Steven just found out last week that he has erectile dysfunction. Married to Diane for almost 12 years, he had never had any erection related problems. He always had a strong, long sustaining erections and was the perfect picture of great sexual health. The problems started when he crossed 45 and was diagnosed as a Diabetic patient. First with the gradual softening of his erections and then his inability to sustain that erection. Soon he was fighting a very lonely battle against impotence. His wife was very unhappy and it was on her insistence that he decided to see a doctor. The doctor sent him for a series of tests and in the end pronounced his verdict – erectile dysfunction and wrote him a prescription for Cialis.

Erectile dysfunction is the inability to achieve an erection, and/or dissatisfaction with the size, rigidity, and/or duration of erections. Erectile dysfunction affects millions of men.

Although in the past it was commonly believed to be due to psychological problems, it is now known that 80 to 90 percent of impotence is caused by physical problems, usually related to the blood supply of the penis. Many advances have occurred in both diagnosis and treatment of erectile dysfunction.

According to the National Institutes of Health, erectile dysfunction is also a symptom in many disorders and diseases. Direct risk factors for erectile dysfunction may include prostate problems, type 2 diabetes, hypogonadism in association with a number of endocrinologic conditions, hypertension (high blood pressure), vascular disease and vascular surgery, high levels of blood cholesterol, low levels of HDL (high-density lipoprotein – the good cholesterol), drugs , neurogenic disorders, Peyronie's disease (distortion or curvature of the penis), priapism (inflammation of the penis), depression alcohol ingestion, lack of sexual knowledge, poor sexual techniques, inadequate interpersonal relationships, many chronic diseases, especially renal failure and dialysis smoking, this accentuates the effects of other risk factors such as vascular disease or hypertension.

Age is a strong indirect risk factor in that it is associated with increased likelihood of direct risk factors, some of which are listed above. It is estimated that nearly 5 percent of men become impotent by the age of 40, and 15 to 25 percent by the age of 65. Accurate risk factor identification and characterization are essential for prevention or treatment of erectile dysfunction.

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