Erectile Dysfunction

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Psychological causes of erectile dysfunction

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

Risk factors

As you get older, erections might take longer to develop and might not be as firm. You might need more direct touch to your penis to get and keep an erection.

Various risk factors can contribute to erectile dysfunction, including:

  • Medical conditions, particularly diabetes or heart conditions
  • Tobacco use, which restricts blood flow to veins and arteries, can — over time — cause chronic health conditions that lead to erectile dysfunction
  • Being overweight, especially if you're obese
  • Certain medical treatments, such as prostate surgery or radiation treatment for cancer
  • Injuries, particularly if they damage the nerves or arteries that control erections
  • Medications, including antidepressants, antihistamines and medications to treat high blood pressure, pain or prostate conditions
  • Psychological conditions, such as stress, anxiety or depression
  • Drug and alcohol use, especially if you're a long-term drug user or heavy drinker

Complications

Complications resulting from erectile dysfunction can include:

  • An unsatisfactory sex life
  • Stress or anxiety
  • Embarrassment or low self-esteem
  • Relationship problems
  • The inability to get your partner pregnant
  • These complications can both contribute to ED symptoms and happen as a result of them.
    If you are experiencing ED, getting professional help can prevent you from falling into a cycle of physical and psychological ED symptoms.
    Fortunately, almost all cases of erectile dysfunction are treatable.

    to See a Healthcare Provider
    If you have difficulty getting or keeping an erectile on occasion—for example, after a night of drinking or a stressful work day—you probably don't need to worry. Most men experience this at one point or another.
    But if getting or keeping an erection is something that occurs 25% of the time or more, then you could have ED and should consider seeing a healthcare provider.4
    In addition, if symptoms are consistently getting worse, there could be a physical cause that should be investigated.
    It's also time to get professional help if:

    • You have anxiety about your ability to get or keep an erection
    • Your symptoms are creating an issue between you and your sexual partner
    • Getting an erection is painful
    • Ayurvedic Treatment for ED