Our expert says:
There are always 2 sides to a story: so lets first look at Physical causes:
1) Drugs are the most common treatable cause of erection problems. Examples are sedatives, medication to control high blood pressure (antihypertensives), water tablets (diuretics) medication for depression (antidepressants), weight control drugs, peptic ulcer drugs, alcohol, nicotine and certain strong pain medication (opiates)
2) Blood flow abnormalities can cause erectile dysfunction. Diseases taht reduce blood flow to the penis include hardening of the arteries, high blood pressure, diabetes or Peyronies disease (scar tissue in the penis)
3) Nerve impulse abnormalities can cause erection problems. Conditions that reduce or interrupt nerve supply to the penid include diabetes, spinal cord injuries, strokes, pelvic surgery and alcoholism.
4) Hormonal abnormalities are another cause of erectile dysfunction. Problems taht disrupt the normal balance of hormones include testicular problems, kidney disease (and dialysis), liver disease and alcholism.
1) Depression lower's a man's energy and reduces his sex drive. He can't get an erection and that deepens his depression. Before erectile dysfunction can be resolved, depression and its causesw must first be treated.
2) Performance anxiety happens to most men at times. But if it persists, it can cause erectile dysfunction. Fear of failure raises anxiety. Thos prevents an erection, which leads to more fear of failure. It's a vicious cycle.
3) Stress caused by work, relationship, or financial worries can lead to erection problems. The more a man tries to get an erection when he's tense, the worse it gets. Stress causes erectile dysfunction, which in turn, increases stress.
4) Misinformation about sex can cause stress, performance anxiety and erectile dysfunction. Some men grow up with misguided ideas about how a "real man" should perform in bed.
Contact the SA Sexual Health Association 0860 - 100 - 262 and ask them for a free copy of the booklet: "Understanding Erectile Dysfunction"
The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal
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