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A man is considered to have erectile dysfunction if he regularly finds it difficult getting or keeping a firm enough erection to be able to have sex, or if it interferes with other sexual activity. Most men have occasionally experienced some difficulty with their penis becoming hard or staying firm. However, erectile dysfunction (ED) is only considered a concern if satisfactory sexual performance has been impossible on a number of occasions for some time. Since the discovery that the drug sildenafil, or Viagra, affected penile erections, most people have become aware that ED is a treatable medical condition. Men who have a problem with their sexual performance may be reluctant to talk with their doctor, seeing it can be an embarrassing issue. However, ED is now well understood, and there are various treatments available. Fast facts on erectile dysfunction: Erectile dysfunction (ED) is defined as persistent difficulty achieving and maintaining an erection sufficient to have sex. Causes are usually medical but can also be psychological. Organic causes are usually the result of an underlying medical condition affecting the blood vessels or nerves supplying the penis. Numerous prescription drugs, recreational drugs, alcohol, and smoking, can all cause ED. Causes Normal erectile function can be affected by problems with any of the following systems: blood flow nerve supply hormones Physical causes man stressed about ed Erectile dysfunction can cause embarrassment. It is always worth consulting a physician about persistent erection problems, as it could be caused by a serious medical condition. Whether the cause is simple or serious, a proper diagnosis can help to address any underlying medical issues and help resolve sexual difficulties. The following list summarizes many of the most common physical or organic causes of ED: heart disease and narrowing of blood vessels diabetes high blood pressure high cholesterol obesity and metabolic syndrome Parkinson's disease multiple sclerosis hormonal disorders including thyroid conditions and testosterone deficiency structural or anatomical disorder of the penis, such as Peyronie disease smoking, alcoholism, and substance abuse, including cocaine use treatments for prostate disease surgical complications injuries in the pelvic area or spinal cord radiation therapy to the pelvic region Atherosclerosis is a common cause of blood flow problems. Atherosclerosis causes a narrowing or clogging of arteries in the penis, preventing the necessary blood flow to the penis to produce an erection. Numerous prescription medications can also cause ED, including those below. Anyone taking prescription medications should consult their doctor before stopping or changing their medications: drugs to control high blood pressure heart medications such as digoxin some diuretics drugs that act on the central nervous system, including some sleeping pills and amphetamines anxiety treatments antidepressants, including monoamine oxidase inhibitors (MAOIs), selective serotonin reuptake inhibitors (SSRIs), and tricyclic antidepressants opioid painkillers some cancer drugs, including chemotherapeutic agents prostate treatment drugs anticholinergics hormone drugs the peptic ulcer medication cimetidine Physical causes account for 90 percent of ED cases, with psychological causes much less common. Ayurveda Treatment Virechana Vajeekara Basti UttaraBasti And few Herbo - Miniral Combination are to be prescribed for minimum 3 months for severe cases Dr Shambhulingaiah S Hiremath