Introduction to Erectile Dysfunction
Risk Factors for Erectile Dysfunction
A risk factor is anything that increases the chances of a person developing a disease or condition. Risk factors for erectile dysfunction (ED) include:
Advancing age - up to 50% of men age 50 experience ED and this number increases to 70% by age 70
Chronic diseases:
- diabetes
- heart disease
- hypertension
- high cholesterol/lipid levels in the bloodstream
- chronic kidney failure
- chronic liver disease
- peripheral vascular disease
- prostate disease
Endocrine (hormonal) disorders:
- hypogonadism - inadequate function of the testes
- thyroid disorders (hypothyroidism; hyperthyroidism)
- hyperprolactinemia - excessive levels of prolactin in the blood
- tumors of the pituitary gland
Nervous system disorders:
- spinal cord injuries
- multiple sclerosis
- Parkinson's disease
- Alzheimer's disease
- stroke
Malformations or injuries of the penis:
- Peyronie's disease - scarring of the shaft of the penis that can interfere with normal erections
- priapism - a persistent, painful erection of the penis not associated with sexual arousal
- curvarture of the penis acquired at birth
- trauma to the penis
Medications:
- antihypertensive medications (e.g., diuretics; Beta blockers)
- antidepressant medications (e.g., selective serotonin reuptake inhibitors)
- hormonal medications (e.g., antiandrogens)
- some anticancer medications used for chemotherapy
- H2-receptor blockers - a group of medications that are used to prevent the release of stomach acid and are used to treat heartburn and stomach ulcers
Psychological factors:
- depression
- sexual performance anxiety
- interpersonal relationship problems
- psyhological stress
Lifestyle factors:
- smoking
- obesity
- alcohol abuse
- lack of physical activity and exercise
Pelvic factors:
- trauma to the pelvis
- surgery and/or radiation therapy to the pelvic area
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