From the Guidelines
Erectile dysfunction (ED) in a 30-year-old male is most likely caused by a combination of psychological factors, lifestyle factors, and underlying medical conditions.
Causes of ED
- Psychological factors: Depression, anxiety, relationship conflict, and performance anxiety can contribute to ED 1.
- Lifestyle factors: Smoking, excessive alcohol consumption, and lack of physical activity can increase the risk of ED 1.
- Underlying medical conditions: Conditions such as diabetes, hypertension, and cardiovascular disease can damage blood vessels and nerves, leading to ED 1.
- Hormonal imbalance: Low testosterone levels can contribute to ED, and measuring testosterone levels is recommended in all men with ED 1.
- Medications: Certain medications, such as antidepressants and blood pressure medications, can cause ED as a side effect 1.
Evaluation and Management
A comprehensive evaluation, including a thorough medical, sexual, and psychosocial history, physical examination, and selective laboratory testing, is essential to identify the underlying causes of ED 1. Validated questionnaires, such as the Erection Hardness Score and the Sexual Health Inventory for Men, can be used to assess the severity of ED and guide treatment 1. Referral to a mental health professional may be necessary to address psychological factors contributing to ED 1.
From the Research
Causes of Erectile Dysfunction
The causes of erectile dysfunction (ED) in a 30-year-old male can be attributed to various factors, including:
- Vascular factors, such as atherosclerotic disease, which is estimated to account for 40% of ED in men over 50 years 2
- Neurologic factors, such as nerve damage from pelvic surgery 2
- Psychological factors, including performance anxiety and relationship issues 3
- Hormonal factors, such as testosterone deficiency 3
- Medications and substance use, including antidepressants and tobacco use 3
- Lifestyle factors, such as physical inactivity, smoking, and obesity 4, 5
Common Conditions Related to ED
Common conditions related to ED include:
- Diabetes mellitus 3, 4, 5, 6
- Hypertension 3, 4, 5, 6
- Hyperlipidemia 3, 4, 5
- Obesity 3, 4, 5
- Prostate cancer treatment 3
- Depression and anxiety 2, 5, 6
Other Causes
Other causes of ED include: