Sexual arousal is a highly complex process. It involves collaborative functioning of the brain, hormones, nerves, muscles, blood vessels, and emotions which make it difficult to diagnose the exact underlying cause in some cases. Thus, both physical and psychological causes can be responsible for the incidence of erectile dysfunction.
Physical and Medical causes for impotence:
- Heart disease (Cardiovascular diseases) – Heart disease is a range of health conditions which are related to heart. Some of them are coronary artery disease; arrhythmias (heart rhythm problems); congenital heart defects (heart defects a person is born with), atherosclerosis (clogged blood vessels) and other related disorders.
- Diabetes– Medical condition in which blood glucose levels are too high which starts affecting other functions of the body.
- Metabolic syndrome – Metabolic syndrome is a term used for a group of disorders which involve high blood pressure, high insulin levels, high cholesterol and accumulation of fat around the waist. The condition possesses a high risk for the incidence of more alarming conditions like heart stroke, diabetes, impotence and infertility.
- Neural disorders: Brain disorders like Parkinson’s disease or multiple sclerosis can also lead to impotence.
- Peyronie’s disease — Development of a scar tissue inside the penis
- Smoking, excessive alcohol intake or use of other drugs
- Sleep disorders
- The impotence can occur as a result of prostate enlargement or treatments for prostate cancer
- Shock, injuries or surgeries that affect the pelvic area or spinal cord
- Side effect of certain prescription medications
Psychological causes for impotence:
Brain is the major player in the process of sexual arousal. It initiates series of physical events which generates sexual excitement and hence causes penile erection. Since this entire process is composed of a network of complex events, there is a possibility of number of flaws in the system which can lead to impotence. Some of the major psychological reasons behind Impotence are:
- Mental health conditions like depression or anxiety
- Stress in life
- Emotional stress and relationship problems