Broadly speaking, erectile dysfunction can be due to physical or psychological factors. In older men, the reasons are almost always physical. The most common physical causes are nerve damage and reduced blood flow to the penis. However, there may be many factors underlying these two reasons. Reduced blood flow leads to the idea of ​​poor circulation and blocked arteries, and this may be the result of unhealthy lifestyles. Cardiovascular disease and diabetes are two of the major causes of erectile dysfunction in older men. Damage to the nerves, usually the result of pelvic trauma, and often it is the result of surgery for colon, prostate or bladder. There are also many prescription drugs (including antidepressants, heart medications and drugs for high blood pressure), which is known to cause impotence, as well as some over the counter medications.

In young men, studies have shown that erectile dysfunction is likely to be caused by psychological factors. If you are able to achieve an erection through self-stimulation, or if you wake up with an erection, it means that the problem is not physiological, and psychological. Possible causes are psychologically based erectile dysfunction include stress, fatigue, depression, relationship problems, guilt, low self-esteem and anxiety. A single episode performance failure can cause psychological stress, which in turn exacerbates the problem.

The good news is that if your erectile dysfunction is psychologically based, the problem can be solved through counseling. Qualified physicians can work with couples or individuals to improve communication, reduce tension, and set realistic expectations.

Other ways to deal with the psychological causes such as stress, anxiety and depression are just enough time for rest and plenty of exercise. Exercise is known to be a positive effect on depression, and it can help to release endorphins which are natural body "feel good" chemicals.

If the cause is physiological, the first step would be to consult a doctor or urologist. Various tests can be performed (eg, cholesterol, hormone levels, blood sugar, liver and kidney function) to indicate whether any conditions interfere with normal erectile function.

Treatment options are varied and physical causes include surgery, medications, injections and penile vacuum pump devices. All these methods of treatment risks and does not guarantee to be effective.

The best treatment is to focus on the adoption of healthy lifestyles. Healthy erection depends on a sufficient blood flow to the penis, and therefore requires good circulation and clean arteries. Aim to reduce cholesterol, having a diet high in fiber and protein and low in cholesterol and fat. Get plenty of cardiovascular exercise to further reduce cholesterol levels and increase turnover. Also do some weight training to increase testosterone levels, and make specific pelvic (Kegel) exercises to tone the pelvic muscles. Follow these tips and you are sure to become a stronger erection.

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