Possible Causes of ED

These treatments include vacuum devices, penile injections, and penile implants. ✓ Neuro-urology experts say attempts to reverse neurologic erectile dysfunction (ED) should begin with the least invasive approach – using oral phosphodiesterase inhibitors such as sildenafil citrate – and gradually progress, as needed, to more invasive treatments like penile implants. Coronavirus, many factors can contribute to erectile dysfunction (ED) — anything from smoking to cardiovascular disease to general stress — and you shouldn’t be shy about discussing any erectile problems with your doctor. Coronary artery disease also can affect sexual function on its own, but erectile dysfunction is nine times as likely in men who suffer from both coronary artery disease (CAD) and diabetes than men who have diabetes without the addition of CAD. The damage may interfere with signals that must pass between the brain and the sexual organs to allow erection and orgasm. The surgeon could unblock the blood vessels to restore a normal supply of blood. But those are just two common causes of erectile dysfunction.

If you have ED and think that it may be a result of the medication you are using, do not stop taking the medication. Response rates are lower for Diabetics and cancer patients. The most common side effects are: This may affect the function of the nerve after the ride. Erectile dysfunction can result from pelvic fractures or crush injuries experienced in an automobile, motorcycle or other accident. In simple language, a man is afraid to suffer another fiasco with his partner.

This is usually caused by stress, tiredness, anxiety or drinking too much alcohol, and it's nothing to worry about.

If you and your partner have been at odds lately—whether you’ve been spending less time together or having heated arguments—it’s natural that overall tension can spill over into bed, potentially affecting your ability to have an erection. Alprostadil is injected into the side of penis with a very fine needle. The most common side effect of ICI therapy is a prolonged erection. If a medical problem is causing your ED, it means there are treatment options. Peyronie’s disease is an uncommon condition that affects a man’s sex life because his penis curves abnormally and causes pain when he has an erection. This is one of the most common causes of impotence, because diabetes can cause changes in blood flow through narrowing of the arteries, or damage to nerve endings in the penis. Fully restoring sexual health with treatment of a medical condition (such as high blood pressure with diet and/or exercise or by controlling diabetes or other chronic diseases) may not be possible. Or, figure out a way to deal with them via counseling, medication or working more fun into the day.

You can find out more about sensate focus from the College of Sexual and Relationship Therapists (COSRT). Sildenafil citrate can be used to treat ED in association with MSA, with the caveat that it should not be used in patients with low blood pressure. ED is sometimes called impotence. If you have symptoms like needing to pee more often, your doctor may also need to examine your prostate. While it is true that some older men may need more stimulation, they should still be able to achieve an erection and enjoy intercourse. Other forms of male sexual dysfunction include poor libido and problems with ejaculation. Impotence is when a man has difficulty getting or maintaining an erection. Email alerts, these erection pills contain natural active substances which make the man’s body produce nitric oxide. Patients may experience embarrassment, low self-esteem, and problems with their relationships because of it.

All my life I tried different sex.

Common Causes

Performance anxiety can also stem from worries about premature ejaculation, being with a new partner, or being unable to get a spouse pregnant. Taking certain medications is also associated with causing or exacerbating ED. Bath & body, when the air is pumped out of the cylinder, blood is drawn in, causing an erection. The following health-related factors and behaviors may contribute to ED: Sexual boredom, tension or anger among partners, and lack of intimacy and communication are all possible triggers of erectile dysfunction. Psychotherapy – For psychological causes of erectile dysfunction, psychotherapy can be beneficial.

Some medicines may lead to life-threatening reactions if you do not take care when stopping or changing them.

Definition and Overview

While some may be able to fix the problem on their own via natural methods, others may require more assistance. It’s a common phenomenon, with the common effect of ED. Spring uhe highlights, how is Erectile Dysfunction Diagnosed? Excessive consumption of fatty foods contributes to the formation of cholesterol plaques. Any surgery that involves structures in the pelvic area can damage nerves and/or blood vessels in the penis, which in turn can affect a man's ability to get an erection or maintain one. The fact that the differences in blood pressure can trigger insufficient blood supply to the entire body. Most insurance plans will pay most of the cost of diagnosis and treatment. Here are some of the options: This is due to the inactive way of life and the wrong diet of the patient.

If someone is suffering from ED and doesn’t understand why, it could be one or any combination of these reasons. Our journals, in the white male the inflow of blood combined with the application of a constriction band renders the penis cool in temperature and causes a large amount of superficial vein swelling. Having erection trouble from time to time isn't necessarily a cause for concern. We will answer all of your questions concerning men’s health, impotence, and our other treatments and services.

And it turns out that a similar modern-day activity, long-distance bicycling, may also increase your risk of erectile dysfunction. However, ED is now well understood, and there are various treatments available. In fact, it’s estimated that more than 30 million American men have experienced erection problems at some point (Nunes, 2020).

Stress Quiz: Test Your Emotional IQ

A man should not use a vacuum pump if he has a bleeding disorder or if he has taken medicines to reduce the clotting ability of his blood. Support, reduced ability to tighten the pelvic floor muscles and lower vagina (for example, soon after childbirth or if you never exercise your pelvic floor, leading to low expectations and reduced sexual enjoyment). Psychiatric illnesses such as depression can also cause erectile dysfunction. Most often, the side effects of PDE5 inhibitors are mild and often last just a short time.

ED and the Sexless Relationship

Side-effect of certain medicines. If you have experienced erectile issues or you have some of the risk factors mentioned above, it may be worth making a trip to your doctor’s office. Post stroke: addressing thinking and memory problems, the number reporting overall sexual satisfaction increased from 7. These pumps should be distinguished from other penis pumps (supplied without compression rings) which, rather than being used for temporary treatment of impotence, are claimed to increase penis length if used frequently, or vibrate as an aid to masturbation. Erectile dysfunction can be a symptom of an underlying condition that needs treatment.

  • Do insurance plans cover the cost of treatment?
  • In rare cases, the drug Viagra ® can cause blue-green shading to vision that lasts for a short time.
  • Endocrine disorders such as low testosterone, and thyroid problems may be associated with ED.


Many men find that when they’re suffering from depression, they lose interest in sex and can’t get or keep an erection. Every man is different and has different underlying causes of ED; that’s why you should consult an experienced urologist to find out what yours are. Histamine H2-receptor antagonists. Stewart estimated, however, that about 50 percent of patients with ED secondary to diabetic neuropathy respond to sildenafil citrate. This is because combining alpha-blocking medication with a PDE5 inhibitor can cause a sudden blood pressure drop.

Learn More in these related Britannica articles:

Remember that this guide cannot substitute for an individual evaluation by your health care provider. Evaluation, if an erection lasts for over four hours, it will need medical attention to make it go down. The term erectile dysfunction is not used for other disorders of erection, such as priapism. One of the best diets for heart and erection health is the Mediterranean diet, which emphasizes fruits and vegetables, fish and other lean protein, whole grains, and olive oil.

This hormone supports the male sex drive. If your doctor suspects that an underlying health problem may be at play, however, they may request additional testing. Other posts in our “husband doesn’t want to make love” series:. © Verywell, 2020. They hold hands as they walk around or eat a nice meal. Indeed many men say that treatment has transformed their lives.

Check the leaflet that comes with any medication that you take to see if ED is a possible side-effect.

Endocrine Disorders

Erectile dysfunction in younger men.   In this theory, the “push” on the small closing valves of the veins is stronger than the veins’ ability to resist, meaning the veins can't “close” tightly enough to stop blood from passing out of the penis. There are other similar medicines called tadalafil (Cialis), vardenafil (Levitra) and avanafil (Spedra) that work in a similar way. Welcome to this Decision Guide on Causes of Impotence.

They can also cause serious damage to blood vessels, and any damage to blood vessels or normal blood flow will eventually cause erectile dysfunction.

More Information

In fact, ED may be the first apparent symptom of MS. Get started with these 13 tips for sleeping better tonight. About cleveland clinic, first, provide information about conditions that are commonly associated with sexual dysfunction, then follow with a question about the individual's concerns. You won’t be judged or talked about at BPAS.

If you choose to seek help, give your doctor as much information as you can about your symptoms including their frequency and severity as well as the onset. Questions remain about the effects on men’s health of riding a bicycle. Such symptoms are characteristic of a more mature generation. With the increasing popularity of cycling, men have expressed concern about whether this exercise contributes to ED. Low blood flow in and around the heart may cause a cardiac infarct. Another vascular cause may be a faulty vein, which lets blood drain too quickly from the penis. When the pump is engaged, pressure in the cylinders inflate the penis and makes it stiff. This causes increased blood flow, following which an erection usually develops within 15 minutes.


Some men who masturbate frequently may have troubles with achieving the same degree of stimulation from their partner, but this is not ED. Jama career center, the study was conducted in Spain by Ferrario and colleagues at the University of Valencia School of Medicine and Hospital Marina Alta. Study data suggests it affects 18 million men over the age of 20 in the United States. It is also known as erectile dysfunction and can impact a person’s ability to have satisfactory sexual intercourse. Only a small percentage of cases of impotence are due to hormonal problems, such as insufficient testosterone. But because so much of a man’s ego is tied to his privates, struggling to perform when you’re under the influence can undermine your confidence and build into the next common cause of erectile dysfunction.