ED is more common that once thought. Although most often seen in men over the age of 40, ED can affect men of all ages.


  • Difficulty achieving or maintaining an erection?
  • Achieving an erection but it takes longer than usual or more difficult in certain positions?
  • Weaker or less rigid sexual erections?
  • Less frequent or less rigid morning erections?
  • Climaxing or ejaculating more rapidly or with an incomplete erection?



The physical factors that cause and/or contribute to ED can be classified into two categories: vascular (related to blood flow) and non-vascular disease. It is estimated that 70% of all ED cases may be attributable to vascular diseases alone.

The penis requires a healthy blood flow to become completely erect, and even a marginal reduction in blood flow can potentially cause problems. This condition is referred to as “vascular insufficiency.”

It is not uncommon, however, to see ED in an otherwise completely healthy person, both physically and psychologically. It is postulated the penile circulation is intrinsically precarious, being an end-artery. AS men age, partical obstructions to the blood flow of the penis may become more common. While this may be inconsequential under normal conditions, it may be enough to cause insufficient blood flow to the penis when sexually aroused.

Associated physical conditions or causes:

  • Diabetes
  • Hypertension
  • High Blood Cholesterol
  • Cardiac Diseases
  • Smoking
  • Poor Overall Circulation



Psychological factors account for about 10% of erection problems and often result from nervousness, performance anxiety or fear of failure during lovemaking.

These factors cause a surge of adrenaline which reduces blood flow to the penile area, often resulting in erectile difficulty. Psychological ED may become self-perpetuating. After several episodes of repeated failure, the body becomes accustomed to releasing adrenaline at the very thought of a sexual encounter. This can become a vicious cycle difficult the break without help.

Other less common causes include stress, low sexual drive, guilt, anxiety, sexual boredom or depression. The characteristics of psychological erectile dysfunction include:

  • The ability to achieve or maintain an erection with one partner but not with another.
  • The ability to achieve or maintain strong and lasting erections in the mornings and during masturbation but not during lovemaking.
  • The tendency to to affect younger men with unstable relationships or unsettling past experiences.