Physical causes of erectile dysfunction (ED) include cardiovascular disorders affecting blood supply to the penis, nerve damage, hormonal disorders, physical abnormalities of the penis, certain prescription drugs, and drug abuse. These factors can lead to difficulties in achieving or maintaining an erection
Psychological causes of ED encompass depression, stress, performance anxiety, and traumatic experiences. These psychological factors can significantly impact sexual function and contribute to the development or exacerbation of erectile dysfunction
Chronic illnesses such as diabetes, high blood pressure, nerve disease or damage, multiple sclerosis, atherosclerosis, and heart disease can damage the nerves and arteries to the penis, resulting in ED
Poor lifestyle choices such as smoking, excessive alcohol intake, being overweight, and lack of exercise can also contribute to erectile dysfunction
Pelvic surgery can potentially injure nerves and arteries near the penis, leading to difficulties with erections
Additionally, medications such as blood pressure drugs, antihistamines, antidepressants, tranquilizers, appetite suppressants, and cimetidine, an ulcer drug, can have adverse effects on erectile function. Hormonal abnormalities, such as low levels of testosterone, are also known to be associated with erectile dysfunction
The prevalence of ED may increase with age as well
Age
Prevalence
45 years
5%
65 years and older
15 – 25%
75 years and older
50%
These diverse factors can contribute to the development of erectile dysfunction, highlighting the multifaceted nature of this condition.
