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Erectile dysfunction (ED) presents itself with a common set of symptoms; however, the underlying causes can significantly differ among individuals. The root of ED in older men is often attributed to physical changes and health issues, while psychological factors are more prevalent causes in younger men. Below we explore the most common factors leading to erectile dysfunction.
Aging is a primary factor in the development of erectile dysfunction. As men age, they may experience a decline in libido and testosterone levels, which can hinder their ability to achieve and maintain an erection. The natural process of arterial hardening with age further complicates the ability to attain an erection, making older men more susceptible to ED.
Physical or medical conditions are responsible for a significant percentage of ED cases. Diabetes, for instance, affects nearly half of all men with the condition due to the impact on blood flow. Erectile dysfunction can also result from nerve disorders, compromised venous integrity, and chronic illnesses. Conditions like Peyronie’s Disease, which leads to scar tissue formation inside the penis, neurological disorders such as multiple sclerosis, spinal cord injuries, and certain medications, including those for blood pressure and anxiety, are also known contributors to ED.
Psychological influences play a role in an estimated 10 to 20 percent of ED cases. Depression stands out as a significant psychological factor, alongside other mental stressors. Performance anxiety is another substantial psychological contributor to erectile dysfunction.
Lifestyle choices, particularly substance abuse, are prominent causes of ED among younger men. Beyond the immediate effects, long-term abuse of alcohol and drugs can inflict irreversible damage and potentially lead to chronic erectile dysfunction.
Sources:
WebMD
Mayo Clinic
Healthline