Impotence: causes of erectile dysfunction

There is hardly a topic that is as shameful for men as erectile dysfunction. Feelings of shame and guilt are by no means appropriate in the case of erectile dysfunction. There are many physical or psychological reasons that interfere with an erection.

Erectile dysfunction becomes more likely as a man ages. More than half of the 70 to 80-year-old participants in a study  reported erectile dysfunction. However, at least 10 percent of the 40 to 49-year-old study participants were aware of regular erectile dysfunction. Since age-related circulatory disorders or testosterone deficiency are among the most common causes of erectile dysfunction, researchers assume that the prevalence of erectile dysfunction will increase with the observable aging of society. It should be said that young, otherwise healthy men also suffer from erectile dysfunction more often than is generally assumed. Physiological and psychological factors play a role here. We present the exact causes here.

1. Circulatory disorders in the penis

One of the most common causes of erectile dysfunction is poor blood flow to the penis. If there is not enough oxygenated blood in the penis, the muscles in the sexual organ cannot function normally. Doctors can examine whether hardening of the arteries or other blockages are preventing normal blood flow to the penis. Such circulatory disorders in the penis can often be improved with appropriate treatment of the underlying arteriosclerosis. The chances that erectile dysfunction will be relieved by it are good.

2. Testosteronmangel

In young, healthy men, the level of testosterone in the body is usually well regulated. With enough testosterone, the erectile tissue in the penis can function normally. With age, however, the production of the sex hormone testosterone decreases, which sometimes results in erectile dysfunction. Erections then subside early or no longer occur despite stimulation. Once doctors have identified a hormone deficiency as the cause of erectile dysfunction, hormone therapies can be effective. Such testosterone administration often takes place in the form of injections into the muscle. Hormone gels that are applied topically are also used.

3. Mental stress

Sex mostly takes place in the mind. If men are stressed and something is weighing them down, this psychological stress can also manifest itself physically. In intimate situations, psychological stress then causes erection problems in many cases. But not only everyday stress or unresolved problems from the job can cause tension, sex itself can also exert enormous psychological pressure. Men who are becoming intimate with a new partner for the first time often experience intense psychological pressure, fear of failure, and concerns about their performance, stamina, and physical attractiveness. Those who carry such psychological stressors in their heads often experience erectile disorders.

4. Drug side effects

Every drug has potential side effects. Potency disorders, loss of libido and erection problems have already been identified as possible side effects for some medications. Antidepressants, for example, have long been suspected of causing orgasmic disorders and erectile dysfunction. Beta blockers, which are prescribed for high blood pressure, for example, can also cause erectile dysfunction. If you find that you are having trouble having an orgasm or having erectile dysfunction while taking certain medications, consult your prescribing doctor. Never stop taking medication yourself. Incidentally, women can also be affected by orgasmic disorders and loss of libido as side effects of medication.

Crystal Waston MD

Crystal Waston has a degree in Cross Media Production and Publishing. At vital.de she gives everyday tips and deals with topics related to women's health, sport, and nutrition.

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