What is Erectile Dysfunction (ED)?

Erectile Dysfunction (ED) is the persistent inability to achieve or maintain an erection that is firm enough for satisfactory sexual intercourse.

It is normal for men to occasionally have difficulty getting an erection due to stress, tiredness, or anxiety. However, if the problem occurs frequently (more than 50% of sexual attempts) and lasts for several weeks or months, it is considered erectile dysfunction.

Types of Erectile Dysfunction

1. Psychogenic ED

Caused by psychological factors.

Causes:

• Stress
• Anxiety
• Depression
• Relationship problems
• Performance anxiety
• Fear of failure

Features:

• Sudden onset
• May have normal morning erections.
• May achieve erection during masturbation but not during intercourse.

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2. Organic ED

Caused by physical problems.

a) Vascular ED

Poor blood flow to the penis.

Causes:

• Diabetes
• High blood pressure
• High cholesterol
• Smoking
• Obesity
• Heart disease

This is the most common cause of ED in men over 40.