Erection problem may develop due to physical (organic) or psychological factors. For many people, both physical and psychological factors are responsible for erection problem.1 While stress, worry and the fear of failure are the cause in the case of psychological erection problem, there may also be physical conditions in people who have erection problem such as nervous system illnesses, dysfunctions concerning hormonal system, some medications and cardiovascular illnesses. Vascular problems are the most frequent conditions observed with erection dysfunction.2
Erection problem may be observed due to a series of illnesses such as cardiac illness, high cholesterol level, hypertension and diabetes as well as it may be seen due to aging.2 In the case of diabetes, the dysfunctions of vessels both in the other parts of the body and the ones which convey blood to penis, and damage to the nerves responsible for erection may cause erection problem.1
Erection problem is observed 4 times more with diabetes patients, 3 times more with prostate patients and 1.5 times more with hypertension patients.3
Another factor associated with erection problem is obesity. The risk of erection problem in overweight males is 30% more. On the other hand, 79% of the males who have erection problem are overweight or obese.
Up to 50 percent of males suffering from benign prostate hyperplasia (BPH), may also have erection problem.5
- Safarinejad MR, Hosseini SY. Erectile Dysfunction: Clinical Guidelines (1). Urology Journal 2004;1(3):133-147.
- Turkish Andrology Association. Erkek Cinsel Fonksiyon Bozuklukları. http://www.androloji.org.tr/6/hastalar-icin/29/erkek-cinsel-fonksiyon-bozukluklari, Date of Access: 09.12.2015.
- Martin-Morales A et al. Prevalence and independent risk factors for erectile dysfunction in Spain: results of the epidemiologia de la dysfunction erectile masculina study. J Urol. 2001;166:569-575.
- Esposito K, et al. Effect of Lifestyle Changes on Erectile Dysfunction in Obese Men. JAMA 2004;291:2978-2984.
- Rosen R, et al. Lower Urinary Tract Symptoms and Male Sexual Dysfunction: The Multinational Survey of the Aging Male (MSAM-7). European Urology 2003;44:637-649.
Warning: The information provided here is general. It may be misleading to make diagnosis, prognosis or to draw conclusions based on this information. Physical examination must be conducted by a physician.