What are the causes of erectile dysfunction?

Erectile dysfunction is a common problem in men. The most common endocrine causes are:

• Diabetes mellitus
• Obesity
• Hypertension
• Hyperlipidaemia (elevated cholesterol)
• Hypogonadism
• Hypothalamic-Pituitary diseases
• Pituitary adenoma
• Hyperprolactinemia
• Hypothyroidism
• Hyperthyroidism
• Addison’s disease
• Cushing’s syndrome
• Medicines
• Alcohol abuse, Cigarette abuse
• Opioids, Marijuana
• Stress
• Systemic disease

How is erectile dysfunction diagnosed?

The diagnosis of erectile dysfunction is made through history, physical examination, hormonal and metabolic testing.

How is erectile dysfunction treated?

The treatment of erectile dysfunction consists of:

• finding and treating the cause of erectile dysfunction, as well as the
• cardiovascular risk factors such as obesity, hypertension, hyperlipidemia, diabetes, smoking. In addition, they can be used:
• medical or
• surgical treatment and
• vacuum-assisted erection devices
• penile or intraurethral injections