Erectile Dysfunction

Erectile Dysfunction (ED) is the inability to get or maintain an erection firm enough for satisfactory sexual intercourse. It's a common condition, especially with age, and may occur occasionally or become a persistent issue.

Causes:

1. Physical Causes (most common):

• Cardiovascular disease (e.g., atherosclerosis)
• High blood pressure (hypertension)
• Diabetes (affects nerves and blood vessels)
• High cholesterol
• Obesity
• Hormonal imbalances (e.g., low testosterone)
• Neurological disorders (e.g., Parkinson’s, multiple sclerosis)
• Peyronie’s disease (curvature of the penis due to scar tissue)
• Injury to the pelvic area or spinal cord

2. Psychological Causes:

• Stress
• Anxiety (especially performance anxiety)
• Depression
• Relationship issues
• Trauma from past sexual experiences

3. Lifestyle Factors:

• Drug abuse
• Poor diet
• Lack of physical activity
• Excessive alcohol use
• Smoking

4. Medication Side Effects:

• Hormone medications
• Sedatives
• Antidepressants
• Blood pressure drugs (e.g., beta blockers)
• Cancer treatments

Risk Factors:

• Low testosterone
• Certain prescription medications
• Chronic stress
• Smoke or drink excessively
• Overweight or obese
• Chronic diseases (especially diabetes, heart disease)
• Age 40–50
• History of pelvic surgery or radiation

Treatment:

1. Lifestyle Modifications:

• Quit smoking
• Reduce alcohol intake
• Exercise regularly
• Eat a heart-healthy diet
• Manage diabetes, cholesterol, and blood pressure

2. Medications (PDE5 Inhibitors):

• Sildenafil (Viagra)
• Tadalafil (Cialis) – longer-lasting
• Vardenafil (Levitra)
• Avanafil (Spedra)