Erectile dysfunction (ED) is the consistent inability to get or maintain an erection firm enough for sexual intercourse. It’s a common condition, especially as men age, but it’s not considered a normal part of aging and can often be treated.
Key Symptoms
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Trouble getting an erection
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Difficulty maintaining an erection
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Reduced sexual desire
Causes of Erectile Dysfunction
ED can be caused by physical, psychological, or combined factors:
Physical Causes
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Heart disease or high blood pressure
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Diabetes
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Obesity
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Low testosterone
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Smoking, alcohol, or drug use
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Certain medications (like antidepressants or blood pressure meds)
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Nerve damage (e.g., from surgery or injury)
Psychological Causes
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Stress or anxiety
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Depression
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Relationship problems
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Performance anxiety
Diagnosis
A doctor may:
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Ask questions about symptoms and medical history
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Perform a physical exam
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Order blood tests, urine tests, or an ultrasound
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Inquire about psychological factors
Treatment Options
Depending on the cause, treatments may include:
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Lifestyle changes: Exercise, healthy diet, quitting smoking/alcohol
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Oral medications: Viagra (sildenafil), Cialis (tadalafil), Levitra (vardenafil)
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Therapy: For stress, anxiety, or relationship issues
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Vacuum erection devices: Mechanical pumps that help achieve an erection
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Hormone therapy: If testosterone levels are low
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Surgical options: Penile implants in severe cases
When to See a Doctor
If ED happens regularly or interferes with your sex life or emotional well-being, consult a healthcare provider—it’s often treatable and may indicate a more serious underlying health issue.
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