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
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
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 problem.
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
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
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