Erectile dysfunction (ED) is one of the world’s most common forms of male sexual dysfunction. It is characterised by difficulty producing or maintaining an erection firm enough for satisfying sexual activity.

Experts report that the estimated ED rates prevalent throughout the world roughly correspond with various age groups. 40% of men in their 40s experience ED while 50% of men in their 50s have ED and so on. According to the Cleveland Clinic, as many as 52% of all men experience ED at some point in their lives.

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What Causes Erectile Dysfunction?

ED is caused by various factors that can be grouped into three broad categories: physiological, psychological and life style causes. Find more information about each type of cause below:

Physiological Causes

These consist of a range of medical problems and conditions that frequently result in ED. Common health conditions that cause ED include:

- Heart conditions
- Clogged blood vessels
- High blood pressure
- High cholesterol
- Obesity
- Diabetes
- Metabolic syndrome (this consists of high insulin levels, body fat around the waist, high cholesterol and high blood pressure)
- Parkinson’s disease- a nerve condition
- Peyronie’s disease- caused by scar tissue surrounding the penis

Psychological Causes

There are various psychological factors that can adversely affect erectile function. Common psychological complaints include:

1.) Stress. High stress levels can decrease sexual interest and the ability to feel mentally aroused.
2.) Certain mental illnesses such as depression, anxiety and bipolar disorder.
3.) Previous sexual trauma
4.) Performance anxiety- that is, a lack of confidence in the ability to perform sexually that is sometimes based on one or a few poor sexual encounters. This anxiety surrounding impotence is, ironically, precisely what causes the dysfunction.
5.) Relationship problems. This is a major psychological risk factor for ED. Communication issues, money squabbles and a lack of emotional intimacy can all result in issues with erectile function.

Lifestyle Factors

There is also a variety of lifestyle factors that can contribute to ED. Fortunately, most of these are easily remedied by making easy-enough changes to your daily routine. With discipline and the right medication to get you started, lifestyle factors are generally easy to treat. Here are a few of the important lifestyle risk factors:

1.) Smoking cigarettes. Nicotine is a vasoconstrictor, meaning that it constricts blood vessels. This hinders blood flow throughout the body, including to the penis, causing ED.
2.) Excessive alcohol consumption. The nerve damage sustained by alcoholism can cause impotency.
3.) Certain narcotic substances have an adverse effect on the body’s central nervous system, impairing the body in terms of sexual response. Included is marijuana, cocaine, barbiturates, heroine and amphetamines.
4.) A lack of exercise. This prevents the stimulation of blood circulation in the body.
5.) An unhealthy diet. Certain nutrients like zinc and boron stimulate blood flow. Without a vitamin-rich diet, ED risk is substantial. There are also certain flavonoid-rich foods, like various berries and citrus fruits, which have shown to help prevent ED.
6.) Being overweight, especially around the midsection. Known as central obesity, this kind of extra body fat can affect metabolic function which can be devastating for erectile function.

How Does Erectile Dysfunction Effect Relationships?

Erectile dysfunction can cause self-esteem issues in both partners. The man afflicted by ED is commonly consumed by feelings of guilt and shame. This causes him to emotionally retreat and shut down, isolating himself from his partner.

According to Karen Muller, PhD, co-founder of the Sex Positive Therapy Program: “Isolationist tactics like these, which are unfortunately all too common among men battling erectile dysfunction, are just so destructive to happy, functional relationships. Then of course there’s the further issue of the men’s partners blaming themselves. I have had countless partners confide to me that they feel unattractive and undesirable despite their man’s attempts to affirm their desire for them.”

In worse scenarios, the self-esteem issues for a man’s partner can be compounded if the man tries to blame them for his sexual dysfunction. This is a common reaction that is rooted in anger and can be devastating for a relationship. If your relationship is taking strain due to erectile dysfunction, it is important to seek therapeutic help in conjunction with using effective medication designed to target the symptoms of ED, such as generic Viagra.

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