What is causing my erectile dysfunction?

Erectile dysfunction occurs when a man has difficulty getting or keeping an erection. There are many causes of ED, including:

• Psychological conditions, such as depression, anxiety & stress, concerns about sexual performance or relationship problems
• Conditions that cause impaired blood flow, such as cardiovascular disease, high blood pressure & diabetes
• Neurological and neuromuscular conditions, such as multiple sclerosis, stroke, brain tumors & spinal cord injuries
• Medications with sexual side effects, such as drugs for Parkinson’s disease, depression, high blood pressure, pain, and heart disease
• Surgeries, including surgical treatments for prostate cancer, colorectal cancers, bladder cancer & spinal cord conditions
• Lifestyle factors, such as excessive drinking, smoking, recreational drug use, and lack of exercise
• Lack of sleep
• Low testosterone (low T) or hormonal imbalance, which may be caused by: aging, injury to testes, chemotherapy and radiation therapy for cancer, genetic conditions, obesity, liver or kidney disease, or pituitary gland conditions
• Effects of Aging