Causes of Erectile Dysfunction

Erectile dysfunction plagues between fifteen and thirty million American men, researchers believe. Now that remedies such as implants, vacuum pumps and Viagra are widely discussed, more and more men bring up erection problems with their doctors. The number of men who discussed erectile dysfunction with their doctors more than tripled between 1985 and 1999.

Most erectile dysfunction cases are caused by injury due to disease. For example, between a third and a half of diabetic men suffer from erectile dysfunction. Other diseases that can be causes of erectile dysfunction include circulatory or nervous system problems, kidney disease, chronic alcoholism and multiple sclerosis.

Other causes of erectile dysfunction are surgical damage to nerves and blood vessels close to the penis, often from surgery for prostate or bladder cancer. Accidental injuries to the penis, prostate, pelvis, bladder or spinal cord can also cause erectile dysfunction.

Many prescription medicines cause erectile dysfunction as a side effect, and this accounts for about a quarter of cases. Men who take blood pressure medicine, antihistamines for allergies, antidepressants or tranquilizers, appetite suppressing drugs or cimetidine for ulcers may develop erectile dysfunction caused by their medication. Often medicines that cause erectile dysfunction can be decreased in dosage or switched for an alternative medicine that does not cause those problems.

Experts believe that between ten and twenty percent of men with erectile dysfunction can trace the problem to a psychological cause. Younger men are more apt to have psychological causes of erectile dysfunction than older men. However, men who have erectile dysfunction from a physical cause may also have stress, anxiety, depression and guilt that add to the problem.

Hormonal imbalances, such as low testosterone levels, can cause erectile dysfunction. Smoking may cause erectile dysfunction, along with obesity and lack of exercise.

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