Factors That Cause Impotence (Erectile Dysfunction)

Male sexual arousal is a complex process that involves the work of the brain, hormones, emotions, nerves, muscles, and blood vessels. Erectile dysfunction, aka impotence , can be caused by problems related to these things. Stress and various other mental health issues can also cause or worsen erectile dysfunction .

Reporting from the Health Line , it is estimated that about 50 percent of men aged 40-70 years experience symptoms of erectile dysfunction throughout their lives. The risk of impotence will increase with age.

In addition, medical cialis 5 mg prezzo in farmacia records also report that highly educated men have a lower chance of impotence - perhaps because on average they adopt a healthy lifestyle.

Impotence often has a negative influence on a man's sex life, and can further aggravate pre-existing stress, depression, and inferiority.
What caused it?

1. Physical factors

In general, impotence is caused by something physical. Causes can include:

• Heart disease   - a condition that affects the heart and its ability to pump blood can cause impotence. Without adequate blood flow to the penis, a person cannot reach an erection.
• Hardening of the arteries (atherosclerosis)
• High cholesterol
• High blood pressure (hypertension)
• Kidney illness
• Venous leak - to build an erection, blood must keep flowing and stay in the penis for some time. If blood flows too quickly back to the heart, the erection will be sluggish. Injury or disease can cause this
• Diabetes
• Obesity
• Metabolic syndrome - a condition that involves an increase in blood pressure, high insulin levels, body fat around the waist, and high cholesterol
• Peyronie's disease - growth of a layer of scar tissue in the penis
• Penile injury, or surgical procedures on the penis, pelvis or surrounding area
• Severe head injury - impotence is reported in 15-25% of cases of severe head trauma

2. Neurogenic factors
Examples of neurogenic conditions that cause impotence include:

• Parkinson's disease
• Spinal injury or disorder
• Stroke - a serious medical condition in which blood supply to the brain is disrupted
• Alzheimer's
• Brain tumor or spinal cord
• Temporal lobe epilepsy
• Prostate gland surgery - nerve damage experienced can cause impotence

3. Hormonal factors
Examples of hormonal conditions that cause impotence include:

• Hypogonadism - a medical condition that affects testosterone levels to very low levels outside the normal range
• Hyperthyroidism - when the thyroid gland produces too much hormone
• Hypothyroidism - when the thyroid gland produces too little hormone
• Cushing's syndrome - a medical condition that affects the production of the hormone cortisol
• Anything that affects the level of sexual arousal (libido) can also cause erectile dysfunction because lack of libido makes the brain more difficult to trigger an erection.

4. Psychological factors
The brain plays a key role in triggering a series of physical responses that lead you to an erection, starting with sexual arousal. A number of things can interfere with sexual desire and cause and / or exacerbate impotence, such as:

• Depression
• Anxiety - if a man is unable to achieve an erection in the past, he may feel worried about not being able to achieve an erection again in the future. In addition, he may feel unable to reach an erection with certain sex partners. People with an erection associated with anxiety may be able to have a full erection during masturbation or sleep, but may fail to maintain an erection during sex with a partner
• Relationship problems due to stress , poor communication, or other problems

5. Lifestyle factors
Examples of daily habits that cause impotence include:

• Smoke
• Alcohol consumption and drug abuse
• Sleep disturbance
• Treatment for prostate cancer or prostate enlargement
• Use of prescription drugs. There are more than 200 prescription drugs that can cause erectile dysfunction, for example diuretics, antihypertensives, fibrates, antipsychotics, antidepressants (Xanax or Valium), codeine , corticosteroids, H2-antagonists (stomach ulcers), anticonvulsants (epilepsy drugs), antihistamines (drugs Xanax or Valium), codeine , corticosteroids, H2-antagonists (stomach ulcer drugs), anticonvulsants (epileptic drugs), antihistamines (drugs of Xanax or Valium) allergic), anti-androgens (male sex hormone suppressor drugs), cytotoxics (chemotherapy drugs), SSRIs, synthetic hormones, beta blockers, and alpha blockers.
• Long-distance cyclists can also experience temporary impotence. This is caused by repeated and constant pressure on the buttocks and genital area can affect nerve function.

Please note, you are not allowed to stop treatment without the doctor's permission, even if it is known that impotence is a possible side effect.


Sometimes, a combination of a number of the above problems can cause impotence. For example, a mild physical condition that slows down your sexual response might cause anxiety about maintaining an erection. This anxiety can cause or worsen erectile dysfunction.