Vascular diseases account for nearly half of all cases of ED in men older than 50 years. Vascular disease includes

  1. atherosclerosis (fatty deposits on the walls of arteries, also called hardening of the arteries),
  2. a history of heart attacks,
  3. peripheral vascular disease (problems with blood circulation), and
  4. high blood pressure.
  5. Prolonged tobacco use (smoking) is considered an important risk factor for ED because it is associated with poor circulation and reduced blood flow in the penis.

    The commonest cause of Erectile Dysfuction in young men (below 40 years) is unrealistic expectation.
    Dr. Ashok Koparday

    Almost any disease can affect erectile function by altering the

  • nervous,
  • vascular, or
  • hormonal systems.

Various diseases may produce changes in the

  • smooth muscle tissue of the penis or
  • influence mood and behavior.

    Caverject ©

    MUSE ™

    Vivus Inc
    What are the causes in young boys who are about to get married or those who are just married?

    All said and done, the most common cause of Erectile Dysfunction in young male of twenties and thirties is UNREALISTIC EXPECTATION.

    Masturbation is bad is a myth.
    “My penis is small,” is yet another myth.
    Such myths, which are nothing but false beliefs, can result in difficulty getting or maintaining erection. Those who are going to get married fear whether they will be able to do sex properly. “How shameful if I am not able to do sex (fail in inserting penis during sex)?”
    Fear of failure,
    performance anxiety are conditions that contribute to PERCEIVED erection problems in boys who are about to get married. Even a single instance of early discharge in the past during secret sexual affair makes a boy nervous and he fears failure in sex after marriage.
    “On the first wedding night (called as ‘suhagrat’) will I be able to do sex?”

    Young just married guys commonly believe that they have Erectile Dysfunction when in fact due to vaginismus the opening of vaginal passage does not allow entry of penis resulting in unconsumated marriage.

    All said and done, more is said and less is done.

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