{"id":4972,"date":"2019-07-21T03:31:09","date_gmt":"2019-07-21T03:31:09","guid":{"rendered":"https:\/\/www.newyorkurologyspecialists.com\/ed\/?page_id=4972"},"modified":"2020-04-04T23:34:23","modified_gmt":"2020-04-04T23:34:23","slug":"top-5-reasons","status":"publish","type":"page","link":"https:\/\/www.newyorkurologyspecialists.com\/ed\/cause\/top-5-reasons\/","title":{"rendered":"Top 5 Causes for ED in Men"},"content":{"rendered":"

Top 5 Reasons for Erectile Dysfunction in NYC<\/span><\/h1>\n

by Alex Shteynshlyuger MD, Board Certified by the American Board of Urology<\/a><\/strong><\/p>\n

\n

If you have any questions, to schedule a consultation<\/a>, please <\/a>contact us<\/a> or call\/text: <\/strong>1-646-663-5211<\/span><\/a>.<\/strong><\/p>\n

We have excellent reviews from patients <\/a><\/strong>and their partners.  Information for out-of-state and international patients<\/a>.  Find out our office hours or directions to our office<\/a>. <\/strong><\/span><\/p>\n

We offer affordable appointment prices<\/a> with or without insurance.  Low-cost Viagra (sildenafil) and Cialis (tadalafil) are available to our patients.<\/strong><\/span><\/p>\n

\n

ED is a Common Problem Experienced by Younger and Older Men<\/strong><\/h2>\n

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

\"ErectileTop 5 Reasons Men Under Age 45 get ED:<\/b><\/span><\/h2>\n
    \n
  1. Stress and psychological influences<\/strong>; this includes performance anxiety and situational ED<\/li>\n
  2. A side-effect of treatment for other medical problems<\/strong> such as depression, high blood pressure and a number of other conditions; recreational drugs.<\/li>\n
  3. Hormonal imbalance: <\/strong>low testosterone<\/a>, abnormal thyroid levels, diabetes.<\/li>\n
  4. Vascular diseases<\/strong> such as hypertension<\/a>, peripheral vascular disease, high cholesterol.<\/li>\n
  5. Neurological problems<\/strong> such as multiple sclerosis<\/a>, Parkinson’s disease, and many others.<\/li>\n<\/ol>\n

    Top 5 Reasons Men Over Age 45 get ED:<\/b><\/span><\/h2>\n
      \n
    1. Vascular disease –<\/strong> these include high blood pressure, high cholesterol, coronary artery disease (CAD), strokes, heart attacks.<\/span><\/li>\n
    2. Stress<\/strong> and psychological influences this includes performance anxiety and situational ED<\/li>\n
    3. A side effect of treatment for other medical problems<\/strong> such as depression, high blood pressure and a number of other conditions and recreational drugs.<\/li>\n
    4. Hormonal imbalances<\/a> <\/strong>– low testosterone, high sugar levels (diabetes), abnormal kidney function<\/li>\n
    5. Neurological problems<\/strong> – peripheral neuropathy, strokes, depression, anxiety, stroke, spinal injury or sciatica (back pain)<\/li>\n<\/ol>\n

      Hormonal Imbalances as a Cause of ED<\/b><\/span><\/h2>\n

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

      Men with abnormal thyroid hormone<\/strong> levels due to abnormal thyroid gland function can develop erectile dysfunction.  Erectile dysfunction most often occurs in association with hypothyroidism.<\/p>\n

      Men with abnormal pituitary gland function<\/strong> 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 <\/a>is also a common cause of ED.<\/p>\n

      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\u2019s present.<\/p>\n

      Peripheral Vascular Disease as a Cause of ED<\/b><\/h2>\n

      Arterial vascular disease is a common cause of erectile dysfunction.  Men with arterial vascular disease are often unaware that they have this problem.  For many men, erectile dysfunction is the first noticeable sign of vascular dysfunction.  <\/strong><\/p>\n

      Yet when we carefully e<\/strong>valuate men with erectile dysfunction<\/a><\/strong> we often find that they may have cardiac disease and other signs of peripheral vascular disease.<\/p>\n

      Common signs of peripheral vascular disease<\/strong> include leg claudication (spasms of the calf muscles<\/strong>, thigh muscles, and occasionally buttocks).  These are known as Horse Charlie\u2019s.  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 peripheral vascular disease.<\/p>\n

      Stress and Psychological Causes of ED: Performance Anxiety and Situational ED<\/b><\/span><\/h2>\n

      Severe and chronic stress<\/strong> is known to be an important cause of erectile dysfunction<\/strong> 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.<\/p>\n

      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. <\/strong>  We have treated men from all walks of life, including young men with ED in their early 20s-30\u2019s<\/a> <\/strong>who work in stressful jobs in corporate America.<\/p>\n

      We have also treated college students<\/strong> and graduate students<\/strong> in high-stress environments including law schools and medical schools.  Likewise, we commonly see otherwise healthy men, titans of industry, in their 50\u2019s, 60\u2019s and 70\u2019s experiencing the same problems due to the overwhelming stress and burdens of their positions.\"ED_shutterstock_113193841\"<\/a><\/p>\n

      Neurological Problems as a Cause of ED<\/b><\/span><\/h2>\n

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

      Medication Side Effects as a Cause of ED:<\/b><\/h2>\n

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

      Fortunately, our highly experienced physicians at New York Urology Specialists<\/strong> are able to help most men with medication-induced erectile dysfunction.<\/p>\n

      Where to Get Treatment for ED in NYC?<\/h2>\n

      At New York Urology Specialists, we offer specialized treatment for ED for men<\/strong>. Same-day appointments are available.<\/p>\n

      Call\/text today: 1-646-663-5211<\/span><\/a><\/span> <\/span><\/strong>or <\/span>make an appointment<\/span><\/a> online.  <\/span><\/span><\/strong><\/p>\n

      We treat sexual and erection problems<\/a><\/strong> and offer comprehensive STD testing<\/a><\/strong> for infections.  We treat penile problems in men<\/a><\/strong>, including phimosis, balanitis, penile irritation, and penile redness. We perform a no-scalpel vasectomy<\/strong>, vasectomy reversal, cosmetic circumcision<\/strong><\/a>, circumcision revision<\/a><\/strong>, penile frenuloplasty. We offer confidential<\/strong> appointments.<\/p>\n

      Our prices are ED treatment prices<\/a> are affordable with or without insurance<\/strong>.  Low-cost<\/strong> Viagra (sildenafil) and Cialis (tadalafil) are available to our patients.  We offer free insurance verification<\/strong>.<\/p>\n

      Read Real Stories of Men<\/a> who Underwent Treatment for ED at New York Urology Specialists.<\/h2>\n

      We offer ED treatment to patients within driving distance to our offices as well as from other states and countries.  Our patients come from New York, New Jersey, Pennsylvania, and Connecticut, and over 30 countries worldwide.<\/p>\n