Top 5 Reasons for Erectile Dysfunction in NYC

by Alex Shteynshlyuger MD, Board Certified by the American Board of Urology

If you have any questions, to schedule a consultation or if you need a second opinion, please contact us or call 1-(646) 663-5211.

ED is a Common Problem Experienced by Younger and Older Men

Erectile dysfunction or ED is very common. The problem seems to be particularly pronounced in NYC due to a number of overlapping factors including stress, prevailing anxiety, new relationships, and a large number of men with medical problems such as high blood pressure, cholesterol who take multiple medications that can affect libido and erectile function.

Erectile Dysfunction Top CausesTop 5 Reasons Men Under Age 45 get ED:

  1. Stress and psychological influences; this includes performance anxiety and situational ED
  2. A side-effect of treatment for other medical problems such as depression, high blood pressure and a number of other conditions; recreational drugs.
  3. Hormonal imbalance: low testosterone, abnormal thyroid levels, diabetes.
  4. Vascular disease such as hypertension, peripheral vascular disease, high cholesterol.
  5. Neurological problems such as multiple sclerosis, Parkinson’s disease, and many others.

Top 5 Reasons Men Over Age 45 get ED:

  1. Vascular disease – these include high blood pressure, high cholesterol, coronary artery disease (CAD), strokes, heart attacks.
  2. Stress and psychological influences this includes performance anxiety and situational ED
  3. A side effect of treatment for other medical problems such as depression, high blood pressure and a number of other conditions and recreational drugs.
  4. Hormonal imbalances – low testosterone, high sugar levels (diabetes), abnormal kidney function
  5. Neurological problems – peripheral neuropathy, strokes, depression, anxiety, stroke, spinal injury or sciatica (back pain)

Hormonal Imbalances as a Cause of ED

Hormonal imbalances include such conditions as low testosterone levels or high estrogen levels.  Men with severe obesity can have high estrogen levels due to the conversion of testosterone to estrogen by the fat cells.  Men with hyperprolactinemia or high prolactin levels can have secondary erectile dysfunction due to hormonal imbalances.

Men with abnormal thyroid hormone levels due to abnormal thyroid gland function can develop erectile dysfunction.  Erectile dysfunction most often occurs in association with hypothyroidism.

Men with abnormal pituitary gland function may also present with erectile dysfunction.  The pituitary gland is crucial for the regulation of many body processes.  Pituitary gland dysfunction can lead to very low testosterone levels or very high testosterone levels. Diabetes is also a common cause of ED.

Highly experienced, board-certified urologists at New York Urology Specialists possess special expertise in evaluating men with erectile dysfunction.  We also treat abnormal hormonal function when it’s present.

Peripheral Vascular Disease as a Cause of ED

The arterial vascular disease is a common cause of erectile dysfunction.  Men with an arterial vascular disease are often unaware that they have this problem.  For many men, erectile dysfunction is the first noticeable sign of vascular dysfunction.  

Yet when we carefully evaluate men with erectile dysfunction we often find that they may have cardiac disease and other signs of peripheral vascular disease.

Common signs of peripheral vascular disease include leg claudication (spasms of the calf muscles, thigh muscles, and occasionally buttocks).  These are known as Horse Charlie’s.  Loss of leg hair is another sign of peripheral vascular disease; legs and feet can often be cold to touch due to poor blood supply; wounds on the feet can take a long time to heal, especially in diabetic men with the peripheral vascular disease.

Stress and Psychological Causes of ED: Performance Anxiety and Situational ED

Severe and chronic stress is known to be an important cause of erectile dysfunction in younger men as well as in older men.  Relationship problems can cause significant stress and contribute to erectile dysfunction. This often sets a vicious circle that makes it even more difficult to get good erections.  Anxiety about the ability to perform in bed can often lead to erectile dysfunction through the same biological mechanisms as other sources of stress.

New York City is well-known internationally as the hotbed of stress.  Urologists at New York Urology Specialists are experienced in the evaluation and confidential treatment of men with stress-induced erectile dysfunction.   We have treated men from all walks of life, including young men with ED in their early 20s-30’s who work in stressful jobs in corporate America.

We have also treated college students and graduate students in high-stress environments including law schools and medical schools.  Likewise, we commonly see otherwise healthy men, titans of industry, in their 50’s, 60’s and 70’s experiencing the same problems due to the overwhelming stress and burdens of their positions.ED_shutterstock_113193841

Neurological Problems as a Cause of ED

Neurological problems are less frequent causes of erectile dysfunction, however, multiple sclerosis, spinal cord disruption from accidents or neurological disease can cause severe erectile dysfunction.  Stroke (CVA), dementia, and Alzheimer’s disease are other common causes of impotence in men.

Medication Side Effects as a Cause of ED:

Many commonly used medications can have erectile dysfunction as one of their side effects.  Some of these medications are life-saving such as commonly used blood pressure medications, heart medications and antidepressant medications (SSRI and others).

Fortunately, our highly experienced physicians at New York Urology Specialists are able to help most men with medication-induced erectile dysfunction.

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What You Need to Know:

If you have any questions about shockwave treatment, schedule a consultation, contact us or call 1-(646) 663-5211.  We have excellent reviews from patients and their partners. 

We offer affordable, highest-quality urology care with or without insurance.   Find out our office hours or directions to our office. We offer weekday, weekend and evening office hours.

Dr. Alex Shteynshlyuger is a board-certified urologist, who specializes in all aspects of care for sexual problems in men including ED, premature ejaculation and other sexual concerns.  He has successfully treated hundreds of men with sexual problems including ED and poor libido.


ED is Treatable in Nearly Every Man

Excellence-Urology_Care-banner2At New York Urology Specialists, our urologists are specially trained in the evaluation and treatment of erectile dysfunction.  We understand the challenges that ED creates for our patients, their relationships and their self-esteem.  We help you find a treatment for erectile dysfunction that fits your needs, your lifestyle and your preferences.

Urologists are doctors specializing in the treatment of men with erectile dysfunction. By the virtue of our experience and skill, we are able to offer an effective treatment option for nearly every man who desires an effective treatment for ED.  We offer medical and surgical treatment for erectile dysfunction.

We treat some of the most complex ED problems including:

Schedule an Appointment with Dr. Shteynshlyuger:

Call today: (646) 663-5211 or make an appointment online

Dr. Alex Shteynshlyuger is a fellowship trained board-certified urologist with expertise in evaluation and treatment of urological problems in men and women using modern effective and proven treatment methods.  He is highly recommended by top primary care physicians in the New York area. If you or someone you know has been experiencing urological symptoms, make an appointment to take advantage of Dr. Shteynshlyuger’s expert advice. Please feel free to contact us with any questions.



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