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1. Request a Free Consultation

1. Request a Free Consultation

Fill out your information in our patient portal to get in touch with a wellness advisor.

1. Request a Free Consultation

2. Meet Your Doctor

Our medical team evaluates your health during your appointment allowing your doctor to create an individual treatment plan.

1. Request a Free Consultation

3. Start Your Program

You’ll receive a personalized treatment plan that aligns with your goals. It’s that simple!

Erectile dysfunction (ED) is a condition associated with getting or keeping an erection for sexual intercourse. Erectile dysfunction is occasionally common for most men and can be intensified with stress, however, chronic ED could be a warning signal of more serious health problems. 

The American Family Physician’s data states that over 12 million men are affected by ED. Erectile dysfunction could be caused by vascular, neurologic, psychological, or hormonal imbalances. A healthy diet and healthful lifestyle choices have worked as a treatment for male sexual dysfunction as well as treating underlying health concerns. Many have improved their sex life by addressing other health concerns contributing to sexual dissatisfaction.

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Causes of Erectile Dysfunction

Erectile dysfunction has biological, psychological, and social risk factors and the following health information can help you to understand erectile function:

Physical Causes 

Here are some of the common physical causes of erectile dysfunction:

  • Heart disease involves blocked blood vessels that could lead to a heart attack, stroke, or ED. Heart disease causes chronic health concerns preventing your ability to maintain an erection. 
  • Atherosclerosis is build up inside artery walls that restrict blood flow and contribute to the inability to achieve an erection. 
  • Too much cholesterol in your blood or high levels of LDL cholesterol can make you feel tired, short of breath, and prevent you from keeping an erection because of restricted blood flow. 
  • High blood pressure can cause ED and individuals with high blood pressure can go years without even noticing that have the condition. 
  • Diabetes is a disease caused by high blood sugar. Diabetes is a public health concern and trouble maintaining an erection is common in men with type 2 diabetes. Diabetes and digestive systems are intertwined causing food to remain in the body too long making it harder for the body to control blood glucose. 
  • Obesity contributes to erectile dysfunction but according to health information provided by the Food and Drug Administration, can be treated with a healthy diet and exercise, or prescription medicines and surgery. 
  • Parkinson’s disease is a brain disorder that leads to trembling and as the disease progresses so does the individual’s ability to walk and talk.
  • Multiple sclerosis (MS) can cause erectile dysfunction due to the disconnection MS causes between the brain and the body. 
  • Prescription drugs have side effects that may influence the male sexual organ. Antihistamines, diuretics, muscle relaxers, and antidepressants are some of the medications found to contribute to erectile dysfunction in some individuals.
  • Low testosterone negatively affects sex drive but hasn’t been found to cause ED. Aging males gradually lose their testosterone and experience ED at higher rates. 
  • Alcohol, tobacco, and substance abuse have been found to harm men’s abilities to maintain an erect penis. Alcohol lowers testosterone levels which negatively impact sex drive and sexual energy.
  • Injuries to the pelvic area can cause erectile dysfunction because of the pelvic area’s role in blood flow to the penis and housing the nerves that supply sensations. 
  • Prostate cancer can cause prostate enlargements that need to be treated. The treatments for prostate cancer could cause erectile dysfunction and ejaculatory issues. 
  • Peyronie’s disease occurs when scar tissue builds up inside of the penis and this condition also can cause erectile dysfunction. 
  • Sleep disorders affect your testosterone and oxygen levels which could contribute to other diseases or erectile dysfunction. 

Psychological Causes

A healthy brain plays a vital role in sexual excitement and triggering physical responses leading to erections. The following conditions could interfere with your brain functioning and cause ED symptoms:

  • Depression symptoms like guilt, anxiety, and low self-esteem have all been found to cause erectile dysfunction. Some individuals suffering from depression have been found to lose interest in their sex life.
  • Stress over an extended period of time affects testosterone production, lowers libido, and could cause ED. Work-related stressors or those associated with the relationship have contributed to factors that influence erectile functioning. 

Most men have an underlying cause for their ED but it’s not always easy to differentiate when it’s being caused by a physical, psychological, or emotional phenomenon. Treatment methods are often combined for maximum effectiveness because of the myriad of underlying issues that could be responsible for the condition. Treatment plan revisions with your healthcare physicians can help ensure you’re on the right path to eliminate the causes of your ED. 

Complications of Erectile Dysfunctions

Erectile dysfunctions can desecrate sexual energy, and ruin your sex life. Here are some complications that could happen as a result of ED:

  • Stress, guilt, shame, and other negative emotions
  • Embarrassment and self-esteem issues
  • Relationship conflicts
  • Inability to conceive children
  • A disappointing sex life
  • Anxiety and depression

The complications you face will determine how you and your doctor decide to handle your plan for beating back the symptoms of ED. Eliminating risk factors like smoking, alcohol, and drug use and treating causes like obesity and diabetes will help eliminate the effects of ED. 

Prevent Erectile Dysfunction

Healthy blood flow is an essential pillar of maintaining a strong erection and the National Insitute of Diabetes and Digestive and Kidney Diseases suggest the following ED prevention methods to keep blood vessels unclogged, diabetes and digestive systems under control, and combat erectile dysfunction: 

Stop Smoking

Smoking has been linked to heart disease which contributes to ED. Smoking restricts blood vessels harming blood circulation and harms the arousal and erection stages of sex. Smoking increases your chances of having erectile dysfunction. 

Reduce Alcohol Consumption

Alcohol-induced sexual dysfunction is reversible and alcohol-free individuals don’t show the same poor sexual performance. Erectile dysfunction was shown to be even higher in those who have three or more standard units of alcohol daily. However, some research supports that moderate wine consumption protects against impotence in the long run. 

Eat Healthily

Health information comprised by Harvard University found eating a diet rich in natural foods, whole grains, and fish decreased the likelihood of erectile dysfunction. A healthy eating plan could increase your sex drive, erection strength, and performance. 

Foods that are high in folic acid like spinach boost testosterone. Caffeine has also shown to increase blood circulation and erection health. Foods rich in amino acids like oats help penile blood vessels relax preventing ED symptoms. Tomatoes and Apples combat prostate cancer and support erection wellness. 

Maintain a Healthy Weight

Obese men are two times more likely to experience sexual dysfunction than those with normal weights. According to experts with the Urology Care Foundation losing weight can slow the progress of urological conditions, prevent cancers from returning, prevent kidney stones, and be a tool for those experiencing erectile dysfunction. 


Good cardiovascular health can increase heart health and support a powerful erection. Kegel exercises can strengthen the muscles of the pelvic floor and improve sexual performance. Exercise can improve blood circulation, raise testosterone, burn fat, and is supported for the prevention and treatment of ED. Too much exercise has also had adverse effects on performance and steroid usage contributes to ED symptoms.

Monitor Drug Use

The National Institute of Health found that illicit drug abusers are inclined to have decreased sexual desire, erectile dysfunction, and increase ejaculation latency. Prescription drugs like antihistamines and antidepressants have been found to cause cases of ED and natural alternatives could be better options for sexual health. Avoiding hard drugs like heroin, methamphetamines, and MDMA could prevent you from experiencing erectile dysfunction

Erectile Dysfunction Treatment

Erectile dysfunction is not permanent and even when ED cannot be cured, treatment can eliminate symptoms. Erectile dysfunction treatment has been found to improve sexual health. Prevention methods like regular exercise, mineral-rich diets, and healthy lifestyle choices are effecting sexual dysfunction treatment but the following methods have also been effective:

Short-Term Treatments

Medicines that increase blood flow to the penis like sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis) have been prescribed for ED treatment. Certain medications have ED side effects and speaking with your healthcare provider about changing your dosage or switching you to another medicine could treat your ED. Medicines can increase nitric oxide release in the penile vessels and can be administered into the base of the penis by shot. 

Natural dietary supplements like ginseng, ginkgo biloba, maca root, ginger, L-arginine, and more have all found to improve circulation and men’s health. Natural supplementation is a healthy alternative to prescriptions but more research is needed in these areas to understand how they support reproductive health.

Surgeries can fix the anatomical causes of ED. Implanting a device that generates erections makes surgery a suitable treatment option. Surgery can be the last result for some and the fastest option for others.

Underlying Causes Treatments

Treating the underlying conditions like digestive and kidney diseases, heart disease, obesity, and restricted arteries could drastically improve your reproductive tools.

Psychological Treatments

Counseling for mental health conditions and relationship counseling can support individuals and couples interested in improving their sex lives. Treating the underlying depression and worry associated with performance anxiety and everyday stressors will increase sex drive. 

Natural ED Treatment

Walking, eating right, god vascular health, maintaining a healthy weight, and strengthening your pelvic floor muscles have found to be the best ways to overcome ED. ED is mainly caused by underlying health issues and can signal health complications. ED is not permanent, and the symptoms are reversible or can be eliminated altogether. 

Other ED Treatment Methods

If all other treatment strategies fail, then doctors could recommend penile implants of inflatable and bendable rods into both sides of the penis. This surgery has been found satisfactory for individuals with severe ED but also increases the risk of surgery-related infections. Doctors are becoming more innovative in reproductive health. 

Performance Anxiety

Stress about making love can lead to performance anxiety. Performance anxiety could lead to ED, premature ejaculation, delayed ejaculations, loss of interest, erection problems, and loss of desire. The following practices could treat performance concerns: 

  • Meditation improves breathing and contributes to physical and mental health and stamina.
  • Counseling and therapy can heal relationship troubles, work through intimacy complications, and stress management.
  • Embracing sensuality without rushing can help reduce performance anxiety. 
  • Clearing your mind of external stressors before intercourse may improve satisfaction.
  • Keeping a high internal locus of control by focusing on what you can control will reduce the worry that leads to performance stress. 
  • Education about stress reduction, romantic behaviors, relationship-building, and sexuality may increase desire and improve relationships. 
  • Guided imagery has also been used as a technique to combat performance problems. The technique uses a trance-like state to help your body overcome physical and mental roadblocks in your unconscious mind. 

Testosterone and Erectile Dysfunction

Testosterone is a hormone that influences sex drive but not the sole proponent in control of ED. Testosterone treatment in men with normal testosterone levels does not improve erections. After age 50 men’s testosterone levels decrease and ED is more common in men over 40. Low testosterone affects the desire for intimacy but does not cause ED. Exercise has been found to increase testosterone but also increases circulation in the body which also supports sexuality. 

Types of Erectile Dysfunction ED

Primary ED occurs when a man has never been able to have or sustain an erection and secondary ED which doesn’t experience the same erection response that he did before. Secondary ED usually is temporary and reversible but primary ED may require more medical treatment. Surgery and medicines may not work on some individuals and other options are available for improving performance, reducing anxiety, and satisfaction. 

Alternative Remedies for ED

Acupuncture and herbal supplements have contributed to male performance health. Alternative remedies alone may not cure your symptoms of ED but can be an effective tool for those open to their benefits. Maritime pine extract, Pinus pinaster, maca, Lepidium meyenii, have shown promising results in combating ED. 

Mechanical devices like penis pumps can draw blood into the penis, even those with nerve damage, and rings can help to keep blood within the penis. Mechanical devices can help even those with intense health issues maintain their erection. 

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Client Reviews

Doctors and staff are great. At MedSmart Wellness Center they understand the impact of Low T and work with their treatment options to get you back to normal levels. I have been going to MedSmart Wellness Center for several years and have been very satisfied. I look towards my weekly visit. I strongly recommend MedSmart Wellness Center. Don't hesitate in seeking help. You will not regret it


I just started working with all the wonderful people at MedSmart Wellness Center, such a load taken off of my shoulders. They take the time to sit with you, listen to your concerns, and explain the treatments, and options. If you have been battling these uncomfortable issues we as men face sometimes in our lives, I would highly recommend MedSmart Wellness Center. Thank you guys so much!


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