ED occurs in some arterial prostate diseases, such as atherosclerosis, elevated cholesterol, which leads to poor supply of the cavernosum of the artery and causes 40-80% ED.
Diabetes directly or indirectly affects the occurrence of atherosclerosis or peripheral neuropathy, and in 50% of patients it leads to poor erection.
Various medication (eg: antihypertensive agents, hormones, psychotropic drugs, sedatives, antacids, H2-receptor blockers) lead to poor erection in about 15% of cases.
Neurogenic diseases such as stroke, Alzheimer’s disease, multiple sclerosis, spinal cord injuries (resulting from surgical or nonsurgical procedures) blood vessels and nerve damage in the small pelvis and eventually penile trauma cause ED in 10% of cases.
Some diseases and/or conditions that result in decreased levels of testosterone in the blood include hypogonadism, hyperprolactinemia, which are also causes of ED.
Chronic debilitating disease such as uremia, malignant cachexia, and chronic cardiac decompensation are also the organic causes of weak erections.
Prostate diseases such as Peyronie’s disease for example (the formation of “plaque” in the epithelium of the penis) which results in reduction of elasticity of the coating , and thereby reduced vein resistance, which increases the flow of blood from the corpus cavernosum can also result in unhealthy and weak erections.
The most common prostate diseases are:
- Benign prostatic hypertrophy (BPH)
- Inflammation (prostatitis)
Prostate disease needs to be detected and treated in time to achieve a strong and healthy erection and allow normal prostate function.
Finally, aging leads to reduced libido, penis sensitivity and rigidity, and decreases the frequency of sexual intercourse and orgasm.
Medications that can lead to inability to achieve healthy and solid erection:
- Diuretics
- Blood pressure medication
- Antidepressants
- Medication for Epilepsy
- Non-steroidal anti-inflammatory drugs
- Medication for Parkinson’s disease
- Medication for arrhythmic problems
- Prostate cancer drugs
- Chemotherapy
All of the above mentioned medications do not necessarily lead to erectile dysfunction. Likewise, the occurrence of poor erections depends on: the type of drug, dosage and the duration of treatment for the illness/disease. If you notice signs of disturbed erectile functioning and/or any erectile dysfunction after being prescribed any of the above medications, contact your doctor for further advice. In most cases the medication can be substituted by another and can easily solve erectile dysfunction while treating your other medical concerns.
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