Causes of Erectile Dysfunction

Reading time: 2 min

There are seven main causes which increase the risk of experiencing erection difficulties.

Two faces of the same person, one happy, the other one sad, symbolizing mood swings

Pyschological causes. Conditions such as anxiety, depression and even stress can affect sexuality. Another potential cause is excessive worrying about relationship, employment or family problems which can lead to a neglected sex life. Fatigue, poor appetite, lack of exercise, insomnia or a failure can also affect your sexual reflexes.

A blood vessel with cholesterol in its walls that restricts blood flow.

Vascular causes. The artery supplying the penis with blood is prone to the same vascular risk factors as any other blood vessel in the body. Therefore the most frequent causes of vascular impotence are diabetes, high blood pressure, increased cholesterol, smoking and cardiovascular diseases. Prostate, bladder or rectal surgery, or radiotherapy in the area around the pelvis can also damage these vessels and generate erection problems.

Pill with prescription meds

Pharmacological causes. There are several medicinal products whose secondary effects may include a decreased ability to sustain an erection. Featured among those products are medicines used to treat high blood pressure, heart disease and psychiatric conditions.

Central nervous system in pain

Neurological causes
Neurological erectile dysfunction arises when the brain experiences difficulties in transmitting messages down the spinal cord to the penis. This is often caused by spinal cord injuries, multiple sclerosis, diabetes, kidney failure or due to surgery in the pelvic region. Neurological impotence is also caused by chronic kidney failure.

Person with neck  ganglia Inflammation

Hormonal causes. Hormonal imbalances, such as a testosterone deficiency, elevated prolactin levels or abnormal thyroid levels, can be a cause of erectile dysfunction.

Comparison between a penis and a micropenis

Anatomical or structural causes. Male reproductive system anomalies (e.g., hypospadias or epispadias), micropenis, congenital penile curvature, Peyronie’s disease.

Scarred penis due to a fracture or a surgery

Traumatical causes. Penile fracture.

Substantiated information by:

Ascensión Gómez Porcel
Eduardo García Cruz

Published: 20 February 2018
Updated: 20 February 2018


Receive the latest updates related to this content.

Thank you for subscribing!

If this is the first time you subscribe you will receive a confirmation email, check your inbox

An error occurred and we were unable to send your data, please try again later.