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Erectile dysfunction is usually understood as inability to achieve or maintain an erection on an ongoing basis. Typical symptoms include trouble getting or keep an erection for long enough to complete sexual intercourse, as well as reduced sexual drive.

Problems with erection are likely to affect other aspects of the patient’s life besides sexual performance, as they can create self-esteem problems and cause serious emotional reactions. The so-called performance anxiety may occur even if the problem is minor and temporary, and this is an important aspect to be addressed by the healthcare professional treating the patient.

Most common physical causes of erectile dysfunction may include the following: tobacco use, low testosterone, Parkinson’s disease, prescription medications, diabetes, increased blood pressure, high insulin levels, obesity, heart disease, high cholesterol, atherosclerosis, surgeries or injuries, and high blood pressure. Since the brain plays a crucial role in erection, triggering a series of responses in the body, psychological causes may be just as serious as any physical ones. Such factors as relationship problems, mental health conditions (depression, anxiety), stress and fatigue can either become the underlying cause of impotence or contribute to its development.

Erectile dysfunction is getting more and more common, but the good news is that it can be treated in most cases, even cured when the cause is some treatment or temporary emotional distress. Most men prefer taking PDE5 drugs (named so because they block the enzyme responsible for blood outflow, resulting in a loss of erection), while many are looking for other alternatives.

The choice of options available is quite good — besides the now-traditional medications like Viagra and Levitra there are external vacuum devices, intra-urethral pellet therapy, penile injection therapy and hormonal therapy.