1. Chronic Disease
The link between underlying chronic disease and ED is most striking with
diabetes. Approximately half of the men with diabetes experience ED.
Nevertheless, good blood sugar control can minimize this risk. Of note,
cardiovascular disease, atherosclerosis (hardening of the arteries), kidney
disease, and multiple sclerosis each can lead to ED. Each of these illnesses
lead to ED by interfering with blood flow or nerve impulses throughout the
body.
2. Lifestyle
Lifestyle choices, such as smoking, alcohol abuse, and obesity can impair
blood circulation and lead to ED. Smoking, excessive drinking, and drug abuse
may damage the blood vessels and reduce blood flow to the penis. Smoking makes
men with atherosclerosis even more vulnerable to ED. Smokers have almost twice
the risk of ED compared with nonsmokers. Being overweight and getting too
little exercise also contribute to ED. Men who exercise regularly have a lower
risk of ED.
3. Surgery
Surgical or radiation treatments for prostate cancer, bladder cancer, or
prostate enlargement (BPH) can sometimes damage nerves and blood vessels near
the penis. Occasionally, the nerve damage is permanent and requires treatment
to achieve an erection. Sometimes, surgery causes temporary ED that improves on
its own after 6 to 18 months.
4. Medication
Many medications can cause ED, including certain blood pressure drugs,
antidepressants, and tranquilizers. Men with ED should talk with their doctor
if they suspect a prescription or over-the-counter drug may be causing erectile
problem
5. Psychological Factor
It is common for men with ED to have an underlying physical basis for it,
particularly in older men. However, psychological factors may be present in 10%
to 20% of men with ED. Experts say stress, depression, poor self-esteem, and
performance anxiety can impair the ability to have an erection. These factors
can also make ED worse in men whose sexual dysfunction stems from something
physical.
6. Cyclists
Avid cyclists suffer more ED than other athletes because the shape of some
bicycle seats causes pressure on the nerves that are vital to sexual arousal.
Cyclists who ride for many hours each week may benefit from seats designed to
protect the perineum.
Note:
ED Could Be A Sign of Heart Disease
ED can be a warning sign of serious underlying disease. Research has found
that ED is a strong predictor of heart attack, stroke, and even death from
cardiovascular disease.
All men with ED should be evaluated for cardiovascular disease. Notably,
this does not mean every man with ED will develop heart disease, or that every
man with heart disease has ED; however, ED patients should be aware of the
link.