Erectile Dysfunction: Causes

Erectile dysfunction can be caused by many different factors. It can be assumed that erectile dysfunction is more common in younger men. However, as we age, physical conditions are more prevalent.

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Around 80% of erectile problems in men over 50 are due to physical causes, according to some estimates. About half of all erectile dysfunction cases are due to purely organic causes, while about one-third of the cases are caused by a psychogenic disorder. 20% of patients suffer from both. Psychogenic components are almost always a result fear of failure.

Causes

Sometimes, erectile dysfunctions can be a result of severe general diseases, malformations or pathological changes in genital areas. Erectile dysfunctions can also occur after certain surgical procedures. There are many options, so only a few are included under each disease group.

• Cardiovascular disease
• Coronary heart disease (diseases of the coronary arteries)
• Heart attack
• Hypertension is high blood pressure
• Calcification of the blood vessels (arteriosclerosis).
• Congenital pathological changes in the pelvic and the genital arteries
• Metabolic diseases and diseases of the glands
• Diabetes (diabetes mellitus)
• Chronic liver disease
• Chronic renal dysfunction (renal Insufficiency).
• Hypothyroidism or hyperthyroidism
• Hypophysis or other acquired or congenital disorders of the pituitary (hypophysis), or tests
• Nervous disorders and trauma
• Stroke
• Parkinson’s disease
• Multiple sclerosis
• Herniated disc
• Spinal cord disease
• Paraplegia
• Craniocerebral trauma
• Malformations and diseases of the urogenital tract
• The narrowing of the foreskin (phimosis),
• Congenital malformations in the urethra or penis (hypospadias),
• Inflammation of testicles, epididymis and prostate gland
• Tumor diseases
• Rupture in the corpus cavernosum (also known as “penile fracture”).
• Procedures in the abdomen, pelvic, and urogenital areas
• Vascular surgery in the abdominal cavity
• Treatments of the prostate and testicles are often performed because of cancer.
• Bladder and bowel surgeries

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Arteriosclerosis, diabetes mellitus and vascular anomalies are the most common causes of erectile problems among physical diseases. They account for approximately 45%. There are some diseases that are more closely linked to erectile dysfunction. Polyneuropathy is a condition that occurs mostly in diabetes mellitus. It can also be caused by diseases of the blood vessels and hormonal disorders. In a German study, erectile dysfunction was found to be the first sign of diabetes in 12% of diabetic males.

In the mid-1990s, American scientists discovered that diabetics are at 3 times higher risk of developing erectile problems than non-diabetics. Arteriosclerosis can cause blood vessel problems in the penis. Many patients with renal insufficiency experience erection difficulties. The cause of the problem is believed to be decreased testosterone production. This is also triggered by kidney weakness.

Multiple sclerosis is characterized by functional disorders of nerve tracts. Individuals affected may experience sensitivity disorders, weak pelvic muscles, and bladder weakness.

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Psychological Reasons

It is not clear what the significance of psychological causes for erectile problems is. Erectile dysfunction is often attributed to organic conditions, but sex doctors tend to consider psychological factors more important. Psychological reasons can include stress in the personal or professional environment, and the pressure to succeed. Erectile dysfunction can also be caused by depression, unresolved personal or partner conflicts, and other psychological factors such as anxiety.

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