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What Causes Erectile Dysfunction? How is it treated?

Erectile dysfunctionerectile dysfunction, medically known as erectile dysfunction, is the inability to achieve or maintain sufficient hardness for sexual intercourse. This problem, which is common in men, can occur due to both physical and psychological reasons. Erectile dysfunction can negatively affect quality of life and may also be a harbinger of serious underlying health problems. In this article, you can find all the details from the causes of erectile dysfunction to its symptoms, from treatment methods to preventive suggestions.

What are the Symptoms of Erectile Dysfunction?

Although erectile dysfunction is often thought of as a temporary problem experienced only during sexual intercourse, some symptoms may indicate that this condition has become chronic. This should be taken into account and the underlying causes should be investigated, especially if it is experienced continuously rather than at regular intervals. Here are the most common symptoms of erectile dysfunction:

  • Inability to achieve sufficient hardness for sexual intercourse 
  • Inability to maintain hardness or losing it before intercourse begins 
  • Decreased sexual desire (low libido) 
  • Morning stiffness becomes less frequent or disappears completely 
  • Lack of self-confidence and performance anxiety 

Over time, these symptoms can affect a person’s psychology, cause relationship problems and reduce quality of life. If these complaints recur frequently, seeking support from a specialist is the best step to take.

What Causes Erectile Dysfunction?

Erectile dysfunction is not due to a single cause; it is usually a combination of physical and psychological factors. This can also give important clues about the general state of men’s health. Although it is more common in men aged 40 and over, it can occur at any age. Here are the main causes that can lead to erectile dysfunction:

  • Disorders of the circulatory system: Insufficient blood flow to the penis is one of the most common causes. High blood pressure, blood vessel blockages and heart disease can lead to this condition.  
  • Hormonal imbalances: Hormonal disorders such as testosterone deficiency, thyroid problems and diabetes can negatively affect erectile ability. 
  • Psychological factors: Stress, depression, anxiety and relationship problems are also important triggers of erectile dysfunction. 
  • Medication and lifestyle: Some blood pressure medications, antidepressants or substances such as smoking, alcohol and drugs can also have a negative effect on erections. 

Erectile dysfunction may not be a simple temporary condition, but a reflection of larger problems affecting the overall health of the body. Therefore, if symptoms have become persistent, a health professional should be consulted to determine the underlying causes.

Who Has Erectile Dysfunction?

Although erectile dysfunction is often associated with older age, it is actually a health problem that can affect men of all age groups. However, its incidence increases with age and becomes more common in people with certain risk factors. Here are the groups where erectile dysfunction is more common:

  • Men aged 40 and over: With age, vascular health, hormone balance and general body functions may weaken. This can trigger erectile dysfunction.  
  • Chronic diseases: Men with diabetes, hypertension, high cholesterol and cardiovascular diseases are at higher risk of erectile dysfunction. 
  • Smokers and alcohol users: Smoking disrupts the vascular structure, while excessive alcohol consumption has negative effects on the nervous system. These two habits can also increase erectile dysfunction.  
  • People with psychological problems: Sexual dysfunctions are more common in people with psychological problems such as anxiety, depression and stress. 
  • Sedentary lifestyles and obese individuals: Inadequate physical activity and overweight can lead to both hormonal imbalances and poor vascular health. 

It should not be forgotten that erectile dysfunction is a condition that every man can face and is not something to be ashamed of.

Which treatment methods are used for erectile dysfunction?

Erectile dysfunction is a health problem that can be largely treated with the right approach. Treatment methods may vary depending on the source of the problem and personal health status. In some men, simple lifestyle changes may be sufficient, while in some cases medical intervention may be required. Here are the most commonly used treatment methods:

  • Lifestyle changes: Steps such as healthy eating, regular exercise, quitting smoking and reducing alcohol consumption have positive effects on both overall health and sexual performance. 
  • Psychological support and therapy: The underlying cause of erectile dysfunction may be psychological conditions such as stress, anxiety or lack of self-confidence. In such cases, sexual therapy or individual psychological counseling can be very effective.  
  • Drug therapy (PDE5 inhibitors): Medicines used under the supervision of a doctor (e.g. sildenafil, tadalafil) increase blood flow to the penis and help to achieve an erection. However, these medicines must be used under the supervision of a physician.  
  • Hormonal treatments: If testosterone levels are low, hormone therapy can be applied on doctor’s recommendation. 
  • Penile injections and vacuum devices: In more advanced cases, injections directly into the penis or external vacuum devices also offer alternative solutions. 
  • Surgical intervention (penile prosthesis): In cases where other methods fail to produce results, prostheses surgically implanted into the penis can provide a permanent solution. Penile prosthesis is one of the most commonly used treatment methods. 

Each individual’s health status and needs are different. Therefore, the treatment plan should be determined individually by a urologist.

How can erectile dysfunction be prevented?

Erectile dysfunction can be treated after it occurs, but prevention is always easier and more effective. Adopting a healthy lifestyle plays an important role in maintaining sexual health. Eating a balanced diet, especially foods containing omega-3, vitamin E and antioxidants, supports vascular health. Exercise several days a week improves blood circulation and balances testosterone levels.

Quitting harmful habits such as smoking and alcohol directly affects erection quality positively. It should also be kept in mind that psychological factors such as stress, anxiety and depression can also lead to erectile dysfunction. Regular sleep, mental balance and, if necessary, psychological support are important in this respect.

Diseases such as diabetes and blood pressure are also risk factors, so regular health checks should not be neglected. If symptoms persist, the best step is to find out the underlying cause and consult a specialist for erection treatments.

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