ED can occur due to hormonal and physical processes as well as various psychological aspects.

Disorders affecting the heart and blood circulation bear the common risk factors for ED, including high levels of cholesterol, obesity, smoking, alcohol abuse and lack of exercise. ED potentially possess early signs of heart disease as blood flow issues can negatively affect erectile function. Physicians may recommend a further check-up as one gets diagnosed with ED in order to ensure that no heart or metabolic disease exists. It is suggested to follow any recommendations from your physician as ED can be an early sign of a more threatening disease.