Malaysian couple

There are multifactorial organic or psychological causes of erectile dysfunction. These may include high blood pressure, high cholesterol, diabetes, peripheral vascular disease, excessive stress, obesity, family history of atherosclerosis, smoking, anxiety and hormonal disorders.

Dr. Manish Taneja

Vascular Specialist, Supreme Vascular and Interventional Clinic

Introduction to Erectile Dysfunction


Erectile Dysfunction (ED) is a condition that impacts the lives of many men at different stages in life and comes in different types. Men experience it for various reasons. It can be uncomfortable to talk about but to get help, you must trust the guidance of a competent medical professional. After all, you don’t have to live with ED; there are many competent treatments depending on the cause and your circumstances. 

Let’s shed light on the causes of ED, distinguishing between factors within and beyond one’s control. 

Causes of Erectile Dysfunction


Understanding the underlying causes of ED can help you address it adequately with the help of a medical provider. Remember, men from all walks of life experience erectile dysfunction. In fact, according to Healthline, about ⅓ of men worldwide experience ED.

Various factors, including underlying health conditions, lifestyle, and psychological issues, can cause Erectile Dysfunction. Common underlying health conditions include:

  • heart disease
  • diabetes
  • obesity
  • high blood pressure
  • high cholesterol
  • excessive stress
  • history of atherosclerosis
  • peripheral vascular disease
  • anxiety
  • hormonal disorders

Lifestyle factors can include:

  • smoking
  • excessive alcohol consumption
  • sedentary lifestyle can also contribute to ED. 

Uncontrollable Risk Factors of ED

You can’t control all of your risk factors, including your age. Here are some of the leading uncontrollable causes of ED.


  • ED can be a natural part of aging, as your body loses testosterone.
  • Physiological changes affect vascular and neurological systems as well and cause ED.

Medical Conditions

  • Chronic illnesses like diabetes, cardiovascular disease, and hypertension can play a role in sexual dysfunction.
  • Impact on blood flow and nerve function can cause obstacles to getting an erection.

Traumatic Conditions

  • Physical trauma, especially to the pelvic region, can cause ED. Direct injuries to the genitals, such as a severe blow or trauma, may cause damage to the blood vessels, nerves, or the erectile tissues themselves.
  • Psychological trauma, such as intense stress or emotional disturbances. People who have experienced sexual trauma may live with PTSD.

Erectile Dysfunction is a nuanced condition influenced by various factors. While age is an uncontrollable element, addressing medical and traumatic conditions is within our power. Seeking professional assistance is pivotal for accurate diagnosis and tailored interventions. Through understanding these factors, individuals can proactively manage ED and work towards improving their overall health and well-being.


Controllable Risk Factors of ED


Medications that may cause ED:

Several medications can potentially contribute to erectile dysfunction. It’s essential to note that the impact can vary from person to person, and not everyone experiences these side effects. If you are concerned about medication affecting your sexual function, it’s crucial to consult with your healthcare provider.

Here are some classes of drugs associated with ED. This list is not complete, but as you can see, it’s a lot!

  • Antidepressants
  • Antipsychotics
  • Blood Pressure Medications
  • Anti-Anxiety Medications
  • Hormonal Medications
  • 5-Alpha Reductase Inhibitors
  • Opioids
  • Antiulcer Medications

If you are experiencing ED and suspect it may be related to your medications, do not stop taking them suddenly or without consulting your healthcare provider.

A medical professional can work with you to explore alternatives or adjustments to your treatment plan while considering your overall health and well-being. Be honest with your healthcare team regarding any concerns or side effects you may be experiencing.

Lifestyle and Erectile Dysfunction:

Erectile dysfunction risk factors include people who misuse substances, including alcohol.

  • Alcohol: Excessive alcohol consumption can hinder sexual function.
  • Drugs: Recreational drugs may contribute to ED.
  • Steroids: Misuse of steroids can affect hormonal balance.
  • Smoking: Tobacco use is linked to vascular issues, impacting erectile function.

Many uncontrollable and controllable factors influence ED, which makes it pivotal for individuals dealing with this condition to seek help from a qualified medical professional.

Erectile dysfunction causes vary. While age and certain medical conditions are beyond our control, actively managing lifestyle and behavior can play a significant role in improving sexual health—professional advice and making informed choices empower individuals on their journey toward addressing and managing ED.

How to Reduce Your ED


Erectile dysfunction prevention involves a combination of healthy lifestyle choices, a balanced diet, and managing stress. Regular health check-ups and open communication with healthcare providers are crucial in preventive care.

Taking proactive steps toward overall well-being can significantly contribute to maintaining healthy sexual function throughout life. Find out more about the physical, emotional, and relationship effects of Erectile Dysfunction in our informative article. 

Healthy Lifestyle Choices:

Taking care of your body is essential for all systems to function correctly. One Harvard study found that men who exercise vigorously for an hour and a half or more every week were 20% less likely to experience sexual dysfunction.

  • Maintain a Balanced Diet: Consume a healthy diet. This means eating one rich in fruits, vegetables, whole grains, and lean proteins. A heart-healthy diet supports overall vascular health, which is essential for proper erectile function.
  • Regular Exercise: Make time for regular physical activity. Try brisk walking, jogging, or other aerobic exercises. Exercise promotes blood circulation, contributing to overall cardiovascular health.
  • Weight Management: Maintain a healthy weight. You can accomplish this through a balanced diet and regular exercise. If you’re overweight, it’s important to note that obesity can contribute to ED.

Lifestyle Choices:

Nourishing your body means also learning to avoid toxins, both when it comes to stress and when it comes to drugs and alcohol.

  1. Limit Alcohol Consumption: Drink in moderation when it comes to alcohol. Excessive alcohol intake can interfere with nervous system function and affect sexual performance. Sexual dysfunction is common among drinkers, with researchers finding that 72% of men with alcohol use disorder have ED problems.
  2. Avoid Illicit Drugs: Recreational drugs, such as cocaine and methamphetamines, can contribute to ED.
  3. Avoid Steroids: Don’t take any “iffy” supplements that may contain steroids.
  4. Quit Smoking: Smoking hurts blood vessels, reducing blood flow throughout the body, even the genitals. Quitting smoking can improve vascular health and decrease the risk of ED.
  5. Manage Stress: Stressed out? Try stress management techniques like mindfulness, meditation, or deep breathing exercises. Chronic stress contributes to hormonal imbalances and causes sexual dysfunction.

Regular Health Check-ups:

Regular health check-ups allow for the early detection and management of conditions that may contribute to ED, such as diabetes, hypertension, or hormonal imbalances.

If you are on medications that may have ED as a side effect, discuss potential alternatives or solutions with your healthcare provider. If you experience sexual dysfunction at any age, it’s important to get help from a medical professional. Learn more about erectile dysfunction treatment by contacting us in Singapore.

    World-Class Erectile Dysfunction Treatment in Singapore


    Addressing erectile dysfunction, especially vasculogenic erectile dysfunction involves a range of treatment options, depending on specific underlying causes of this complex disorder. When you’re searching for treatment, consult an erectile dysfunction specialist in Singapore to learn more about your options.

    Several interventions are available for patients, depending on the cause of their ED. Erectile dysfunction treatment is usually dependent on the cause of the condition.

    • Medical Therapy: Numerous highly effective drugs exist to address the physical symptoms associated with vasculogenic erectile dysfunction.
    • Surgical Intervention: Treatment of erectile dysfunction includes surgical procedures are an option, depending on the patient’s overall health and the causes of their ED.
    • Endovascular Interventional Procedures: These procedures, conducted as day surgeries under sedation with a swift recovery within a day, offer a promising avenue for treating vasculogenic erectile dysfunction. Two primary categories of endovascular procedures can occur in a session lasting approximately 60-90 minutes.
    • 3A. Arterial Inflow Procedure (Angioplasty/Stenting): This procedure involves accessing the artery through a tiny 2 mm incision in the groin or wrist.
    • 3B. Venous Leak Embolization: This procedure entails direct access to one of the draining veins under the skin of the penis with ultrasound guidance.

    Learn more about Supreme Vascular and Interventional Clinic ED Treatment Options or read more in detail on our blog post, “Erectile Dysfunction Options: A Guide to Finding the Right Treatment For You.” 

    Schedule an Appointment Today with Supreme Vascular and Interventional Clinic


    Opting for our clinic in Singapore means you are choosing a  seasoned professional, Dr. Manish Taneja, with a track record of effectively correcting erectile dysfunction. Our experienced erectile dysfunction specialist prioritizes your well-being, providing discreet and compassionate care. If you are searching for an erectile dysfunction doctor in Singapore, we’re here to help you get the care you need.

    With cutting-edge treatments and a commitment to patient comfort, we offer a straightforward path to regaining confidence and improving your quality of life. We understand the sensitive nature of this condition and provide a compassionate and discreet environment, ensuring your comfort throughout the entire journey to recovery. Consult with our erectile dysfunction specialist in Singapore today. 


    A vascular malformation is an abnormal mass/growth of blood vessels that can occur anywhere in the body. Most common location is head and neck area followed by limbs and abdomen/chest wall. Uncommonly, vascular malformations are seen affecting abdominal organs and...


    Fibroids are often multiple of varying sizes in different locations within the uterus. There are multiple management options for fibroids. Uterine Artery Embolization is a nonsurgical vascular procedure for treatment of fibroids. This procedure is also effective in...


    Erectile dysfunction is the inability to achieve or maintain an erection firm enough to have sexual intercourse. The disorder is highly age-dependent, as the combined prevalence of moderate to complete erectile dysfunction rises from approximately 22% at age 40 to 49%...


    Simply put, a vascular malformation is an abnormal communication between the arteries and veins.  For doctors, the most important assessment for vascular malformations involves their classification into high flow and low flow malformations. This clinical...


    Genicular artery embolization was initially introduced to prevent recurrent bleeding into knee joint occasionally seen as a complication of knee replacement surgery. It was realized that the procedure also provided significant pain relief by blocking blood supply to...


    PAD is usually part of a generalized disease process affecting blood vessels in the entire body . If you have PAD, there is high likelihood that you may have disease in blood vessels supplying heart and brain. Patients with PAD are also at significant potential risk...


    The aorta is the main blood vessel that carries blood from the heart to the rest of the body. It extends from the chest to the abdomen, into the iliac arteries. The iliac arteries carry blood to lower parts of the body and to the legs. Sometimes, because of aging or...


    There are various types of aneurysms. The 3 types of brain aneurysms include.  1. Saccular brain aneurysms (the most common)2. Fusiform brain aneurysms3. Mycotic brain aneurysms The 4 types of aortic aneurysms that we see in practice commonly are: 1. Abdominal aortic...


    As a medical professional, I cannot stress enough the vital importance of maintaining excellent vascular health. Your vascular system, comprised of arteries, veins, and capillaries, is responsible for transporting oxygen and nutrients throughout your body while also...


    I’ve been looking after vascular conditions since 1995, there has been a huge change and paradigm shift in the management of these conditions over the last 28 years. There are better devices that are able to treat conditions that we could never do before without...