What are the causes of Erectile Dysfunction?


Erectile dysfunction (ED) is a common sexual health problem that affects many Malaysian men. ED occurs when a man has difficulty getting or maintaining an erection during sexual activity. It can be caused by a range of factors, both physical and psychological. At Hisential, we are committed to helping our patients understand the causes of ED and finding effective treatment options.

Physical Causes of ED in Malaysian Men:

  1. Diabetes: Diabetes is a chronic condition that can cause damage to blood vessels and nerves, leading to ED.
  2. High Blood Pressure: High blood pressure can damage blood vessels and cause ED.
  3. High Cholesterol: High levels of cholesterol can lead to blockages in blood vessels, reducing blood flow to the penis and causing ED.
  4. Hormonal Imbalances: Low levels of testosterone can lead to ED.
  5. Obesity: Obesity can lead to several health problems, including diabetes, high blood pressure, and high cholesterol, all of which can cause ED.
  6. Smoking: Smoking can cause damage to blood vessels, leading to reduced blood flow to the penis and causing ED.

Psychological Causes of ED in Malaysian Men:

  1. Stress and Anxiety: Stress and anxiety can cause ED by affecting the release of hormones needed for an erection.
  2. Depression: Depression can cause ED by affecting the release of hormones needed for an erection and reducing sexual desire.
  3. Relationship Problems: Relationship problems can cause stress and anxiety, leading to ED.
  4. Performance Anxiety: Performance anxiety can cause ED by making a man anxious and self-conscious during sexual activity.
  5. Pornography Addiction: Excessive pornography use can lead to desensitization and reduced sensitivity during sexual activity, leading to ED.

Treatment Options for ED:

At Hisential, we offer several treatment options for ED, depending on the underlying cause of the condition. These include:

  1. Medications: Medications such as sildenafil, tadalafil, and vardenafil can help increase blood flow to the penis, making it easier to achieve and maintain an erection.
  2. Hormone Therapy: Hormone therapy can help increase testosterone levels in men with low levels of the hormone, helping to improve sexual function.
  3. Psychotherapy: Psychotherapy can help men with psychological causes of ED, such as stress and anxiety, to identify and address the underlying issues.
  4. Lifestyle Changes: Lifestyle changes such as quitting smoking, losing weight, and reducing alcohol consumption can help improve overall health and reduce the risk of ED.
  5. Extracorporeal Shockwave Therapy (ESWT): ESWT is a non-invasive treatment that uses low-intensity shockwaves to improve blood flow to the penis and stimulate the growth of new blood vessels. This treatment has been shown to be effective in treating ED caused by physical factors such as diabetes and high blood pressure.


ED is a common problem that affects many Malaysian men. At Hisential, we understand that ED can be a sensitive and embarrassing issue, which is why we offer a confidential and supportive environment for our patients. By understanding the underlying causes of ED, we can work with our patients to find the most effective treatment options and improve their overall sexual health and wellness. ESWT is one of the many treatment options we offer at Hisential, and we are committed to providing our patients with the latest and most effective treatments available.

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