As harsh as it may sound, for some men, erectile dysfunction, if it all it does, sets in as early as when theyre 21, although medically, it is known to be most common in men aged 65 and above. To begin with, what most people refer to as Erectile Dysfunction (ED) is the condition in which a man in unable to get an erection or to hold it long enough to go through sexual activity. Far from the common misconception, ED and infertility can be completely independent of each other as infertility has more to do with the sperm count than the ability to get it up! Also, the causes for ED are medical as well as psychological, that is to say that it has a lot to do with your fears and anxieties as well. Some of the more commonly listed medical causes are:

(1) Excessive use of alcohol and tobacco
(2) Fatigue
(3) Injuries to do with the brain and spinal - cord
(4) Liver or kidney failure
(5) Lower testosterone levels due to Hypogonadism
(6) Multiple Sclerosis
(7) Excessive radiation therapy on the testicles
(8) Parkinsons disease
(9) Stroke

For those of you, whose problem lies seated within your head, it could be one or a combination of the following factors:

(1) Nervousness to do with sexual performance Stress
(2) Previous history of impotence - psychological implications

Whatever the cause, the cure is easily approachable. If the cause is medical, treat the root illness first. For instance, fatigue has easy options for herbal and naturopathy treatments, Hypogonadism are slowly, but surely curable, with great care, you can recover well from a stroke as well. You could also cut down on your drinking and smoking, which definitely isnt worth more than that special time on bed!

There is a range of pharmaceuticals available for ED. The most well-known of them all is CIALIS, which is known to have improved upto 36 hours of dosing, the ability of men with ED to have a single successful intercourse attempt. With minor side effects that you could very well look up, CIALIS can be taken by prescription and has often worked, with varying results.

As for the psychological factors, an open conversation between you and your partner works best. You also need to remember to try and not obsess too much about performance and just lose yourself in the sheer act itself! However, if it doesnt end there, its best to consult a sexologist or therapist who can see you through with professional help. Remember, if you want to, you have every right not to let things come between you and your partner.

So, if ED for you spells blue, try all those things that you havent too!