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Erectile dysfunction can occur if a man doesn't meet one or more of these requirements. The following are causes of erectile dysfunction, and many men have more than one potential cause: Aging : There are two reasons why older men are more likely to experience erectile dysfunction than younger men.

First, older men

are

dysfunction

Second, the aging process alone can cause erectile dysfunction in some men by causing changes in the muscle and tissue within the penis.

Diabetes mellitus : Erectile dysfunction tends to develop 10 to 15 years earlier in diabetic men than among nondiabetic men.

The increased risk of erectile dysfunction among men with diabetes mellitus may be due to the earlier onset and greater severity of atherosclerosis (hardening of the arteries) that narrows the arteries and thereby reduces the delivery of blood to the penis.

Atherosclerosis can affect the arteries in the penis, as well as the arteries in the pelvis buy sildenafil online no prescription that supply the penile arteries.

Diabetes mellitus also causes erectile dysfunction by damaging nerves that go to the penis, much like the effect of diabetes on nerves in other areas of the body (diabetic neuropathy). Diabetes get sildenafil online can also affect the muscles in the penis,

leading

control

Hypertension (high blood pressure) : Men with high blood pressure have an increased risk of developing erectile dysfunction. Hypertension can cause troubles with erections related to atherosclerosis or from low levels of nitric oxide production from the arteries in the penis. Medications to treat hypertension may cause erectile dysfunction. Cardiovascular diseases : The most common cause of cardiovascular diseases in the United States is atherosclerosis, the narrowing and hardening of arteries that reduces blood flow. Atherosclerosis (a type of vascular disease) typically affects arteries throughout the body; hypertension, high blood cholesterol levels, cigarette smoking, and diabetes mellitus aggravate atherosclerosis. Hardening of the arteries to the penis and pelvic organs, atherosclerosis, causes insufficient blood flow into the penis. There is a close correlation between the severity of atherosclerosis in the coronary arteries and erectile dysfunction.

For example, men with more severe coronary artery atherosclerosis (hardening of the arteries in the heart) also tend to have more sildenafil sandoz online erectile dysfunction than men with mild or no coronary artery atherosclerosis. Some doctors suggest that men with new onset erectile dysfunction undergo evaluation for silent coronary artery diseases (advanced coronary artery atherosclerosis that has not yet caused angina or heart attacks).

Metabolic syndrome is associated with multiple risk factors for erectile dysfunction including diabetes, abnormal lipid profile, hypertension, and obesity.

Cigarette smoking : Cigarettesmoking aggravates atherosclerosis and can cause vasospasm (spasms of the arteries) and thereby increases the risk for erectile dysfunction.

Nerve or spinal cord damage : Damage to the spinal cord and nerves in the pelvis can cause erectile dysfunction.

Nerve damage can be due to disease, trauma, or surgical procedures. Examples include injury to the spinal cord from automobile accidents, injury to the pelvic nerves from prostate surgery for cancer (prostatectomy), and some surgeries for colorectal cancer, radiation to the prostate, surgery for benign prostatic enlargement, multiple sclerosis (a neurological disease with the potential to cause widespread damage to nerves), and long-term diabetes mellitus.

BPH : Benign enlargement of the prostate is associated with erectile dysfunction.

Trauma : Trauma to the pelvis, including pelvic fracture, may cause erectile dysfunction, and an untreated penile fracture may result in erectile dysfunction.

Substance abuse : Marijuana, heroin, cocaine, methamphetamines, crystal meth, and narcotic and alcohol abuse contribute to erectile dysfunction.

Alcoholism, in addition to causing nerve damage, can lead to atrophy (shrinking) of the testicles and lower testosterone levels. Low get sildenafil online testosterone levels : Testosterone (the primary sex hormone in men) is not only necessary for sex drive (libido) but also is necessary to maintain nitric oxide levels in the penis.

Therefore, men with hypogonadism (low testosterone with symptoms) can have low sex drive and erectile dysfunction.

Medications : Many common medicines produce erectile dysfunction as a side effect.

Medicines that can cause erectile dysfunction include many used to treat high blood pressure, antihistamines, antidepressants, tranquilizers, and appetite get sildenafil online suppressants. Examples of common medicines that can cause erectile dysfunction include propranolol (Inderal) or other beta-blockers, hydrochlorothiazide, digoxin (Lanoxin), amitriptyline (Elavil), famotidine (Pepcid), cimetidine (Tagamet), metoclopramide (Reglan), naproxen, indomethacin (Indocin), lithium (Eskalith, Lithobid), verapamil (Calan, Verelan, Isoptin), phenytoin (Dilantin), gemfibrozil (Lopid), amphetamine/dextroamphetamine (Adderall), and phentermine.

Prostate cancer medications that lower testosterone levels such as leuprolide (Lupron) may affect erectile function. Some chemotherapies such as cyclophosphamide (Cytoxan) may affect erectile function. Recreational drugs : Recreational drugs, including alcohol, amphetamines, barbiturates, marijuana, nicotine, heroin and cocaine, are associated with erectile dysfunction. Depression and anxiety : Psychological factors may be responsible for erectile dysfunction.

These factors include stress, anxiety, guilt, depression, widower syndrome, low self-esteem, posttraumatic stress disorder, and fear of sexual failure (performance anxiety). It is also worth noting that many medications used for treatment of depression and sildenafil cipla price other psychiatric disorders may cause erectile dysfunction or ejaculatory problems.

The common risk factors for ED include the following: Advanced age Cardiovascular disease Hypertension Diabetes mellitus High cholesterol Cigarette smoking Recreational drug use Depression or other psychiatric disorders Pelvic surgery, including radical prostatectomy and colorectal surgery Pelvic radiation, such as for prostate cancer and some colorectal cancers Trauma to the pelvis (pelvic fracture), penis (penile fracture), and perineum. Signs and symptoms of erectile dysfunction may include the following: Penile erection occurs, but the penis does not remain hard enough for completion of sex.

Penile erections are not hard enough for penetration. One can still achieve an orgasm

and

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How do health care professionals diagnose erectile dysfunction? Physicians make a diagnosis of erectile dysfunction in men who complain of troubles having a hard enough erection or a hard erection that does not last long enough. It is important as you talk with your doctor that you be candid in terms of when your troubles started, how bothersome your erectile dysfunction is, how severe it is, and discuss all your medical conditions along with all prescribed and addyi tablet online get reddit online cialis sildenafil online nonprescribed medications that you are taking.

Your doctor will ask several questions to determine if your symptoms are suggestive of erectile dysfunction and to assess its severity and possible causes. Your doctor will try to get information to answer the following questions: Is the patient suffering from erectile dysfunction or from some other form of sexual dysfunction such as loss of libido or a disorder of ejaculation (for example, premature ejaculation) or orgasm, or problems with penile curvature/pain (Peyronie's disease)? Is your erectile dysfunction due to psychological (stress, relationship problems, etc.) or physical factors? Your doctor may ask if you note erections at night or in the early morning. Men have involuntary erections in the early morning and during REM sleep (a stage in the sleep cycle with rapid eye movements).

Men with psychogenic erectile dysfunction (erectile dysfunction due to psychological factors such as stress and anxiety rather than physical factors) usually maintain these involuntary erections.

Men with physical causes of erectile dysfunction (for example, atherosclerosis, smoking, and diabetes) usually do not have these involuntary erections.