ED can be caused by various physical and psychological factors, including:
• Physical causes: Heart disease, diabetes, high blood pressure, obesity, hormonal imbalances, and certain medications.
• Psychological causes: Stress, anxiety, depression, and relationship issues.
• Lifestyle factors: Smoking, excessive alcohol consumption, lack of exercise, and poor diet.

• Difficulty achieving an erection.
• Difficulty maintaining an erection during sexual activity.
• Reduced sexual desire.

Lifestyle changes can help reduce the risk of ED:
• Regular exercise.
• Maintaining a healthy weight.
• Avoiding tobacco and limiting alcohol.
• Managing stress and mental health.

Treatment options depend on the underlying cause of ED:
• Lifestyle changes: Improving diet, increasing physical activity, and reducing stress.
• Medications: Phosphodiesterase inhibitors, such as sildenafil (Viagra), can improve blood flow to the penis.
• Therapy: Counseling or therapy for anxiety, depression, or relationship issues.
• Medical devices: Vacuum erection devices or penile implants.
• Surgery: Vascular surgery may be an option in rare cases.