There’s no shortage of TV commercials and bulk email every day talking about male impotence, or erectile dysfunction. But what really causes this problem? And what can you do about it?

According to WebMD, erectile dysfunction affects an estimated 18 million men in the US alone. Wow! And that’s just the number that admits having the problem. Imagine how many guys aren’t exactly willing to admit they can’t "get it up" to someone who calls to do a survey. After all, it’s not usually the favorite party conversation topic.

So what exactly IS erectile dysfunction?

Erectile dysfunction (ED or (male) impotence) is a sexual dysfunction characterized by the inability to develop or maintain an erection of the penis.  – Wikipedia

What are the most common causes of erectile dysfunction?

What most people don’t realize is that erectile dysfunction is not necessarily just a simple physical problem.

And guess what – maybe it’s not even a "medical" problem! If you eat unhealthy foods, never exercise, or live every day in an unhappy and stressful relationship, while going to a job you hate, then you’re very unlikely to have the multi hour erections you used to have back in your college days.

The real cause could be physical, psychological, emotional, or even related to your lifestyle. What’s worse, any one underlying issue (even a lifestyle issue) can trigger physical problems, which in turn can cause erectile dysfunction – or many other health problems. For example, a significant amount of stress in your everyday life can leave you open and susceptible to all kinds of illnesses, which in turn can trigger other problems. 

At times even a combination of issues can cause ED, making it more difficult to diagnose the real source of the problem.

Most common physical causes of erectile dysfunction, according to the Mayo Clinic:

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