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These causes include: Obesity Diabetes High cholesterol Hypertension (high blood pressure) Heart disease and narrowing of blood vessels Atherosclerosis Parkinsons disease Low testosterone Enlarged prostate Smoking tobacco Alcoholism or substance abuse Sleep disorders, such as sleep apnea Hormonal disorders (i.e., thyroid conditions, testosterone deficiency, etc.) Treatments for prostate disease Injuries in the pelvic area or the spinal cord Radiation therapy to the pelvic region Peyronie disease Multiple sclerosis Although most causes are medical, there are also some psychological factors that could cause or contribute to symptoms of ED, including: Guilt Fear of intimacy Depression Severe anxiety Tips For Reducing Your Risk of ED Although erectile dysfunction can be embarrassing, cause stress or anxiety, and even lead to an unsatisfactory sex life, it is easily treatable

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Functional medicine practitioners, like myself, use functional blood analysis and other tests to look at optimal ranges to help recognize even subclinical health challenges and risk of health problems