What are the causes of erectile dysfunction (ED)?

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  1. Dr. Michael Roizen
     
    Dr. Michael Roizen answered:
    In spite of the common name for an erection, your penis does not have a bone. It’s true! An erection relies on a pretty amazing system of blood flow to get hard and stay hard. Anything that gets in the way of that blood flow can put a damper on your erection. That includes high blood pressure, high blood cholesterol, diabetes, smoking, alcohol, and of course, heart disease. The same healthy lifestyle that keeps your heart working at its best will also help you perform in bed. There are other causes of erectile dysfunction (ED), from low testosterone to drug problems to depression, but for most men, the heart is where it’s at.
    More Related Answers from Dr. Michael Roizen
    In spite of the common name for an erection, your penis does not have a bone. It’s true! An erection relies on a pretty amazing system of blood flow to get hard and stay hard. Anything that gets in the way of that blood flow can put a... More
  2. Univ. of Nev. School of Medicine, Family Medicine
     
    There are multiple causes. Psychogenic causes include stress, depression, and anxiety. Clinical causes are either hypogonadism or vascular. Hypoganadism is when there is either too little testosterone, or some other hormone is competing with testosterone. Vascular causes can occur from chronic hypertension or diabetes. Certain medications can cause ED as well.
    There are multiple causes. Psychogenic causes include stress, depression, and anxiety. Clinical causes are either hypogonadism or vascular. Hypoganadism is when there is either too little testosterone, or some other hormone is competing with... More
  3. Dr. Arthur Crowley
     
    Dr. Arthur Crowley answered:
    "Normal" erectile function involves a complex relationship between neurologic, vascular, hormonal and psychological components. To attain and maintain a firm erection requires inflow of blood (arteries) and reduction of blood outflow (veins). Diseases (for example hypertension, diabetes, heart disease) and risk factors (for example smoking, obesity) that affect the function of arteries and veins may have a negative impact on erectile function.
    More Related Answers from Dr. Arthur Crowley
    "Normal" erectile function involves a complex relationship between neurologic, vascular, hormonal and psychological components. To attain and maintain a firm erection requires inflow of blood (arteries) and reduction of blood outflow... More
  4. Dr. Harris McIlwain
     

    The most common causes of erectile dysfunction are:

    • diabetes
    • neurologic impairment
    • prescription medications
    • pelvic injury
    • psychological disorders
    • peyronie’s disease
    • vascular disease
    • hormonal imbalance
    More Related Answers from Dr. Harris McIlwain
    The most common causes of erectile dysfunction are: diabetes neurologic impairment prescription medications pelvic injury psychological disorders peyronie’s disease vascular disease hormonal imbalance More