Many men have been in situations where their penis failed to function properly. These “hang-ups” can occur at any time, especially when a relationship is starting or during times of high stress. Erectile dysfunction can be a sign of a more serious condition. Erectile dysfunction is a condition that results in a failure to erection for sexual intercourse.

Around 20% of German men aged between 30 and 80 are affected by erectile dysfunction (4.5 million). As you get older, erectile dysfunction is more common. Only 2 to 3 percent of 30- to 39 year-olds experience erectile dysfunction, while more than 50 percent of 70- and 80-year olds are affected. These men only see a doctor about 10-20% of the time, with an average of one to two years. These sobering figures hide a lot of unnecessary suffering and loneliness. Erectile dysfunction does not have to be the end of fulfilling sexuality.

According to medical literature, the frequency of ED in diabetics varies greatly. According to a rule of thumb, more than half of diabetics experience erectile dysfunction at some point in their lives. This means that diabetics are twice to three times more likely than those without diabetes to experience erectile dysfunction.

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Erectile Dysfunction: Causes

It is a complicated process, and cannot be controlled by man. Many processes must work seamlessly together to create and maintain an erection. There are many ways to disrupt this process. The brain processes stimuli and evaluates them. A sexual stimuli should not always cause an erection. This depends on the situation and applicable social norms.

Psychological Reasons

Erectile dysfunction can be caused by psychological factors. This is when the brain’s evaluation of sexual stimuli results in stronger erection inhibiting than erection promoting nerve signals.

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Organic Causes

These are the organic causes of erectile dysfunction:

  • Vascular causes are disturbances in blood supply and blood flow.
  • Neurogenic causes are damage to the central and peripheral nervous systems.
  • Hormone disorders (endocrine causes)
  • Cavernous causes: Damage to the erectile tissues

Risk Factors

A variety of risk factors could also be responsible for the possible psychological and organic causes. These are some psychological risk factors:

  • Problems with partnerships
  • Stress, fear of losing one’s job, and financial problems
  • Fear of failure and unrealistic expectations
  • Depression
  • Traumatic sexual experiences
  • Unresolved sexual orientation
  • Organically-caused ED Risk Factors:
  • High blood pressure, high blood lipids and hardening the arteries (atherosclerosis).
  • Diabetes (diabetes mellitus).
  • Neurological diseases: Multiple Sclerosis (MS), Parkinson’s Disease
  • Operation in the small pelvis: On the prostate, bladder, intestine and in case hernia
  • Paraplegia, injury to the spine or pelvis.
  • Overweight, sleep apnea
  • Liver and kidney disease
  • Tobacco, smoking, and drug abuse
  • Side effects of medication
  • Multiple factors can lead to erectile dysfunction in diabetes.

Other than vascular damage (arteriosclerosis and endothelial injury) and nerve damage, medications like antihypertensive drugs or oral antidiabetics may also be involved. A controlled sugar level can lower the risk of developing ED.

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Erectile dysfunction can be caused by any cause, but it is often a result of societal expectations that masculinity is synonymous with power. Fear of failure can lead to a vicious cycle in which some men are unable to escape. Anxiety and intense reflection prevent proper erection and increase anxiety. Modern erectile dysfunction treatment will not ignore or exclude psychological issues, even if they are organic.

Many studies in recent years have demonstrated that ED may be a symptom of a previously undiagnosed disease like hypertension, diabetes mellitus, or coronary heart disease. Erectile dysfunction should be diagnosed thoroughly and not just treated as a symptom. Diabetics should not accept ED as a result of diabetes.

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