Q:
What causes ED?
A:
In many cases, erectile dysfunction is caused by something physical. Common causes include:
- Alcoholism and other forms of substance abuse
- Certain prescription medications
- Diabetes
- Heart disease
- High cholesterol
- High blood pressure
- Multiple sclerosis
- Sleep disorders
- Surgeries or injuries that affect the pelvic area or spinal cord
- Tobacco use
- Treatments for prostate cancer or enlarged prostate
- Obesity
- Parkinson’s disease
- Peyronie’s disease — development of scar tissue inside the penis
There are also psychological causes. The brain plays a key role in triggering the series of physical events that cause an erection, starting with feelings of sexual excitement. A number of things can interfere with sexual feelings and cause or worsen erectile dysfunction. These include:
- Depression, anxiety or other mental health conditions
- Relationship problems due to stress, poor communication or other concerns
- Stress
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