Erectile dysfunction usually consists of complaints such as not being able to reach enough hardness to have intercourse starting after the age of 40, loss of erection during intercourse, interruption before ending the relationship. Normal erection depends on the anatomical structural integrity of the penis, its blood supply, neurotransmission, hormonal mechanisms, good general health and a psychologically healthy structure.
Anxiety, depression, mood disorders, stress, history of substance or drug use, which are psychological disorders, can lead to erectile dysfunction.
Organically, diabetes, hypertension, cardiovascular diseases, liver failure, kidney failure, heart failure, previous aortic surgeries, previous pelvic surgeries (such as prostate, rectum, bladder cancer operations) and radiation treatments may cause erectile dysfunction with mechanisms that prevent blood flow to the penis.
Spinal diseases, previous traumas (falling from a height, etc.), paraplegia, previous spine surgeries, pelvic surgeries may cause erectile dysfunction by disrupting the mechanisms that provide neural transmission to the penis.
Hormonal drug use, testicular tumors, surgical removal of the testicles, genetic diseases that cause congenital testicular dysfunction, permanent loss of function in the testicles due to infection or trauma, some tumors that secrete hormones in the pituitary gland, weight gain cause disorders in the testosterone hormone, which regulates the infrastructure of the penis, and erectile dysfunction. .
Obesity, metabolic syndrome, smoking and alcohol use, which form the basis for erectile dysfunction by affecting all other factors, are also causes of erectile dysfunction.