## What Is Erectile Dysfunction?

Erectile dysfunction is the **inability to achieve or maintain an erection firm enough for sexual activity**. It may happen occasionally, but if it becomes frequent or persistent, it can affect confidence, relationships, and overall wellbeing.

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## Common Causes of Erectile Dysfunction

ED can be linked to both **physical** and **psychological** factors:

### Physical Causes:

* Cardiovascular disease and high blood pressure
* Diabetes (type 1 and type 2)
* Obesity and metabolic syndrome
* Hormonal imbalances (low testosterone)
* Side effects of certain medications (such as antidepressants or blood pressure drugs)
* Prostate surgery or injury

### Psychological Causes:

* Stress, anxiety, or depression
* Relationship difficulties
* Performance anxiety

In many cases, ED results from a combination of both physical and mental factors.

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## Symptoms of Erectile Dysfunction

The main symptom of ED is difficulty achieving or keeping an erection. Other related symptoms may include:

* Reduced sexual desire (low libido)
* Trouble maintaining an erection during intercourse
* Premature loss of erection

If you notice these symptoms frequently, it may be time to seek medical advice.

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## Erectile Dysfunction Treatments in the UK

The good news is that ED can often be treated successfully. In the UK, treatment options include:

### 1. **Lifestyle Changes**

* Eating a balanced diet (Mediterranean diet recommended by UK health experts)
* Exercising regularly
* Limiting alcohol and quitting smoking
* Reducing stress and improving sleep

### 2. **Oral Medications**

Available in the UK with an NHS prescription or privately, the most common medicines include:

* **Sildenafil (Viagra)**
* **Tadalafil (Cialis)**
* **Vardenafil (Levitra)**

These improve blood flow to the penis, helping men achieve and maintain erections.

### 3. **Therapy and Counselling**

If stress, anxiety, or relationship issues are contributing, talking therapy (such as CBT) can help. NHS and private therapists across the UK provide support.

### 4. **Vacuum Pumps & Devices**

These are non-invasive options sometimes offered through the NHS.

### 5. **Surgery or Implants**

Reserved for severe cases where other treatments don’t work.