- Psychosocial issues such as performance anxiety, stress, mental health issues, and relationship issues.
Psychological causes can be the most common cause of erectile dysfunction, especially when the patient is younger.
In moments of stress and anxiety, there is an increase in the release of adrenaline by the body. Adrenaline decreases the size of the blood vessels and makes it difficult for blood to reach the penis. Therefore, if a man is anxious or stressed he may have an impaired erection.
Depression is yet another emotional cause that can trigger impotence. Considered as the “disease of the century,” this disease has symptoms of deep sadness and lack of pleasure in activities that the patient used to feel. Because of this, there is a decrease and loss of libido which causes erectile dysfunction.
- 2. Reduced blood flow, sometimes resulting from narrowing of the arteries. This can happen for patients that have cardiovascular problems or heart dysfunction.
- 3. Urological problems such as Peyronie’s disease and prostate cancer.
- 4. Use of drugs, cigarettes, alcohol and some medications, including some of those used to treat high blood pressure and depression.
Alcoholic beverages act by depressing the nervous system and, consequently, cause relaxation of all muscles including penile muscles. When these muscles are relaxed, an erection is very difficult to maintain.
Tobacco causes changes in the vascular system and, as this is one of the main organic causes of erectile dysfunction, this habit becomes a potent triggering factor for impotence.
- 5 .Interference with nerve function caused by spinal cord trauma, multiple sclerosis, diabetic neuropathy, pelvic surgery, Parkinson’s disease and Alzheimer’s disease.
Problems with blood vessel function, including diabetes, high blood pressure, high cholesterol, and sleep apnea.
Diseases such as hypertension, diabetes (which alters the functioning of arteries and nerves), high cholesterol and atherosclerosis, cause the walls of blood vessels to stiffen and interfere with the amount of blood that reaches the penis. Since an erection depends on blood flow to be achieved, circulation problems can cause impotence.
- 6. Hypogonadism, which is a condition where the testes are not able to produce enough testosterone.
- 7. Thyroid disease, chemotherapy, surgeries and some genetic diseases.
Some surgeries, especially intestinal surgeries or those performed on the prostate, can injure vessels and nerves that are essential for an erection. For the same reason, radiotherapy treatments performed below the waist can also be the great villains when it comes to sexual impotence.
Another factor triggering the problem could be thyroid disease. The thyroid has a direct influence on the production of hormones linked to the metabolism and reproductive organs of the human body. Therefore, when its function is unbalanced it can harm reproductive health and result in infertility.
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