.