There are many possible causes for ED, which is why it’s important to talk to your doctor about it. Some risk factors include: Cardiovascular disease Complications after bladder or prostate surgery or radiation Diabetes (people with diabetes are up to three times more likely to develop ED) Drug or alcohol abuse High blood pressure Injury to the bladder, pelvis, penis, prostate or spinal cord Kidney disease Multiple sclerosis Obesity Peyronie’s disease (a buildup of scar tissue that causes the penis to curve) Prostate cancer Psychological conditions, such as depression or anxiety Side effects of certain medications Diagnosis of erectile dysfunction
Endocrinologic conditions include diseases or conditions that involve abnormalities of the glands and hormonal imbalance. Hypogonadism, known informally as "low T," is a medical condition that results from low levels of the male hormone testosterone (androgen deficiency). Symptoms of hypogonadism can include reduced sexual desire (low libido) and ED. .
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If these fail to improve symptoms, second-line treatments include a topical cream (alprostadil, prostaglandin E1) which works by relaxing the blood vessels, improving blood supply to the penis, and so causing an erection. Alternatively, alprostadil (prostaglandin E1) may also be injected into the penis, to relax blood vessels
In many cases, erectile dysfunction is caused by something physical. Common causes include:
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Many people think that penis-in-vagina sex or sex with penetration are the only ways to have sex. But, most couples use touching and caressing as part of their routine. When couples can’t have intercourse because of erection problems, many give up on sex, but others continue to have sex in other ways. Think about trying something new.
This type of exercise has been shown to help reduce erectile dysfunction. One reason for this is because aerobic exercise lowers blood pressure.
Sometimes, ED happens when your hormones are out of balance. Your doctor can perform a blood test to check your hormones.
Usually, having spontaneous erections at night or in the morning is a good indicator of testosterone status. It means you have enough testosterone in your blood to rule out a severe deficiency. It would also help your doctor rule out other physical causes of impotence.
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Pneumonia from COVID-19 can cause blood vessels to become inflamed, leading to restricted blood flow, which can contribute to erectile dysfunction, Jannini said.
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My friends know too. I broke it to them by calling myself a ‘robot man’. I was working on a building site at the time and everyone kept asking me to show them how it worked. It was like showing off a new gadget.
2Williams B, Mancia G, Spiering W, et al. 2018 ESC/ESH Guidelines for the management of arterial hypertension. Eur Heart J. 2018;39:3021–3104.
And when it comes to erectile dysfunction, exercises don't only look like going for a jog or riding a bike.
As is true in so many medical conditions, lifestyle modifications, considered first-line therapy, can have a salutary effect in ED management, and men should be encouraged to make the necessary changes to the benefit of their sexual function and to their overall health as well. Despite the benefits of behaviour modification, men presenting with ED want the physician to help with measures that can have an immediate impact.