Erectile dysfunction, or ED, can be a total inability to achieve erection, an inconsistent ability to do so, or a tendency to sustain only brief erections. Physical causes of erectile dysfunction include: 1)Alcohol and tobacco use 2)Fatigue 3)Brain or spinal-cord injuries 4)Hypogonadism (which leads to lower testosterone levels) 5)Liver or kidney failure 6)Multiple sclerosis 7)Parkinson's disease 8)Radiation therapy to the testicles 9)Stroke 10)Some types of prostate or bladder surgery

The following medical problems can also cause erectile dysfunction: 1)Diabetes (high blood sugar) 2)Hypertension (high blood pressure) 3)Atherosclerosis (hardening of the arteries)

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