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Common Causes

ED can result from physical, psychological, or lifestyle factors: * Blood vessel problems (high blood pressure, atherosclerosis, heart disease) * Diabetes * Hormonal issues (low testosterone) * Neurological disorders (stroke, multiple sclerosis, spinal cord injury) * Medications (some antidepressants, blood pressure medications, etc.) * Smoking, excessive alcohol use, or drug use * Stress, anxiety, depression, or relationship difficulties Symptoms * Difficulty getting an erection * Difficulty maintaining an erection * Reduced sexual desire (sometimes) Treatment Options Treatment depends on the cause and may include: * Lifestyle changes (exercise, weight loss, quitting smoking, limiting alcohol) * Counseling or therapy for psychological factors * Oral medications such as Sildenafil, Tadalafil, or Vardenafil * Hormone therapy when appropriate * Vacuum erection devices * Penile injections or implants in selected cases When to See a Doctor You should seek medical evaluation if: * ED occurs repeatedly or persists for several weeks or months * It is causing distress or affecting relationships * You have risk factors such as diabetes, high blood pressure, or heart disease * You have symptoms of low testosterone (fatigue, reduced libido, loss of muscle mass)