Risk factors for erectile dysfunction (male impotence):
- These are age, depression, inactivity, obesity, smoking and drug use;
- alcoholism, vitamin deficiency, disruption of the basic and lipid metabolism;
- unfavorable external factors – radiation, electromagnetic radiation.
Causes of decreased potency (male sexual potency):
- Psychogenic factors: situational (partner characteristics; attractiveness, sexuality, attraction, love, etc.; guilt, anxiety, etc.), neuroses (anxiety, phobias), drug addiction.
Organic factors: Vascular factors: cardiovascular diseases; arterial hypertension; atherosclerosis; diabetes mellitus; hyperlipidemia; smoking (reduces blood flow to the penis); Leriche syndrome; veno-occlusive disorders; surgery or radiation. - Neurogenic factors: diseases of the brain and spinal cord, Parkinson’s disease, stroke, neoplasms, multiple sclerosis, trauma, intervertebral disc lesions, peripheral neuropathies, diabetes, alcoholism, renal failure, polyneuropathy, surgery or radiation therapy. pelvic and retroperitoneal areas.
- Hormonal factors: hypogonadism (congenital, acquired, age-related), hyperprolactinemia, thyroid disease, Itsenko-Cushing’s disease.
- Structural factors (diseases of the male genital organs): Peyronie’s disease, trauma, congenital curvature, sclerotic changes due to cavernitis or priapism. small penis, hypospadias, epispadias.
- Medical factors: antihypertensive drugs (especially diuretics and β-blockers), antidepressants, antiandrogens, psychotropic and narcotic drugs.