Most of the men suffer from occasional impotence, where a man cannot get an erection. For example, a man might not get an erection easily in case, you are tired, stressed, distracted, or have consumed too much of alcohol. For most of the men, it is only temporary and a penile erection occurs most times when you are sexually aroused.
Approximately 8 in 10 cases of impotence issue are due to some physical cause. Some of such causes include:
Lowered blood flow to the penile: This is, by far, known to be the most common cause of impotence issue in men over the age of 40 years. Just like some other parts of the body, the arteries that are seen taking the blood to the penile region can become narrowed. The flow of blood might then not be enough for leading to a penile erection. Risk factors can enhance chances of narrowing arteries. These include getting older, high cholesterol, high blood pressure, and smoking
Diseases affecting nerves directed to penile: For example, multiple sclerosis, which is known as a stroke, Parkinson’s disease, etc.
Diabetes: This is one of the most common causes of impotence issue in man. Diabetes is known for affecting blood vessels and nerves
Hormonal Causes: A lack of a hormone known as testosterone is actually made in the testicles. This is a completely uncommon condition. However, one can lead to lack of testosterone, which is worth highlighting as a previous head injury. A head injury can at times affect the function of the pituitary gland present in the brain. The pituitary gland is known for making a hormone that stimulates the testicle for making testosterone. Hence, although it might not at first seem connected, which is a previous head injury, it can lead to ED. Some of the other symptoms of a low testosterone level include a lowered sex drive (libido) and alteration in mood
Injury to penile nerves: Spinal injury needs surgery for nearby structures, fractured pelvis, radiotherapy to the genital area, etc.
A side-effect of medicines: Most of the common are some antidepressants; beta-blockers including propranolol, atenolol, etc; some ‘water tablets’ (diuretics); cimetidine. Many other less commonly used tablets might also sometimes lead to ED in man
Alcohol and drug abuse usually causes impotence in man
Cycling: Impotence after long-distance cycling is thought a common condition. It is probably due to the pressure that if felt on the nerves that are going to the penile, from sitting on the saddle for a longer time. This might affect the function of the nerve after the ride
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