Erectile dysfunction (ED) is defined as the inability to achieve or maintain sufficient penile rigidity to allow for satisfactory sexual intercourse.

It is a health problem with a high prevalence among men over 40 years of age, and which entails a significant impact on the quality of life of the affected person, and that of their partner. According to the EDEM study carried out in Spain, globally, 12.1% of men between 25 and 70 years old present ED. However, only 16.5% of those affected consult a doctor due to cultural, religious or moral factors. Erectile dysfunction can be a consequence derived from the alteration of various physical and psychological factors, and can be broadly classified into three groups:

1.- Psychogenic cause, which occurs especially in men under 50 years of age. Stress, anxiety, depression, negative sexual experiences, low self-esteem, lack of education in the sexual sphere, or relationship conflicts can all be responsible for erection problems.

2.- Organic causes. Although age is an unavoidable factor in the development of ED, it affects more than 80% of men over 80 years of age, the most frequent association for developing ED is cardiovascular risk factors such as smoking, obesity, hypertension, diabetes (the most frequent endocrine cause associated with ED, multiplying the risk by 3 with respect to the general population), dyslipidemia and arterial vascular disorders. Certain neurological diseases (Parkinson’s disease, cerebrovascular accidents, multiple sclerosis) or hormonal problems (thyroid, testosterone deficiency, elevated Prolactin, etc.) can also cause erection problems.

3.- Pharmacological cause. Certain substances such as antihypertensive drugs, drugs for the treatment of the prostate and psychotropic drugs together with drug use (abuse of alcohol, heroin, cocaine and cannabis) increase the risk of having erection problems.


However, in most cases of ED there is usually a combination of factors from the different groups, especially the organic cause.

We are at your disposal to carry out an adequate study that diagnoses correctable causes in your case, advise you and provide you with the comprehensive treatment that best suits your needs. Ask us.