Erectile dysfunction, or ED, is the inability to achieve or sustain an erection suitable for sexual intercourse. Causes include medications, chronic illnesses, poor blood flow to the penis, drinking too much alcohol, or being too tired.
If erectile dysfunction is an ongoing issue, however, it can cause stress, affect your self-confidence and contribute to relationship problems. Problems getting or keeping an erection also can be a sign of an underlying health condition that needs treatment and a risk factor for heart disease down the road.
Physical causes of erectile dysfunction
- Heart disease.
- Clogged blood vessels (atherosclerosis).
- High cholesterol.
- High blood pressure.
- Diabetes.
- Obesity.
- Metabolic syndrome — a condition involving increased blood pressure, high insulin levels, body fat around the waist and high cholesterol.
- Parkinson’s disease.
- Reduced testosterone levels due to aging.
- Multiple sclerosis.
- Peyronie’s disease — development of scar tissue inside the penis.
- Certain prescription medications.
- Tobacco use.
- Alcoholism and other forms of substance abuse.
- Sleep disorders.
- Treatments for prostate cancer or enlarged prostate.
- Surgeries or injuries that affect the pelvic area or spinal cord.
Psychological causes of erectile dysfunction
- Depression, anxiety or other mental health conditions.
- Stress.
- Relationship problems due to stress, poor communication or other concerns.
Treatment options
Custom concentrations are available upon request:
- Bi-mix (papaverine/phentolamine).
- Tri-mix (papaverine/phentolamine/alprostadil).
- Quad-mix (papaverine/phentolamine/atropine/alprostadil).
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