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All of these conditions or lifestyle factors contribute to erectile difficulties in three major ways: By reducing blood flow, causing nerve damage, or changing the hormonal environment.
There are many underlying physical and psychological causes of erectile dysfunction. Reduced blood flow to the penis and nerve damage are the most common physical causes. Underlying conditions associated with erectile dysfunction include the following:
Participate in common interests: Hobbies, sporting activities, or volunteer activities can bring couples closer together when they share interests.
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This work was supported by National Institutes of Health Grant DK21723 (to J.B.) and the University of Washington Cardiovascular Pathology Training Grant NIH HL-07312 (to A.B.).
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The rich database of the Massachusetts Male Aging Study has allowed important insights to be gained into a variety of risk factors for erectile dysfunction, both psychosocial and physical. A submissive personality was associated with a higher risk of erectile dysfunction. Obesity status was also associated with the condition (p = 0.006), with baseline obesity predicting a higher risk regardless of follow-up weight loss. Smoking and alcohol consumption were not found to be causally associated with the incidence of erectile dysfunction. The risk of the condition was higher among men with lower education levels, diabetes, heart disease and hypertension.
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Hypertension (high blood pressure): Patients with essential hypertension or arteriosclerosis have an increased risk of developing erectile dysfunction. Essential hypertension is the most common form of hypertension; it is called essential hypertension because it is not caused by another disease, (for example, by kidney disease). It is not clearly known how essential hypertension causes erectile dysfunction; however, patients with essential hypertension have been found to have low production of nitric oxide by the arteries of the body, including the arteries in the penis. Scientists now suspect that the decreased levels of nitric oxide in patients with essential hypertension may contribute to erectile dysfunction. For more information, please read the High Blood Pressure article.
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Investigation Physical examination, color duplex ultrasound of the penis and perineal area and Sexual Health Index for Men questionnaire.
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