Erectile dysfunction - Renewal Hormone Center

What is erectile dysfunction?

Erectile dysfunction (ED), sometimes called impotence, is the inability to get and keep an erection firm enough for sexual intercourse. ED is very common, affecting around 30 million men in the US. Occasional ED isn’t uncommon and isn’t necessarily cause for concern. Frequent ED, however, can be a sign of health problems that need treatment.

Main causes

• Physical causes - These include heart disease, high blood pressure, diabetes, obesity, Parkinson's disease, multiple sclerosis, low testosterone, Peyronie's disease, tobacco use, alcoholism, treatments like radiation therapy, surgeries, or sleep disorders.
• Psychological causes - Stress, anxiety, depression, relationship issues or other mental health concerns can sometimes trigger ED.

Risk factors

Factors that increase the risk for ED include:

• Age - ED risk rises with age, affecting 15% of men at age 40. However, ED isn't an inevitable part of aging.
• Lifestyle choices - Smoking, illegal drug use, alcohol abuse, obesity, and not exercising can contribute to ED risk.
• Certain medications - Blood pressure drugs, antidepressants, antipsychotics, antihistamines and others can lower libido and cause ED as a side effect.

Getting diagnosed

Seeing a doctor for a thorough physical exam and complete medical history is key to determine any underlying conditions contributing to ED. Your doctor may order blood tests or other diagnostic tests to pinpoint causes. Getting an open and honest assessment is important to address ED properly.

While ED can be emotional and disruptive, the good news is treatment options exist ranging from medications like Viagra, lifestyle changes, devices, counseling, and more. Speaking with a compassionate doctor is the critical first step to explore the best treatments for you.