Question:
Hi my name is Joe, What is usually the cause of chronic severe Ed? No morning wood, weak erections only held with stimulation, weak ejaculation.
Answer:
Hello Joe,
Erectile dysfunction could be due to many underlying causes, and for the best treatment option we need to identify the cause erectile dysfunction first.
Common causes include:
• Heart disease
• Clogged blood vessels (atherosclerosis)
• High cholesterol
• High blood pressure
• Diabetes
• Obesity
• Metabolic syndrome
• Parkinson’s disease
• Multiple sclerosis
• Certain prescription medications (such as High blood pressure medications)
• Tobacco smoking
• Peyronie’s disease
• Alcoholism and other forms of substance abuse
• Sleep disorders
• Treatments for prostate cancer or enlarged prostate (radiotherapy or brachytherapy)
• Surgeries or injuries that affect the pelvic area or spinal cord
• Low testosterone levels
• Depression, anxiety or other mental health conditions
• Stress
• Relationship problems due to stress, poor communication or other concerns
As you can see, we need a complete assessment of your overall health and other health problems/current medications which may affect sexual function. That being said, please see your urologist to determine the best treatment for your current erectile dysfunction after evaluation.
I hope this answers your question.