Erectile dysfunction (ED) is a condition in which a man is unable to achieve or maintain an erection sufficient for sexual intercourse. ED can have both physical and psychological causes, and sometimes it is a combination of both.

2. Erectile dysfunction is the inability to get and keep an erection firm enough
for sex. The emotional distress the condition can have on a man’s life is
difficult to encounter. However, it can bring stress and impact self-
confidence, which may affect the relationship.
Trouble getting an erection or maintaining it for long can also be a sign of a
primary health condition that requires treatment and a risk factor for heart
problems.
If you have a concern about erectile dysfunction, consult the doctor - even
in the case you’re embarrassed. Sometimes, treating basic conditions is
adequate to reverse erectile dysfunction. In several other cases,
medication or other direct treatments might be required.

3.  There is no adequate blood flow to the penis. Various ongoing health
concerns can reduce blood flow into the penis through hardened arteries,
heart disease, Diabetes (high blood sugar), and smoking.
 Penis cannot trap the blood during an erection. If blood doesn’t remain in
the penis, a man cannot hold an erection, which may happen at any age.
 Nerve signals from the brain or spinal cord do not reach the penis. Several
diseases, like injury or surgery in the pelvic region, can affect the nerves of
the penis.
 Diabetes can bring small vessel disease or nerve damage to the penis.
 Cancer treatment to the nearby pelvis can impact penis function. Surgery
and/or exposure to radiation in the lower abdomen or pelvis often bring ED.
Prostate treatment, colon-rectal, or bladder can often leave men with ED.
 Cancer survivors should seek Urologists for sexual health problems.
 Medications or drugs are used to treat other health concerns that
negatively impact erections. Still, it is advisable to discuss the matter with
the doctor about the drug's side effects.

4. Stress
Stress in the bedroom can certainly impact the ability to attain or maintain
an erection. But stress outside of the sex life can also have a deep impact.
Chronic stress is responsible for weakening the immune system, lowering
energy, causing ongoing illness, and being less able to manage mentally,
physically, and sexually. This means stress can have an important
psychological effect on erectile dysfunction. Both could be a cause and a
dysfunction result.
You may not be familiar with the impact of external stress like financial
concerns, home conflicts, or appearing deadlines at work during sexual
interaction. However, the worries may cause disruption to your sexual
function.

5. Depression
The people who are living with or started to experience the symptoms of
acute or chronic clinical depression usually face consistent sadness,
hopelessness, tiredness, inability, emptiness, or frustration. Other factors
that can bring concern are environmental inputs, chemical imbalances in
the brain, unresolved trauma, past history, health concerns and
medications or substance use.
These factors may directly or indirectly disrupt your sexual performance.
Depression can bother symptoms of erectile dysfunction - both
physiological and psychological and constrain the ability to perform in
sexual conditions.

6. Anxiety
People who experience erectile dysfunction have significant fears and
worries about their ability to perform or satisfy their partner. Sexual
performance is a common concern that brings impotence, but vague
anxiety can affect the body’s capacity for sexual efficiency. Chronic feelings
of dread, uneasiness or fear of any aspect of life can bring the body to
come into a fight or flight state, making it complex to relax in the bedroom.

7. Relationship problem
In many romantic relationships, sex is an important form of communication.
It strengthens the bond of connection and togetherness. When a problem in
the relationship arises, due to arguments, perceived emotional distance,
communication problems or accumulation of negative interactions, it can
negatively impact the sex life. At times like this, seeking psychological
assistance or couples therapy can be of great help to act on some of the
concerns that have brought sexual dysfunction for one or both of you.

8. Erectile dysfunction doesn’t happen only due to physical causes but
psychological reasons too invite concern. Seek a doctor's assistance if you
ever encounter erectile problems. The treatment of underlying
psychological causes can improve the condition. Reach out to the ayurveda
doctor who recommends several ayurvedic herbs that give effective results
without causing side effects and suggest dietary and lifestyle
recommendations.