An Essential Guide on Erectile Dysfunction: Causes and Treatments

Erectile dysfunction affects men of all ages worldwide. Knowing the causes can help determine the necessary treatment. Here's everything you need to know about ED.

The Promescent Team
Hands on, practical experience – this is our expertise
by The Promescent Team Last updated 12/22/2023

Sildenafil Generic Viagra®



Just arrived in store
Arrow pointing right
Delay Spray

Delay Spray



Just arrived in store
Best Seller

erectile dysfunction treatments

Erectile dysfunction (ED) is a sensitive topic, but it's crucial to understand that it's a common condition, and one that can be managed effectively. 

Millions of men worldwide experience ED, and it can impact anyone, irrespective of age or health status.

Quick FAQs

ED refers to the inability to get or keep an erection that's firm enough for sex.

Erectile dysfunction can have both physical causes, such as diabetes, and psychological causes, such as anxiety.

Some treatments that can help with erectile dysfunction include maintaining a healthy weight, regular exercise, and ED medication.

Erectile dysfunction can occur for every man from time to time, but if it happens routinely, it can be concerning. Here’s what to know about ED. 

What is Erectile Dysfunction?

Erectile dysfunction, often referred to as ED, is a condition characterized by the inability to achieve or maintain an erection firm enough for sexual intercourse. 

This could be a continuous issue or occur intermittently. One misconception that should be cleared up is that ED isn't merely a "part of getting older." While it's true that age increases the risk, it should not be considered inevitable.

Causes of Erectile Dysfunction

The causes of ED can be broadly divided into two categories: physical and psychological.

Physical Causes

Physical causes of ED are often related to overall health status. Some common physical factors include:

  • Heart Disease: Conditions affecting blood flow like heart diseases and high blood pressure can impede blood flow to the penis, causing ED.
  • Diabetes: Uncontrolled diabetes can damage nerves and blood vessels, which are vital for achieving an erection.
  • Obesity: Being overweight can cause — or worsen — erectile dysfunction.
  • Neurological conditions: Neurological disorders like Parkinson's disease and multiple sclerosis can interfere with the nervous system, leading to ED.

Psychological Causes

Sometimes, ED can have psychological origins:

  • Stress: Emotional stress related to work, relationships, or financial issues can cause ED.
  • Anxiety, Depression, or other Mental Health Conditions: These conditions can cause or worsen ED.
  • Fear of Failure: Men who have had ED before often fear failing again, which can lead to a self-fulfilling prophecy.

Diagnosis of Erectile Dysfunction

Diagnosing ED involves an assessment of physical and psychological health. It starts with a detailed medical, sexual, and psychological history, followed by a thorough physical examination. 

Depending on these findings, further diagnostic tests might be ordered, such as blood tests, urine tests, or an ultrasound.

Treatment of Erectile Dysfunction

ED is not just a quality of life issue; it can also be a sign of underlying health conditions. Therefore, it's crucial to seek medical attention if you experience problems with erectile function. Here are the most common treatments:

Lifestyle Modifications

Lifestyle changes can have a considerable impact on ED. These include maintaining a healthy weight, quitting smoking, reducing alcohol consumption, and managing stress.


Various FDA-approved medications are available that can help improve blood flow to the penis, facilitating an erection when sexually aroused. Examples include Sildenafil (Viagra®), Tadalafil (Cialis®), and Vardenafil (Levitra®).

Pro Tip: Find out how ED medication work and which one is best for you from the experts at Promescent.

Psychological Counseling

If psychological issues are contributing to ED, counseling or therapy might be beneficial.

Surgical Treatments

In some cases, surgical treatments might be considered, including penile implants and vascular surgery.

Coping with Erectile Dysfunction: Beyond Medical Treatments

In addition to medical treatments, other strategies can be beneficial for managing ED.


Maintaining open and honest communication with your partner can help both of you navigate the challenges of ED. Discussing the issue can alleviate anxiety and strengthen your relationship, but getting started can be tough. For many couples sex therapy can be a great option.

Pro Tip: Find out how you can help your partner with erectile dysfunction from the experts at Promescent.

Regular Exercise

Physical activity boosts blood flow, which is essential for erections. Exercise also improves mood and energy levels, which can enhance sexual health.

Balanced Diet

A diet rich in fruits, vegetables, lean proteins, and whole grains is beneficial for overall health and can promote good sexual health.

Expert Advice: Certain foods may be contributing to your erectile dysfunction. Find out which foods can cause ED so you'll know what to avoid


Inadequate or poor-quality sleep can contribute to ED. Aim for 7-9 hours of quality sleep each night.

Limit Alcohol

Excessive alcohol can impair sexual function. Limit your alcohol intake to moderate levels.

Dispelling Myths about Erectile Dysfunction

Misinformation about ED abounds. Here are a few commonly held myths:

Myth: ED is just a part of aging

While the incidence of ED increases with age, it's not an inevitable part of the aging process. Many men enjoy sexual activity well into their senior years.

Myth: ED is all in your head

While psychological factors can contribute to ED, it is often a result of physical conditions or a combination of both.

Myth: Only older men get ED

While it's true that older men are more likely to experience ED, younger men are not immune. It can affect men of all ages.

Are medications safe for treating ED?

Yes, medications used to treat ED have been extensively tested for safety and efficacy. However, like any medication, they may have side effects, and not all men can or should take these medications. It’s important to communicate with a healthcare professional before taking any ED drug.


Erectile dysfunction is a common condition that affects many men worldwide. Don't hesitate to seek help if you need it - you're not alone in this journey. 

Understanding the underlying causes is the first step towards effective management. As challenging as ED can be, it is treatable. 

With the right combination of lifestyle modifications, medical treatments, and psychological support, men with ED are able to enjoy satisfying sexual relationships.

Before starting any treatment protocol, be sure to consult with a doctor. They will examine your medical history and determine the best treatment option.

The Promescent Team

The Promescent Team

Our team has over a decade of experience in the sexual wellness field and are experts in sexual dysfunctions, like premature ejaculation. We help couples and individuals better understand treatment options available for different types of sexual needs and educate the public on all things related to intimacy. All of our authored content is medically reviewed for accuracy and reliability.


Absorption Pharmaceuticals LLC (Promescent) has strict informational citing guidelines and relies on peer-reviewed studies, academic or research institutions, medical associations, and medical experts. We attempt to use primary sources and refrain from using tertiary references and only citing trustworthy sources. Each article is reviewed, written, and updated by Medical Professionals or authoritative Experts in a specific, related field of practice. You can find out more about how we ensure our content is accurate and current by reading our editorial policy.

  • Sooriyamoorthy T, Leslie SW. Erectile Dysfunction. [Updated 2022 Nov 28]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: Accessed on May, 25, 2023.
  • Maiorino MI, Bellastella G, Esposito K. Diabetes and sexual dysfunction: current perspectives. Diabetes Metab Syndr Obes. 2014 Mar 6;7:95-105. doi: 10.2147/DMSO.S36455. PMID: 24623985; PMCID: PMC3949699. Accessed on May, 25, 2023.
  • Moon KH, Park SY, Kim YW. Obesity and Erectile Dysfunction: From Bench to Clinical Implication. World J Mens Health. 2019 May;37(2):138-147. doi: 10.5534/wjmh.180026. Epub 2018 Jul 25. PMID: 30079640; PMCID: PMC6479091. Accessed on May, 25, 2023.
  • Guo ZN, He SY, Zhang HL, Wu J, Yang Y. Multiple sclerosis and sexual dysfunction. Asian J Androl. 2012 Jul;14(4):530-5. doi: 10.1038/aja.2011.110. Epub 2012 Mar 26. PMID: 22447199; PMCID: PMC3720075. Accessed on May, 25, 2023.
  • Velurajah R, Brunckhorst O, Waqar M, McMullen I, Ahmed K. Erectile dysfunction in patients with anxiety disorders: a systematic review. Int J Impot Res. 2022 Mar;34(2):177-186. doi: 10.1038/s41443-020-00405-4. Epub 2021 Feb 18. PMID: 33603242; PMCID: PMC8964411. Accessed on May, 25, 2023.
  • Seagraves RT. Depression and erectile dysfunction. Postgrad Med. 2000 May;107(6 Suppl Educational):24-7. doi: 10.3810/pgm.5.15.2000.suppl5.29. PMID: 19667520. Accessed on May, 25, 2023.
The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.

Share article:

Buy Sildenafil 50mg or 100mg online for erectile dysfunction (Sildenafil Citrate). Shop generic Viagra when prescribed through online Telehealth ED doctor visit.


Generic Viagra®



Just arrived in store
as low as $6.00 per dose
Save up to 92%
Shop Now
Promescent Delay Spray for men

Delay Spray



Just arrived in store
$22.95 You save 42%