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Conditions · FAQ

What causes erectile dysfunction (ED)?

Short answer

Erectile dysfunction (ED) can have physical, emotional, or medication-related causes. Common factors include poor blood flow, diabetes, nerve damage, hormone problems, stress, and anxiety. More than one factor may be involved. A licensed physician can review your symptoms and health history before deciding whether treatment is appropriate.

An erection depends on blood vessels, nerves, hormones, and sexual arousal working together. A problem in any of these areas can contribute to erectile dysfunction. Diabetes, high blood pressure, blood vessel disease, and some nerve conditions are possible causes. Pelvic surgery or injury may also play a role.

Stress, depression, relationship strain, and worry about sexual performance can contribute to ED. Physical and emotional factors often overlap. Having erection problems does not mean the cause is only in your head. It also does not automatically mean your testosterone is low.

Some medicines, including certain antidepressants and blood pressure drugs, can affect erections. Smoking, heavy alcohol use, and recreational drugs may also contribute. Do not stop a prescribed medicine on your own. Give your physician a full list of medicines and supplements, along with a clear picture of your symptoms. A licensed physician in your state can decide which evaluation or treatment fits your situation. Results vary.

Sources

Written by the Verra clinical team · Medical review pending

General information, not medical advice. If you're in crisis, call or text 988.

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