Erectile dysfunction (ED) affects the lives of many middle-aged men and their partners to one degree or another. The term erectile dysfunction covers a range of disorders, but usually refers to the inability to obtain an adequate erection for satisfactory sexual activity.
Although erectile dysfunction, formerly called impotence, is more common in men older than 65, it can occur at any age. An occasional episode of erectile dysfunction happens to most men and is normal. As men age, it's also normal to experience changes in erectile function. Erections may take longer to develop, may not be as rigid or may require more direct stimulation to be achieved. Men may also notice that orgasms are less intense, the volume of ejaculate is reduced and recovery time increases between erections.
When erectile dysfunction proves to be a pattern or a persistent problem, it can interfere with a man's self-image as well as his and his partner's sexual life. Erectile dysfunction may also be a sign of a physical or emotional problem that requires treatment.
Erectile dysfunction was once a taboo subject, but more men are seeking help. Doctors are gaining a better understanding of what causes erectile dysfunction and are finding new and better treatments.
Causes of Erectile Dysfunction
Research has shown that a high majority of about 80% cases of ED arise from physical causes. The remaining cases, significant nonetheless and constituting about 20% of the total have psychological origins.
Physical Factors (80% cases of ED)
Vascular Diseases: Arteriosclerosis, heart disease or stroke, high blood pressure and high cholesterol
Metabolic disorders: Characterized by excessive urine discharge and constant thirst, especially the two types of Diabetes
Cancer treatment: Surgery performed for colon, rectal or prostate cancer and even radiation therapy in the pelvic area
Hormonal Problems: Low levels of the male hormone testosterone affect the desire for sex
Side Effects of Medications: Medications including anti-hypertensives (blood pressure medications) or medications prescribed for depression or mood disorders
Alcohol: Long-term, excessive drinking can cause nerve and liver damage and hormone imbalances
Smoking: Studies suggest that men who smoke have a greater chance of developing ED than men who don’t use tobacco
Sedentary Lifestyle: Lack of exercise may lead to ED.
Psychological Factors (20% cases of ED)
Anxiety: Anxiety about sexual performance
Stress: Stress at home, work or in general
Depression: Depression can lead to some degree of ED, and vice versa
Relationship Problems: Tensions between sexual partners, whether related to sexual issues or others
Psychosocial causes can occur alone or in combination with one or more of the physical causes of ED.
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