Top Reasons for Erectile Dysfunction

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Erectile dysfunction (ED) is common, has a diverse range of physical and psychological causes and treatments, and can have a huge impact on a man’s life. ED is the inability to attain or maintain an erection sufficient for penetrative sex. While having occasional difficulty getting an erection is common and normal, it’s time to talk to your doctor when it happens more than half the time.Erectile dysfunction in young adults has become increasingly recognized, with many individuals experiencing this condition earlier in life than previously expected. Factors such as stress, anxiety, and lifestyle choices can contribute significantly to the onset of ED at a younger age. Early intervention and open communication with a healthcare provider are crucial for effectively addressing the issue and improving overall sexual health.

ED affects approximately 30 million men in the U.S.1, with about 25% of those affected under the age of 40.2 While ED is treatable, according to a survey of six million men with ED, only one-quarter actually received treatment.3 ED treatment options include injectables (Trimix), medications to increase libido and treat ED, such as PT 141, and a range of oral ED medications.

While you and your doctor will ultimately determine which of these contributes to your symptoms, it helps to know the potential causes and treatment options. Here are the most common causes of ED.

From The Expert: Maybell Nieves, M.D.

Erectile dysfunction (ED) is often a sign of underlying health issues, not just a problem with sexual function. Conditions like heart disease, diabetes, and high blood pressure can significantly contribute to ED by affecting blood flow and nerve function. If you experience ED, it’s crucial to consult a healthcare provider. This is especially important because ED can sometimes be an early warning sign of more serious cardiovascular problems that need prompt attention. Never start or stop medications, including over-the-counter supplements, for ED without discussing it with your doctor, as some treatments can interact dangerously with existing conditions or other medicationsAdditionally, sexually transmitted diseases and erectile dysfunction can be interconnected, as infections may lead to complications that impact erectile function. It is vital to address any concerns related to STDs, as they can exacerbate underlying health issues and hinder effective ED treatment. Regular check-ups and open communication with your healthcare provider can aid in identifying and managing these intertwined health challenges.

Written by

Leann Poston M.D.
Leann Poston M.D.
Licensed Physician and Medical Content Reviewer
Dr. Leann Poston is a licensed physician in the state of Ohio who holds an M.B.A. and an M. Ed. She is a full-time medical communications writer and educator who writes and researches for Invigor Medical. Dr. Poston lives in the Midwest with her family. She enjoys traveling and hiking. She is an avid technology aficionado and loves trying new things.

Medically Reviewed By

Maybell Nieves, M.D.
Maybell Nieves, M.D.
General Surgery / Medical Reviewer
Dr. Maybell Nieves is an internationally trained general and breast surgeon—graduate of the European Oncology Institute and University of Milan—who serves as academic coordinator and breast surgeon at the Universitary Hospital of Caracas, manages high-volume oncologic care and fellow training, pioneered a breast surgery unit, and partners with nonprofits on early detection and awareness.
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Leann Poston M.D.
Leann Poston M.D.
Licensed Physician and Medical Content Reviewer
Dr. Leann Poston is a licensed physician in the state of Ohio who holds an M.B.A. and an M. Ed. She is a full-time medical communications writer and educator who writes and researches for Invigor Medical. Dr. Poston lives in the Midwest with her family. She enjoys traveling and hiking. She is an avid technology aficionado and loves trying new things.

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Maybell Nieves, M.D.
Maybell Nieves, M.D.
General Surgery / Medical Reviewer
Dr. Maybell Nieves is an internationally trained general and breast surgeon—graduate of the European Oncology Institute and University of Milan—who serves as academic coordinator and breast surgeon at the Universitary Hospital of Caracas, manages high-volume oncologic care and fellow training, pioneered a breast surgery unit, and partners with nonprofits on early detection and awareness.