Erectile dysfunction (ED) often stems from a combination of factors. Physical causes include cardiovascular disease, high blood pressure, diabetes, high cholesterol, and nerve damage from conditions like multiple sclerosis.
Lifestyle choices play a significant role. Smoking severely restricts blood flow, hindering erections. Obesity contributes to cardiovascular problems, exacerbating ED. Excessive alcohol consumption and lack of exercise further diminish erectile function.
Psychological factors are also key. Stress, anxiety, and depression frequently impact sexual performance. Relationship problems and performance anxiety can create a vicious cycle, worsening ED.
Certain medications, including some antidepressants and blood pressure drugs, can have ED as a side effect. Hormonal imbalances, particularly low testosterone, contribute significantly to erectile difficulties.
Seeking professional medical advice is crucial for accurate diagnosis and treatment. Your doctor can perform a physical exam, assess your medical history, and order relevant tests to pinpoint the underlying causes. Early intervention often leads to better outcomes.