Nerve conditions affect the brain’s ability to communicate with the reproductive system. However, the use of alcohol or smoking can be the major cause of erectile dysfunction. For example:For many people, a physical exam and answering questions (medical history) are all that's needed for a doctor to diagnose erectile dysfunction and recommend a treatment. A report by Harvard Special Health titled as Erectile Dysfunction: How medication, lifestyle changes, and other therapies can help you conquer this vexing problem, states that about 25% of erectile dysfunction cases are a result … Many different factors affecting your vascular system, nervous system, and endocrine system can cause or contribute to ED. Oral erectile dysfunction medications are not aphrodisiacs, will not cause excitement and are not needed in people who get normal erections.The medications vary in dosage, how long they work and side effects. Erectile dysfunction (ED) can have several causes. Here's some information to help you get ready and know what to expect from your doctor.For erectile dysfunction, some basic questions to ask your doctor include:In addition to your prepared questions, don't hesitate to ask additional questions during your appointment.Your doctor is likely to ask you a number of questions. The people who cover long distances on a bicycle may suffer temporary impotency because they impose a continuous pressure on their buttock and genitals.Certain medications can lead to impotency. In fact, an estimated 25% of all ED is a side effect of drugs, according to the Harvard Special Health Report Erectile Dysfunction: How medication, lifestyle changes, and other therapies can help you conquer this vexing problem. Be prepared for questions such as these:Erectile dysfunction has many possible causes. Your penis might feel cold to the touch.If a penis pump is a good treatment choice for you, your doctor might recommend or prescribe a specific model. All rights reserved. Several neurologic conditions can increase the risk of impotence. Some neurological factors might includeSome operations or surgical procedure can also lead to impotency. Some alternative products that claim to work for erectile dysfunction can be dangerous.The Food and Drug Administration (FDA) has issued warnings about several types of "herbal viagra" because they contain potentially harmful drugs not listed on the label. These include:As you get older, erections might take longer to develop and might not be as firm. Likewise, stress and mental health concerns can cause or worsen erectile dysfunction. Problems getting or keeping an erection can also be a sign of an underlying health condition that needs treatment and a risk factor for heart disease.If you're concerned about erectile dysfunction, talk to your doctor — even if you're embarrassed. Erectile function involves a complex relationship between neurologic, vascular, hormonal and psychological components. For instance, innovative means of obtaining a male hormone profile through noninvasive methods make it possible to determine each … If erectile dysfunction is an ongoing issue, however, it can cause stress, affect your self-confidence and contribute to relationship problems. Penile implant surgery is not recommended if you currently have a urinary tract infection.Recent studies have found that exercise, especially moderate to vigorous aerobic activity, can improve erectile dysfunction.Even less strenuous, regular exercise might reduce the risk of erectile dysfunction. Certain diseases and conditions . Increasing your level of activity might also further reduce your risk.If your erectile dysfunction is caused by stress, anxiety or depression — or the condition is creating stress and relationship tension — your doctor might suggest that you, or you and your partner, visit a psychologist or counselor.Before using any supplement, check with your doctor to make sure it's safe for you — especially if you have chronic health conditions. These medications might not treat your erectile dysfunction immediately. You can never achieve the required erection when you are suffering from emotional distress.Depression and anxiety are significant factors behind this problem.