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Erectile dysfunction (impotence) is the inability to get and keep an erection firm enough for sex. Trouble in getting an erection at times is not a cause of concern. However, prolonged erectile dysfunction can lead to stress and even depression which can hamper an individual's confidence and relationship. It can also be a sign of an underlying health condition that needs treatment and a risk factor for heart disease.
Male sexual arousal is a complex process that involves the brain, hormones, emotions, nerves, muscles, and blood vessels. Erectile dysfunction can result from a problem with any of these. Likewise, stress and mental health concerns can cause or worsen erectile dysfunction. Sometimes a combination of physical and psychological issues causes erectile dysfunction. For instance, a minor physical condition that slows your sexual response might cause anxiety and can lead to the problem in maintaining an erection. The resulting anxiety can lead to or worsen erectile dysfunction.
In many cases, erectile dysfunction is caused by something physical. Common causes include:
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
The brain plays a key role in triggering the series of physical events that cause an erection,
starting with feelings of sexual excitement. A number of things can interfere with sexual
feelings
and cause or worsen erectile dysfunction. These include:
Depression, anxiety or other mental health conditions
Stress
Relationship problems due to stress, poor communication or
other
concerns
The best way to prevent erectile dysfunction is to make healthy lifestyle choices and to manage
any
existing health conditions. For example:
Work with your doctor to manage diabetes, heart
disease or other chronic health conditions.
See your doctor for regular checkups and medical screening
tests.
Stop smoking, limit or avoid alcohol, and don't use illegal
drugs.
Exercise regularly.
Take steps to reduce stress.
Get help for anxiety, depression or other mental health
concerns.
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Myth: ED is a normal part of growing older and men have to learn to live with it.
Fact: Although ED is more common among older men, it doesn't mean it's something you have to
live
with. Older men need more stimulations than younger men to get aroused and it is a usual and a
natural process. However, a lot of men are able to develop easy erection in their older years
and
there is no reason that you can't be one of them.
Myth: Erectile dysfunction doesn't affect younger men.
Fact: Although ED is more common in men over 75, guys of any age can have it.
Myth: ED may be upsetting, but there's nothing dangerous about it.
Fact: Although ED itself isn't dangerous, it can be an early warning sign of an underlying
health
condition, such as diabetes or heart problems.