Erectile Dysfunction Causes

May 13, 2021
Fact-checked by Dr. Avidon Appel

There are many factors that affect arousal and the ability to maintain an erection. The body’s hormones, brain, heart, nervous system, muscles, blood vessels, and emotions must work together for male arousal during sexual situations. A range of physical and psychological factors can contribute to sexual dysfunction.

Physical Causes

In many cases of erectile dysfunction, a physical condition is to blame. Common causes may include:

  • Clogged blood vessels, also known as atherosclerosis

  • High cholesterol

  • High blood pressure

  • Being obese or overweight

  • Tobacco use

  • Alcoholism and other forms of substance abuse

  • Sleep disorders, such as insomnia

  • Low testosterone

Pre-Existing Conditions

Erectile dysfunction is not a dangerous condition by itself. However, it may be a symptom of an underlying condition, especially cardiovascular disease. There are many medical conditions that can affect your ability to maintain an erection or cause erectile dysfunction.

  • Diabetes

  • Kidney disease

  • Heart disease

  • Vascular disease

  • Prostate cancer

  • Metabolic syndrome

  • Parkinson’s disease

  • Multiple sclerosis

  • Surgeries that impact the pelvic area

  • Spinal cord damage

  • Any injuries that damage the nerves, arteries, or other functions responsible for erections.

  • Certain prescription medications, such as antidepressants, with sexual dysfunction side effects

Dr. Appel will discuss lifestyle changes and treatments that could alleviate your condition.


See results on your first visit.

90% of the time ED can be treated and treated effectively.


May 13, 2021

Written By
Dr. Avidon Appel

Fact-checked By
Dr. Avidon Appel

Editorial Process
Our Editorial Process


About Author

Dr. Avidon Appel is the founder of Iron Mountain Men’s Health. He is an Internal Medicine Specialist based in Willow Grove, PA who specializes in men’s sexual health and hormone optimization and has over 19 years of experience in the medical field. He is a graduate of Philadelphia College of Osteopathic Medicine, as well as Saint Joseph’s University.

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