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Erectile Dysfunction Erectile dysfunction ED is defined as the consistent inability to attain and maintain penile erection sufficient to permit satisfactory sexual intercourse Erectile dysfunction affects as many as 30 million men in the United States The cause may be vascular neurogenic hormonal drug-related psychogenic or a combination Fortunately several treatment options and medications have been made available to the public in recent years and has had a positive effect on millions of men throughout the world There are many causes and contributions to the etiology of ED Other than organically caused erection difficulties anxiety is most commonly associated with erectile dysfunction However almost any disease may affect erectile function by altering the nervous vascular or hormonal systems and altering mens psychologic mood and behavior There are numerous types of diseases that have been associated with ED such as Vascular Diseases which include Atherosclerosis Peripheral vascular disease Mypcardial infarction Arterial hypertension Myocardial infarction Blood vessel and nerve trauma and Medications related to treatment of vascular disease to name only a few Systemic diseases that are associated with ED include Diabetes mellitus Renal failure Scleroderma Liver cirrhosis Cancer and cancer treatment and hypertension Neurogenic Diseases that are associated with ED include Epilepsy Stroke Multiple sclerosis Guillain-Barr syndrome Alzheimer disease and Trauma Respitory diseases associated with ED include Chronic obstructive pulmonary disease and Sleep apnea Endocrine conditions associated with ED include Hyperthyroidism Hypothyroidism Hypogonadism and Diabetes Penile conditions associated with ED include Peyronie disease Epispadias and Priapism Psychiatric conditions that are associated with ED include Depression Widower syndrome perfromance anxiety and Posttraumatic stress disorder Hematologic diseases associated with ED include Sickle cell anemia and Leukemias Diabetes is also a well-recognized risk factor for ED with approximately 50 of diabetic men experiencing erectille difficulty Along with the numerous diseases that are associated with ED surgical procedures and medications also can be related to ED Procedures such as those on the brain and spinal cord
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