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Erectile dysfunction (ED) means that you cannot get a proper erection. There are various causes. However, most cases are due to narrowing of the arteries that take blood to the penis. This is due to a build up of atheroma in these arteries. This is similar to the way the heart arteries are affected in people with heart disease. As with heart disease, smoking and heavy alcohol drinking are important risk factors. Most cases of ED can be treated. The common treatment is to take a tablet before you plan to have sex. There are also various other treatment options. If you have ED, you may also be advised on lifestyle factors and treatments to minimise your risk of developing heart disease.

What causes erectile dysfunction?

There are several causes which tend to be grouped into 'physical' and 'psychological'.

Physical causes:

• Getting older; high blood pressure; high cholesterol; smoking; diabetes.
• Diseases which affect the nerves going to the penis. For example, multiple sclerosis, a stroke, etc.
• Diabetes.
• Injury to the nerves going to the penis.
• Side-effect of certain medicines. The most common are: some antidepressants; betablockers such as propranolol, atenolol etc; some diuretics ('water tablets'); cimetidine. Many other less commonly used tablets sometimes cause ED.
• Alcohol and drug abuse.
• Cycling.
• Hormone causes are rare. For example, a lack of a hormone called testosterone which is made in the testes.
• Excessive outflow of blood from the penis through the veins ('venous leak'). This is rare but can be caused by various conditions of the penis.

Mental heath ('psychological') causes:

• Stress. For example, due to a difficult work or home situation.
• Anxiety.
• Relationship difficulties.
• Depression.

One of the most wide spread form of treatment ED is Drug Therapy.
Drugs for treating ED can be taken orally, injected directly into the penis, or inserted into the urethra at the tip of the penis. In March 1998, the Food and Drug Administration (FDA) approved Viagra, the first pill to treat ED. Since that time, vardenafil hydrochloride (Levitra) and tadalafil (Cialis) have also been approved. Additional oral medicines are being tested for safety and effectiveness. Today ProVigraX became popular too, as it has a long last effect and absolutely hasn’t any side effects.