Arterial ED occurs in some arterial diseases, such as atherosclerosis, elevated cholesterol leading to poorer arterial supply of cavernosomes and causes 40-80% of EDs.
A diabetic condition that directly or indirectly affects the occurrence of atherosclerosis or peripheral neuropathy in 50% of the patients leads to ED.
Various medications eg: antihypertensive drugs, hormones, psychotropic drugs, sedatives, antacids, H2-receptor blockers lead to ED in about 15% of cases.
Neurogene diseases, e.g.stroke, Alzheimer’s, multiple sclerosis, injuries (operative or inoperative) spinal cord, and violations of blood vessels and nerves in the small pelvis and eventually penile trauma in 10% of cases cause ED.
Some diseases or conditions that result in decreased blood testosterone levels, eg hypogonadism, hyperprolactinemia, are also the causes of ED.
Chronic exhausting diseases, such as uremia, malignant cachexia, and chronic cardiac decompensation are also the organic causes of ED.
Prostate diseases, such as, for example,Peyronie’s disease (creating “plaques” in the penis epithelium) resulting in reduced coating elasticity and thus impaired vein resistance, which increases blood flow from the cavernous body, also result in ED.
Finally, age or aging effects lead to decreased libido, penile sensitivity and rigidity, and a reduction in the frequency of sexual relations and orgasm.
Medications that can lead to erectile dysfunction:
- High blood pressure drugs
- Non-steroidal anti-inflammatory drugs
- Antiparkinson drugs
- Antiarrhythmic drugs
- Prostate cancer treatments
- Chemotherapy drugs
All the medicines listed above do not necessarily lead to erectile dysfunction. Likewise, the appearance of erectile dysfunction depends on: the type of drug, the dose and duration of the therapy. If you notice signs of erectile dysfunction after prescribing any of the medicines listed in the table, talk to your doctor and never stop taking “on your own”. In most cases, drug replacement will solve your problem.