Normally, an erection occurs when your
imagination or one or more senses (vision, hearing,
touch, smell, taste) are stimulated and you become
aroused. Your central nervous system sends nerve
impulses that increase blood flow to your penis. Four
requirements for a normal erection are:
A properly functioning nervous system
that sends the necessary signals to the penis.
An intact system of blood vessels to
allow blood to flow into and out of the penis.
Normal smooth muscle in the penis, which
must relax so the penis can fill with blood and enlarge.
The ability to trap the blood in the
penis so that it stays firm.
Erectile dysfunction can occur at any
age but is more common in older men, who often have
additional health problems or who may be taking
medications that may interfere with normal erectile
function. Treatment of erection problems in older men
can be as effective as in younger men.
Doctors prefer to use the term erectile
dysfunction instead of impotence. A man's sexual
function involves more than an erection, and the term
impotence often carries negative implications. For ease
of reading, this topic uses the term erection problems
to refer to erectile dysfunction.
Erection problems can affect your sexual
life and your relationship. Discussing the issue with
your partner and exploring other forms of intimacy can
help improve your relationship and the erection
What causes erection problems?
The cause of erection problems may be
physical (such as injury to nerves or loss of blood
supply to the penis or psychological (such as anxiety or
depression. Medications you are taking for other
conditions, alcohol consumption, smoking, or illegal
drug use also can cause erection problems.
What are the symptoms?
How are erection problems diagnosed?
A health professional can diagnose an
erection problem using a medical and sexual history and
a physical examination. Your health professional will
want to know whether the erection problem occurs all the
time or occasionally. The initial exam, laboratory
tests, and possibly psychological tests can help
determine whether the problem is physical,
psychological, or a combination of the two.
Can I prevent erection problems?
To reduce your risk of developing an
erection problem, avoid smoking, drinking too much
alcohol, and using illegal drugs. Because erection
difficulties are most often caused by a physical
problem, maintaining good health through diet and
exercise is very important. A relaxed approach to
lovemaking and good communication with your partner can
help prevent erection problems caused by psychological
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