As recently as two decades ago, doctors tended to blame erectile dysfunction on psychological problems or, with older men, on the normal aging process. Today, the pendulum of medical opinion has swung away from both notions. While arousal takes longer as a man ages, chronic erectile dysfunction warrants medical attention. Moreover, the difficulty is often not psychological in origin. Today, urologists believe that physical factors underlie the majority of cases of persistent erectile dysfunction in men over age 50.
Low libido can be caused by many different things including medications, fatigue, recreational drugs, alcohol, depression, relationship problems, fear, systemic illness, and testosterone deficiency. Problems with maintaining an erection is a common symptom of erectile dysfunction (ED), and can be frustrating to deal with when trying to engage in any type of sexual activity. In most cases, ED is triggered by one or more health problems or unhealthy lifestyle habits, but can be improved or resolved by treating the underlying cause, which may be vascular, neurologic, penile, hormonal, drug induced, or psychogenic.
Francis,*, 42, had ED for 11 years before he decided to seek treatment a few years ago. At first, he didn't even realize that he might have ED. "I thought I was either depressed or that I had lost interest in my girlfriend at the time," he said. But when the problem persisted, he realized it was preventing him from having sex with his partner, who often taunted him for struggling to maintain an erection.

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So not only are erectile problems common, they're nothing for you or your special friend to be freaked out about. Check out the nine most common reasons that dudes sometimes can't get it up, and get ready to become the soothing voice of reason the next time the guy you're with has a hard time pitching his tent in your happy valley. Everything (and every penis) is gonna be fine!

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