Psychological factors

In young men, ED is mainly attributed with psychological rather than physical causes. Psychological causes of ED include issues such as stress, anxiety, low self-esteem, relationship problems, fatigue, depression, and fear of sexual failure (i.e “performance anxiety”) can affect the ability to hold an erection.

Physical factors

Physical factors that can contribute to poor blood flow to the penis include heart disease, diabetes mellitus, high blood pressure, kidney disease, obesity, low testosterone levels and nerve disease.While older men tend to suffer from ED because of underlying health issues, chronic conditions like diabetes, high blood pressures and obesity are now affecting more younger men with the increasing stressors of life and unhealthy lifestyle choices.

Medication-related factors

It is estimated that 25% of ED cases are due to medications. Common examples of medications that disrupt normal male sexual function include antidepressants and blood pressure medications. Although illicit drugs such as cocaine and heroin and excessive alcohol can initially stimulate libido and sexual arousal, they ultimately exert a negative impact on the ability to get erect and sustain erectile function.

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