Erectile Dysfunction: Treatment and Causes


Erectile dysfunction or impotence is when an individual is unable to obtain and maintain an adequate hard erection for intercourse. Having occasional erection problems isn’t generally a cause for concern. If you have erectile dysfunction regularly, it can create stress, impact your self-confidence, and contribute to relationship troubles. Problems getting or maintaining an erection also indicate an underlying health condition that requires treatment and is a risk factor for heart disease. Here I have discussed erectile dysfunction, its treatment, causes, and symptoms; read all to know more.

Consult with your doctor if you’re worried about erectile dysfunction, even if you’re ashamed. Treating an underlying issue might sometimes be enough to reverse erectile dysfunction, and medication or other direct therapies may be required in different circumstances.


The brain, emotions, hormones, nerves, muscles, and blood vessels all play a role in male sexual desire. An issue with any of these can lead to erectile dysfunction, and Similarly, stress and mental health issues can cause or exacerbate erectile dysfunction.

Erectile dysfunction can be caused by a mix of physical and psychological factors. A small medical problem, for example, that inhibits your sexual response may generate concern about sustaining an erection.

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Physical Factors

In most cases, the cause of erectile dysfunction is a physical problem. The following are common causes:

  • Cardiovascular disease
  • Blood vessel occlusion (atherosclerosis)
  • High Blood pressure
  • High levels of cholesterol
  • Obesity
  • Diabetes
  • Metabolic syndrome: marked by high blood pressure, high insulin levels, abdominal fat, and high cholesterol.
  • Multiple sclerosis
  • Parkinson’s disease
  • Tobacco consumption
  • Certain prescribed drugs
  • Peyronie’s disease is characterized by scar tissue formation within the penis.
  • Substance abuse, including alcoholism and various forms of substance abuse
  • Sleep disturbances
  • Prostate cancer and enlarged prostate treatments
  • Surgery or damage to the pelvic region or spinal cord
  • Testosterone deficiency
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Psychological Factors

The brain is crucial in initiating the cascade of physical events that lead to an erection, beginning with sensations of sexual excitement. A variety of factors might disrupt sexual feelings and develop or worsen erectile dysfunction. These are some examples:

  • Depression
  • Anxiety and other mental health issues
  • Relationship issues caused by stress or lack of communication


If you suffer the following symptoms regularly, you may have ED.

  • Having difficulty obtaining an erection
  • Having problems keeping an erection during sexual activity
  • Decreased interest in sex
  • Other sexual disorders associated with ED include as follows:
  • Anorgasmia, or the failure to attain orgasm following enough stimulation, can be caused by premature ejaculation, delayed ejaculation, or both.

Talk to a specialist if you have any of these symptoms, especially if they have been present for three months or more. They can assist you in determining whether your symptoms are the result of an underlying ailment that requires treatment.


The underlying cause will determine the treatment for ED. You may need to employ a combination of therapies, such as medication or talk therapy.

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To help manage the symptoms of ED, your doctor may prescribe medication, and you may need to test multiple drugs before finding one that works for you. To treat ED, the following oral drugs increase blood flow to your penis:

  • Sildenafil citrate (Viagra)
  • Avanafil citrate (Stendra)
  • Vardenafil (Levitra, Staxyn)
  • Tadalafil (Cialis)
  • Alprostadil (Caverject, Edex, MUSE) is another medication that can be used to treat ED. There are two forms: a penile suppository or a self-injection at the base or side of the penis.
  • Testosterone treatment (TRT) may be prescribed if you have low testosterone levels.
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ED can be caused by medications used to treat other illnesses. Discuss your medications with your doctor to check if they could be causing your problems. You might be able to substitute others. Never discontinue medication without consulting your doctor. Side effects are possible with ED medications. Consult your doctor if you are experiencing unpleasant side effects. They might be able to suggest an alternative drug.

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Therapy Through Conversation

ED can be caused by various psychological reasons, including:

  • Stress
  • Anxiety
  • PTSD (post-traumatic stress disorder)
  • Depression

It may be beneficial if you are suffering from psychological ED. You and your therapist will talk about the following topics throughout several sessions:

  • Significant stress or worry influences your sentiments about sex and may cause subconscious conflicts that harm your sexual well-being.
  • If your ED is interfering with your relationship, you should consult with a relationship counselor. Relationship counseling can assist you, and your spouse reconnects emotionally, which may aid in treating your ED.

Vacuum Pumps

To stimulate an erection, this procedure creates a vacuum. As the gadget is utilized, blood is pulled into the penis, resulting in an erection. A vacuum pump device is made up of several separate parts:

  • A plastic tube that you slip over your penis is a pump that works by pulling air out of the plastic tube to create a vacuum.
  • After you remove the plastic tube, an elastic ring will be placed at the base of your penis.
  • The elastic ring keeps the erection going by keeping blood in the penis and preventing it from returning to circulation.
  • It is ok to leave it in place for 30 minutes.
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If you think you also have some of the described symptoms, you should consult an expert. You can book your appointment with the Best Sexologist in Lahore through Marham.

Frequently Asked Questions (FAQs)

1- What is the most common reason for erectile dysfunction?

Erectile dysfunction is caused by various variables, including psychological and medical disorders, drugs, trauma, and lifestyle choices.

2- When does a man stop becoming hard?

One study found that ED is frequent in older men and that sexual performance declines substantially beyond 50.

3- Is it possible to treat erectile dysfunction?

Erectile dysfunction can be treated; however, it is dependent on the underlying cause. Some causes of ED are more easily “cured” than others. But, with the proper diagnosis, support, and treatment, ED can cure without the need for ED medications.

Infographic: Erectile Dysfunction: Treatment and Causes

Erectile Dysfunction: Treatment and Causes
Erectile Dysfunction: Treatment and Causes

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