There are many reasons for decreased potency, poor erection or erectile dysfunction:

Risk factors for developing erectile dysfunction:

These are age, depression, physical inactivity, obesity, smoking, drug use; • alcoholism, vitamin deficiency, deterioration of the basal and lipid metabolism, adverse external factors – radiation, electromagnetic radiation.

Reasons for decreased potency:

• Psychogenic factors. Situational (partner characteristics; attractiveness, sexuality, attraction, love, etc., guilt, anxiety, etc.); • neuroses (anxiety, phobic). Dependence on psychoactive substances.
• Organic factors. Vascular factors: cardiovascular diseases; arterial hypertension; atherosclerosis; diabetes mellitus; hyperlipidemia; smoking (penile angiospasm); Leriche syndrome; veno-occlusive disorders; surgical interventions or radiation exposure to the pelvic area and retroperitoneal space.
• Neurogenic factors. Diseases of the brain and spinal cord, Parkinson’s disease, stroke, neoplasms, multiple sclerosis, trauma, lesions of the intervertebral discs, peripheral neuropathies, diabetes mellitus, alcoholism, renal failure, polyneuropathy, surgical interventions or radiation therapy to the pelvic area and retroperitoneal space.
• Hormonal factors. Hypogonadism (congenital, acquired, age-related), hyperprolactinemia, thyroid disease, Itsenko-Cushing’s disease.
• Structural factors (diseases of the penis). Peyronie’s disease, trauma, congenital curvature, sclerotic changes due to cavernitis or priapism. small penis, hypospadias, epispadias.
• Drug factors. Antihypertensive drugs (especially diuretics and β-blockers), antidepressants, antiandrogens, psychotropic and narcotic drugs