Can ED Be a Physical Problem, or is it All Psychological?

Posted on January 30, 2023 by root

Erectile Dysfunction (ED) affects nearly 30 million men in America, and those numbers are expected to continue rising. ED has been considered a common problem since the 1990s, when higher reporting rates began, along with more diagnoses and treatment than earlier.

ED is often caused by psychological reasons, such as insecurity or stress, but physical factors are also at play in this distressing condition.

What are the Physical Causes of ED?

Because the dysfunction increases with age, from 40% of men at age 40 to 70% at age 70, we know aging contributes to the problem. But are there other physical reasons men cannot achieve a successful erection?

The short answer is yes; of course, there are physical reasons why an erection cannot be achieved. For example, low testosterone (hypogonadism) is a common cause of ED. In addition, various other physical conditions can contribute to the problem. These conditions include Peyronie’s disease, a type of scar tissue in the penis often caused by injury. In addition, the prostate and the sphincter can contribute to ED, as can vascular problems that reduce the blood flow to the penis.

There are also neurological components that can lead to ED. Diabetes can be a contributor, as well as blood pressure problems. These are some of the physical reasons ED happens to men.
Do Psychological Issues Always Contribute to ED?

Psychological issues such as low self-esteem or insecurity can definitely contribute to or even cause ED, but many men have erectile dysfunction while being psychologically strong and healthy.

Does Physical ED Require Surgery?

The most common and effective treatment for ED is medication. However, when you visit the doctor, they will begin with a complete physical exam and a conversation to determine the root cause of the problem. Then, the cause will determine what type of treatment is required. For example, if lack of blood flow is the problem, you may be referred to a cardiologist. If low testosterone is the problem, hormone replacement therapy can be administered. If relationship problems or stress are the root, a mental health professional should be added to the care team.

For some men, a penile implant is the best answer to the problem, which does involve surgery. Still, more often, medications like Bremetholine PT-141™, Cialis™ or Viagra are the answer to the problem.

If you are struggling with erectile dysfunction in the Los Angeles area, Dr. Justin Houman, MD, Men’s Health, is a leading urologist specializing in men’s health, including ED. Contact Dr. Houman for a consultation today.