What is the cause of ED (erectile dysfunction)?

Erectile dysfunction (ED) is a health problem that many men can reach. This is due to the combination of physiological and psychological lifestyle methods and the creation of factors. Main text details: Main causes of ED, general physiology, psychology, lifestyle, and factors contributing to the peace of aging. Understand that each factor is how it affects the erection process, and how to help you get even more effective.

1.Physical causes (physical ED)

• Vascular problems:
  • Atherosclerosis: Diabetes, high blood pressure, high cholesterol and smoking are all risk factors.
  • Peripheral Artery Disease: This is a condition that blocks blood flow to the extremities and penis and can lead to ED.
• Neurological problems: .
  • Spinal Cord Injury: A spinal cord injury can block nerve signals from the brain to the penis, leading to ED.
  • Diabetic neuropathy: Nerve damage caused by diabetes interferes with the nerve signals to the penis.
• Hormonal Abnormalities: .
  • Low Testosterone: Low testosterone can lead to loss of libido and ED.
  • Hypothyroidism or Excess: Abnormal thyroid hormones can be associated with ED.
• Trauma or surgery :
  • Pelvic or penile trauma: Trauma can damage blood vessels or nerves and lead to ED.
  • Prostate Surgery: Surgery or radiation therapy for prostate cancer may cause ED.

2. Psychological causes (psychogenic ED)

• Stresses
  • Stress from work, family problems, or relationships can inhibit sexual arousal and lead to ED.
• Uneasy
  • Anxiety about sexual activity and loss of confidence in one’s sexuality can lead to ED.
• Clinical depression
  • Depression reduces libido and can lead to ED. medications used to treat depression can also cause ED.
• Trauma
  • ED can be caused by past sexual trauma or sexual abuse.

3. Lifestyle and environmental factors

• Smoking:
  • Smoking increases the risk of ED by constricting blood vessels and poor blood flow.
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  • Excessive alcohol consumption not only leads to temporary erectile dysfunction, but also increases the risk of erectile dysfunction in the long run.
• Drug use:
  • Side effects of some medications (e.g., antidepressants, antihypertensives, antipsychotics) may cause ED.
• Obesity:
  • Obesity increases the risk of ED because it disrupts hormonal balance and adversely affects blood flow.
• Insufficient exercise:
  • Lack of exercise can negatively affect blood flow and cardiovascular health, leading to ED.

4. Increase in age

• Increase your age:
  • As we age, erectile function may naturally decline. This is related to decreased blood vessel elasticity and hormonal changes.

5. Key elements of complexity

• Usually involves more than one factor:
  • There is no single cause of ED, but rather a combination of physical and psychological factors. For example, physical problems may be the initial cause, and then psychological anxiety may exacerbate ED.

Summary

Erectile dysfunction is a complex condition caused by many different factors.Physiological problems, psychological stress, lifestyle influences, age-related changes, and even a combination of these factors can seriously affect erectile function. If symptoms occur, the first step is to seek medical advice. Treatment based on an accurate diagnosis is the first step towards improving ED. Depending on the cause, appropriate treatments such as medication, psychotherapy and lifestyle modification can be effective in resolving ED problems. HIRO CLINIC MEN’S also offers counseling for ED problems. Please feel free to contact us for more information, as we will be happy to provide you with treatment suggestions that are appropriate for your symptoms.

記事の監修者

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岡 博史 先生

CAPラボディレクター

慶應義塾大学 医学部 卒業

医学博士

医師