What causes erectile dysfunction?

Erectile dysfunction
Erectile dysfunction, sometimes called "impotence," is the repeated inability to get or keep an erection firm enough for sexual intercourse.

Erectile dysfunction, or ED, can be a total inability to achieve erection, an inconsistent ability to do so, or a tendency to sustain only brief erections. These variations make defining ED and estimating its incidence difficult. Estimates range from 15 million to 30 million, depending on the definition used.

What causes erectile dysfunction?
Since an erection requires a precise sequence of events, erectile dysfunction can occur when any of the events is disrupted. The sequence includes the testosterone level, nerve impulses in the brain, spinal column, and area around the penis, and response in muscles, fibrous tissues, veins, and arteries in and near the corpora cavernosa.

Hormonal imbalance and damage to nerves, arteries, smooth muscles, and fibrous tissues, often as a result of disease, are the most common causes of erectile dysfunction. Diseases - such as diabetes, kidney disease, chronic alcoholism, multiple sclerosis, atherosclerosis, vascular disease, and neurological problems - account for about 70 percent of ED cases.

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