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| The causes of Erectile Dysfunction ED can be caused by any number of physical and psychological factors. In general, Erectile Dysfunction ED causes are classified according to whether the cause is by organic (having to do with a bodily organ or organ system) or psychogenic (mental) factors. Diseases, nutritional status, trauma, surgical procedures, or medications can affect Erectile function by altering the nervous, vascular, or hormonal systems. Some men have more than one causes for their Erectile Dysfunction. ED problems will usually cause and produce a significant psychological and emotional reaction in most men. This is often described as a pattern of anxiety and stress that can further interfere with normal sexual function. This "performance anxiety" needs to be recognized and addressed by your doctor. Almost any disease can affect and cause Erectile Dysfunction problems and change normal function by altering the nervous, vascular, or hormonal systems. Various diseases may produce changes in the smooth muscle tissue of the penis or influence mood and behavior. Other Possible Erectile Dysfunction Causes Vascular diseases account for nearly half of all cases and causes of Erectile Dysfunction in men older than 50 years. Vascular disease includes atherosclerosis (fatty deposits on the walls of arteries, also called hardening of the arteries), a history of heart attacks, peripheral vascular disease (problems with blood circulation), and high blood pressure. Prolonged tobacco use (smoking) is considered an important risk and cause factor for Erectile Dysfunction because it is associated with poor circulation and reduced blood flow in the penis. Trauma to the pelvic blood vessels and nerves is another potential factor in the development and causes of Erectile Dysfunction. Bicycle riding for long periods has been implicated, so some of the newer bicycle seats have been designed to soften pressure on the perineum (the soft area between the anus and the scrotum). Medications used to treat other medical disorders may cause ED. For some men, Erectile Dysfunction develops with age or may be related to depression or another psychological cause, such as widower syndrome. Physician Diagnosis of the Causes of Erectile Dysfunction Schedule enough time with your doctor to conduct a full interview and physical examination. The first step in the medical management of Erectile Dysfunction is taking a thorough sexual, medical, and psychosocial history. Figuring out the causes of Erectile Dysfunction is a delicate topic and your doctor should be sensitive and caring to make you comfortable about sharing these intimate details of your private life. A physical examination is necessary. The doctor will pay particular attention to the genitals and nervous, vascular, and urinary systems. Your blood pressure will be checked because studies have demonstrated a connection between high blood pressure and ED. The physical examination will confirm information you gave the doctor in your medical history and may help reveal unsuspected disorders such as diabetes, vascular disease, penile plaques (scar tissue or firm lumps under the skin of the penis), testicular problems, low hormone production, injury or disease to the nerves of the penis and prostate disorders. |
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