Erectile dysfunction (impotence) is a disorder in which a man has difficulty achieving or maintaining an erection during sexual intercourse.
This is a common problem, especially among men over 40, and can be caused by many reasons, both physiological and psychological.
The causes of erectile dysfunction are:
1. Physical causes
— Cardiovascular disease. Heart disease causes blood circulation problems. Hypertension or atherosclerosis can also cause erectile dysfunction.
— Diabetes. Nervous disorders and blood vessel disorders caused by diabetes lead to erectile dysfunction.
— Hormonal disorders. Low testosterone levels or other endocrine problems can impair sexual function.
— Neurological problems. Nerve damage caused by pelvic surgery or neurological diseases — such as multiple sclerosis.
2. Psychological causes
— Stress and anxiety: Psychological distress due to work, relationships, or various social aspects can cause erectile dysfunction.
— Depression: Depression and related factors, such as low self-esteem, can negatively affect libido and sexual function.
— Relationship problems: Conflicts with a partner, lack of trust, or intimacy can prevent a full erection from developing.
3. Lifestyle:
— Drinking alcohol, smoking, and low physical activity increase the likelihood of developing erectile dysfunction.
Treatment methods
Treatment of erectile dysfunction can include different approaches, depending on the cause.
— Medications: Medications such as sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra) help increase blood flow to the penis.
— Psychotherapy: Working with a psychologist can help manage anxiety, stress, and depression, which can contribute to erectile dysfunction.
— Lifestyle changes: Quitting smoking, drinking alcohol in moderation, getting regular exercise, and eating a healthy diet can also help improve erectile function.
— Hormone therapy: Testosterone replacement therapy may be prescribed for low testosterone levels.
— Physical therapy: Vacuum devices are often used to improve blood flow to the penis. Erectile dysfunction is treatable, and many men can regain or significantly improve their sexual function with the right approach and professional help.