Beverly Hills Male Medical Center | Los Angeles, California.


A common myth about men is that they are always able to have sex and that erections are easy to get and maintain.  Roughly about 20 to 30 million men in the United States suffer from erectile problems.  More young men have begun reporting erectile dysfunction, comprising approximately 25 percent of the patient population.  Erectile dysfunction is not just for old men anymore.


Primary and Secondary Causes

The causes of erectile dysfunction in young men may be primary or secondary. Erectile dysfunction begins when a male cannot achieve erection. This is termed primary erectile dysfunction.  Other cause for erectile dysfunction is when a man is not able to maintain an erection. This is called secondary erectile dysfunction. Unfortunately due to the aging process majority if not all men will develop primary or secondary erectile dysfunction.


Common Causes

Anxiety and stress are common psychogenic causes of erectile dysfunction. These causes have many roots.  For younger males, anxiety could be work- and school-related.  Sexual performance anxiety; concern about the “right” partner, place and time; intimacy and trust; religious convictions; and cultural norms may also effect erections.  There are various physical causes of erectile dysfunction. Physical causes include medications, alcohol, vascular disease, poor diet, nerve dysfunction, illicit drugs, diabetes, Peyronie’s disease, smoking, hormonal deficiency and surgery.

Physiological Cause

The physiological cause for erectile dysfunction is the same for all men.  Surrounding the urethra, the penis contains spongy, cylindrical structures. The brain communicates sexual arousal to the nervous system which results in an increase in the blood flow. The engorged shaft increases about seven-folds. This process causes the erection, but another mechanism maintains it.  Disruption in any part of this process, results in erectile dysfunction.

Impotence in men, also known as erectile dysfunction, refers to a medical condition in which men are unable to keep an erection for sexual intercourse. The Mayo Clinic studies indicate that stress, heart problems, depression or anxiety and certain drugs are known risk factors for developing impotence.