The process of male sexual arousal is a complex physiological process that involves the central and peripheral nervous systems, circulation, muscles, and hormones working in tandem. Erectile dysfunction is caused by a malfunction in one or more of these systems.

Because so many systems are involved it is hard to determine just a singular cause of ED. Mayo Clinic cites the following possible physical causes of disruption of one or more of these systems:

  • 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

  • Certain prescription medications

  • Tobacco use

  • Peyronie’s disease — development of scar tissue inside the penis

  • 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

They further cite emotional conditions such as depression and other mental health conditions, stress, and relationship problems as other possible causes.

In a survey of over 3500 men done by the National Health and Nutrition Examination Survey 77.5% of men, 75 years and older were affected by erectile dysfunction. There were also some positively correlated risk factors associated with ED as well such as obesity, diabetes, smoking, and hypertension.

While aging, which is out of our control, seems to be the leading indicator for risk of ED (as well as many other diseases) there are things that you can control to reduce the risk of ED, or at least reduce the severity of the condition:

  • Exercise regularly

  • Work with a doctor to manage preexisting health conditions such as diabetes, hypertension, heart disease, etc.

  • Reduce stress through various means like proper amounts of sleep, meditation, or counseling if necessary

  • Schedule regular physicals with your physicians and receive regular medical screening tests.

  • Get help with depression, anxiety, and other mental health concerns

  • Don’t overuse medications and avoid alcohol and smoking

Currently, the Mayo Clinic recommends as a treatment:

  • Oral medication such as Viagra or Cialis

  • Injections

  • Urethral suppository

  • Testosterone Replacement

  • Penis pumps

  • Penile implants

If you have tried one or more of these options and haven’t found a solution that works for you, give us a schedule a consultation with one of our talented physicians. We work to be discrete so that you can feel comfortable getting the information you need as well as the treatment that is best for you so that you can be ready when she is.

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