Understanding Erectile Dysfunction: Causes and Treatments

Dr Plus

Understanding Erectile Dysfunction: Causes and Treatments

Erectile Dysfunction (ED) is a condition that affects adult males, characterized by the inability to achieve and maintain an erection suitable for sexual intercourse. It’s important to understand that ED is not considered a normal part of aging, although older individuals may be more susceptible due to potential underlying issues.

A wide array of factors can contribute to this condition, including vascular conditions that hinder blood flow to the penis, neurological disorders, trauma, or psychological challenges. Recognising the underlying causes of ED empowers individuals facing this difficulty to pursue appropriate treatment, enabling them to restore confidence and intimacy in their relationships.

While occasional struggles with achieving an erection are commonplace, particularly during times of stress or fatigue, persistent difficulties may signal an underlying concern necessitating medical attention. It’s important to seek professional help in such cases to address any potential issues effectively. Let’s find out more about the common causes of ED and the available treatments.

Common Causes of Erectile Dysfunction

Physical Factors

Cardiovascular Issues: Health issues such as high blood pressure, atherosclerosis, and heart disease have the potential to disrupt the circulation of blood in the body. This makes it difficult to have an erection due to compromised blood flow to the penile region.

Neurological Conditions: Conditions like multiple sclerosis, Parkinson’s disease, and injuries affecting the spinal cord can influence the nerve pathways responsible for transmitting signals between the brain and the reproductive system.

Hormonal Imbalance: Low levels of testosterone, the primary male sex hormone, or other hormonal imbalances can hinder the delicate hormonal equilibrium required for normal erectile function. 

Psychological Factors

Depression, characterized by feelings of sadness or hopelessness, decreases libido and contributes to ED. ED can also develop during difficulties within a relationship, such as communication problems and unresolved conflicts. 


Lifestyle Choices

Unhealthy lifestyle choices, like smoking, can impede blood circulation, making it difficult for men to perform in the bedroom. Likewise, excessive alcohol consumption or the use of specific substances causes ED. Moreover, a sedentary lifestyle and insufficient exercise lead to obesity and other health complications, further elevating the risk of encountering ED.

Treatments for Erectile Dysfunction

  • Therapies
    Psychotherapy: Cognitive Behavioural Therapy (CBT) and counseling are effective for handling psychological factors contributing to ED. These sessions help individuals explore and manage the emotional aspects affecting their sexual health.

Hormone Replacement Therapy (HRT): This treatment targets hormonal imbalances. For those with identified deficiencies, HRT restores a healthy hormonal balance, leading to significant improvements in sexual function.

  • Oral Medication
    Oral medications stand as the most frequently prescribed remedy for ED. Among the well-known options include sildenafil (known as Viagra), tadalafil (marketed under the brand name Cialis), and vardenafil (commonly recognised as Levitra). These pharmaceuticals enhance blood circulation, resulting in the relaxation of penile muscles and an improvement in the quality of erections. Typically, they are taken 30 to 60 minutes before sexual activity, with effects lasting for approximately four hours.
  • Penile Injection Treatment
    For patients grappling with ED, injections of a medication called Alprostadil offer an alternative treatment option. This substance is directly administered into the penis to facilitate improved blood flow and assist in achieving an erection.

    The primary side effect associated with penile injections is the potential for prolonged erections, even after climax. This condition, known as priapism, should be discussed with a doctor before initiating this particular treatment for ED.

Addressing ED can be a sensitive matter for many men. Thankfully, this condition is highly manageable, with a range of effective options available. Consulting a qualified healthcare provider is important to identify the most suitable treatment plan tailored to individual needs and medical history. 

Dr. Kenneth Lee brings a wealth of knowledge in general medicine, general surgery, pediatrics, emergency medicine, and community medicine. This enables him to provide holistic and tailored care for individuals facing ED. For further information on our services, please do not hesitate to contact us.



09.00 - 20.00


09.00 - 20.00