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What causes erection problems, (ED) or Impotence ?

For the penis to achieve an erect status a delicate and complex chain of events are required to happen. Before trying to understand the causes of erectile dysfunction or impotence it is recommend you read an insight to how does an erection occur ?, to be familiar with the event process and bodily functions involved if you havn't done so already.

Erectile dysfunction or impotence can occur from psychological or physical causes or even both. Approximately 80% of erection problems are due to physical causes and most cases reported are in the over 50's age group, however this would leave many men to believe that it is an inevitable part of the aging process, this is not a fact. Age is a contributing factor because of the effects it has on other organs within your body if you look after these other organs better the chances of suffering from erectile dysfunction can actual be avoided if not postponed further.

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Factors that directly interfere with achieving and maintaining an erection :

• The brain failing to sending nerve impulses
• Injury to the nerves between the brain and the corpora cavernosa muscle
• Injury to the corpora cavernosa muscle
• Clogging or restricted flow in the blood vessels leading into the corpora cavernosa
• Damage to the fibrous tissues in and near the corpora cavernosa
• Injury of the vessels draining blood from the penis that constrict and hold the blood from escaping

Physical Causes

The physical causes of erectile dysfunction are by far the most frequent, and more commonly reported by men 50 and older.

Vascular problems are the most widely reported, the vascular system includes blood vessels that transport the flow of blood around the body, arteries channel blood away from the heart and veins toward the heart. The vascular system is an integral part to acheiving an erection as it supplies the blood to the penis if a vascular diseases like hardening of the arteries or veins develops then blood flow can become restricted resulting in erectile dysfunction. Heavy smokers have double the risk of developing vascular disease and as early as their 40's, it can also come from high colesterol in your blood (a fat like substance), obesity, lack of exercise, stress, high blood pressure, heart disease, diabetes and a sedentary lifestyle.

Neurologic problems such as nerve damage or injury could prevent an impulse signal traveling from your brain, down your spinal cord to your corpora cavernosa muscle and cause erectile dysfunction this is the muscle which opens and closes the blood flow into your penis. Heavy drinkers of alcohol and long term abusers can harm the impulses required to achieve an erection, this damage is irreversible and is called alcohol impotence. Multiple sclerosis, Alzheimer's disease, Parkinson's disease and spinal cord injury are all Neurologic affecting conditions that can impair the impulse signal to the penis damage may also occur from diabetes.

Hormonal problems can cause a decrease in sexual desire. Testosterone's effects on erectile function is un clear it is however essential for sexual reproduction.

Surgery problems or cancer radiation treatments on the prostate, bladder and rectal areas can cause erectile dysfunction.

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Psychological Causes

Psychology can play a big part in achieving an erection, it is often the first in the chain of event required to complete an erection however it only accounts for 20% of problems reported and diagnosed, physical problems are more common.

There are a few different types of psychological causes, we will start with the one that occurs with memory and association. A past sexual experience where the man couldn't achieve an erection and was left feeling embarrassed or unassured by the partner can often recur in future experiences where the man feels it may happen again and doesn't think he will get the assurance from the partner.

A bad sexual experience from alcoholism and drugs legal or illegal can have a future psychological memory association of failure, influences like these alter the bodies function temporarily and are often the cause of failure, frequent abuse can cause a bad train of thought and leave the man with a feeling that failure is inevitable.

Emotional psychology is another cause of erectile dysfunction examples include depression, stress, marital or finanical problems. Situations like this can reduce your desire to have sex because your brain is too occupied with worry.

A common reported cause of psychological erectile dysfunction is when a man becomes anxious about his sexual performance. Anxiety generated about the thought of how he will perform during sex often works against him and can causes more anxiety spiraling into a repetative loop.

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Diagnosing the Causes

From the above information you may be able to determine for yourself the cause of erectile dysfunction that is if you are having problems with an erection yourself, we must outline that the above information does not cover the complete range of problems it does however cover the most common and frequent reported.

To diagnose the cause of erectile dysfunction accurately we recommend a visit to see your family Doctor, he / she may refer you to a specialist in the field like a urologist or a neurologist for further test after the conclusion of a formal examination / questionaire and checking your family history.

Next : Treatment for erectile dysfunction or impotence