The causes of erectile dysfunction are often a mix of physical and psychological factors. Physically, conditions like diabetes, high blood pressure, high cholesterol, obesity, and heart disease reduce blood flow, making it harder to get an erection. Hormonal issues, such as low testosterone, may also contribute. Certain medications, especially those for blood pressure or depression, can cause ED as a side effect. Psychological causes include stress, anxiety, depression, and relationship issues, which interfere with arousal. Even lifestyle habits like smoking, excessive drinking, or lack of exercise can worsen the problem. In younger men, ED is often linked to performance anxiety or stress, while in older men, health conditions are more common. Because there are so many possible causes, it’s important to work with a healthcare provider to identify the specific reason. Once the cause is found, treatment becomes much easier and more effective.
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