If you're not familiar with the basics of erectile dysfunction, we recommend reading this article first: Erectile Dysfunction Basics.
- Erectile Dysfunction
Ageing, physical health and causes of erectile dysfunction
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In this article, we will discuss the various factors that can contribute to erectile dysfunction (ED). First, we look at what role age and vascular health can play in the development of erection problems. Next, we take a closer look at possible physical and psychological causes.
Ageing and ED
Although erection problems can occur at any age, the risk for ED can increase with age. This is because the body changes as we get older, making various physical processes less efficient. In particular, the elasticity of the blood vessels decreases with age, which can have a direct impact on the ability to achieve and maintain an erection.
Vascular health and erection quality
The erectile process depends on the increase in vascular blood flow. Sexual stimulation causes the blood vessels in the penis to widen. This allows more blood to flow to the corpus cavernosum (the erectile tissue of the penis), resulting in an erection. When blood vessels become less elastic, for instance due to arteriosclerosis or diabetes, blood flow to the penis is reduced. This can lead to shorter or less firm erections.
Physical causes of ED
ED can be caused by physical issues. Some of the main physical causes are listed below.
- Arteriosclerosis: Narrowing of blood vessels causing slower or insufficient blood flow.
- High cholesterol/high blood pressure: These conditions are known to cause or worsen arteriosclerosis.
- Diabetes: Makes blood vessels less flexible and can cause nerve damage.
- Decrease in testosterone production: Low testosterone can lead to problems with sex drive.
- Underactive thyroid: This condition can also lead to a loss of libido.
- Excess weight/obesity: Significantly increases the chance of erection problems.
- Smoking, use of alcohol or drugs: These substances can damage blood vessels and lower sex drive.
- Medication use: Some medications, such as antidepressants and beta blockers, can cause erection problems.
ED in younger men
In younger men, ED is often rooted in psychological issues, such as:
- Sexual performance anxiety: Fear of not being able to satisfy a partner sexually.
- Fear of failure: Fear of failure can make it difficult to get or maintain an erection.
- Insecurities: Feeling insecure about your body, or penis size or shape.
- Communication or relationship issues: A lack of communication or relationship problems can lead to more incidents of erectile dysfunction.
- Childhood experiences: Growing up in a household with negative attitudes about sexuality can contribute to adult sexual function problems.
- Wrong expectations: For example, many people believe that men are always in the mood for sex or that sexual performance must meet certain standards.
- Depression or burnout: Mental health problems can be a cause for erectile dysfunction.
- Smoking, use of alcohol or drugs: These substances can affect blood circulation (and thus lead to erection problems) and also affect overall health and mental well-being.
Treating ED
Erectile dysfunction can often be treated effectively, regardless of your age. Do you suffer from ED? Then seeing a doctor or GP is recommended to identify any underlying causes and discuss treatment options. Treatments can range from medication, such as ED pills, to psychotherapy or other types of specialist care.
Preventing ED
You can help prevent many of the causes of erectile dysfunction by maintaining a healthy lifestyle. By this, we mean eating a healthy diet, exercising regularly, and getting enough sleep and relaxation. To reduce your risk of having erection problems it is also crucial that you quit smoking, cut back on alcohol and avoid using drugs.
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