Erectile Dysfunction - Johns Hopkins Medicine

Introduction Erectile dysfunction (impotence) is the inability to get and keep an erection firm enough for sex. Having This Piece Covers It Well from time to time isn't always a cause for concern. If impotence is a continuous issue, however, it can trigger tension, impact your confidence and add to relationship problems.

If you're concerned about impotence, talk to your doctor even if you're embarrassed. In some cases, dealing with an underlying condition is enough to reverse erectile dysfunction. In other cases, medications or other direct treatments might be required. Symptoms, Impotence symptoms may include consistent: Trouble getting an erection Difficulty keeping an erection Minimized sexual desire When to see a physician, A family medical professional is a great place to start when you have erectile problems.

See Mayo Center Men's Health to get going. Causes, Male sexual arousal is a complex procedure that includes the brain, hormones, feelings, nerves, muscles and capillary. Impotence can result from a problem with any of these. Also, stress and mental health issues can cause or get worse impotence.

For example, a minor physical condition that slows your sexual response might cause stress and anxiety about keeping an erection. The resulting stress and anxiety can cause or intensify erectile dysfunction. Physical reasons for impotence, Oftentimes, erectile dysfunction is triggered by something physical. Common causes consist of: Heart illness Obstructed blood vessels (atherosclerosis) High cholesterol High blood pressure Diabetes Obesity Metabolic syndrome a condition including increased high blood pressure, high insulin levels, body fat around the waist and high cholesterol Parkinson's illness Numerous sclerosis Certain prescription medications Tobacco usage Peyronie's disease advancement of scar tissue inside the penis Alcoholism and other types of compound abuse Sleep disorders Treatments for prostate cancer or bigger prostate Surgeries or injuries that impact the pelvic area or spine cable Low testosterone Psychological causes of impotence, The brain plays a crucial function in activating the series of physical events that cause an erection, beginning with feelings of sexual enjoyment.

These consist of: Anxiety, anxiety or other mental health conditions Stress Relationship problems due to tension, poor communication or other concerns Risk aspects, As you age, erections may take longer to establish and might not be as company. You may require more direct touch to your penis to get and keep an erection.