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For many men, the image of self is inevitably linked to a perception of masculinity which in turn involves functioning and performing well sexually. When problems do occur in the form of an inability to achieve or sustain an erection the term erectile dysfunction (impotence) is applied.

Causes of Erectile Dysfunction

Erectile dysfunctions have both physiological and psychological causes. Many such causes are medically reversible, others are not. Any condition that interferes with the flow of blood through the body is bound to have a negative impact on a man’s sex life. Diabetes is a good example of a disease hampering blood flow, as are kidney diseases, chronic alcoholism and multiple sclerosis. Men suffering from heart conditions or high blood pressure know that the drugs they take to avoid strokes are detrimental to what is known as a healthy sex life. Physical injury to the penis, spinal cord, prostate, bladder, pelvis or the nerves and arteries ear the penis and which are responsible for erections can be a factor causing erectile dysfunction.

Physical causes of erectile dysfunction

• Alcohol and tobacco use

• Fatigue

• Brain or spinal-cord injuries

• Hypogonadism (which leads to lower testosterone levels)

• Multiple sclerosis

• Parkinson's disease

• Radiation therapy to the testicles

• Stroke

• Some types of prostate or bladder surgery

• Diabetes (high blood sugar)

• Hypertension (high blood pressure)

• Atherosclerosis (hardening of the arteries)

Surveys on men's health and environment reports that sexual problems like erectile dysfunction, premature ejaculation, immature penis size etc are frequent to most of the men around this globe. Studies on sexual discomfort of men have shown that around 5% of men in their 40s undergo complete erectile dysfunction, about 15% to 25% of men experience this problem in their mid 60s and about 55% of men have been reported recurrently impotent at their 75s.

Coping with Erectile dysfunction

If you experience occasional or persistent ED, remember that it is important to reassure your partner that your inability to have an erection is not a sign of diminished sexual desire. Try to communicate openly and honestly with your partner about your condition and strengthen the relationship you share with her. Couples may also want to seek counseling to deal with any concerns they may have regarding ED and to learn how to discuss their feelings with each other. Good communication must be maintained throughout the diagnosis and treatment process. In fact, treatment is often more successful if the couple works together as a team.

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