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Independent expert answers
on psychiatry and psychology

Physical Causes of Erection Problems

Abstract: Erection problems are often a combination of physical and psychological factors.

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Physical Causes of Erection Problems

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Question(s): 
Written by: Wendy Moelker
First version: 22 Jul 2008.
Latest revision: 24 Aug 2008.

What are the physical causes of erection problems?

Answer:

Erection problems are often caused by a combination of physical and psychological factors. The following causes are possible:

Physical:

  • When older, it takes longer before the penis gets stiff and the man needs to be sexually stimulated for longer.
  • Anomalies in the vessels, for example due to heart and vascular diseases like arteriosclerosis and high blood pressure.
  • Surgery of the prostate.
  • Diseases and medication for heart and vascular diseases, diabetes mellitus, multiple sclerosis and Parkinson's disease can be a cause. Medicines for depression and high blood pressure may cause erection problems (see also other question).
  • Smoking, drugs and alcohol dependence.
  • Anomalies of the penis.
  • Hormonal anomalies.

It is important to know whether the body functions well. When an erection is possible: in the morning, while sleeping or when masturbating then physical problems can be excluded.

Erection problems are often a symptom of some other illness. Thus, if a man starts having erection problems, he should always get a general medical examination.

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