Erectile difficulties can result from a number of things. Though it is always a good idea to get this checked by a medical professional, the absolute wrong thing to do is to have any kind of panic over it.
E.D. is simply a medical description for the inability to obtain or maintain an erection.
In about 80% of the men that start to experience problems there is no obvious direct medical cause.
Numerous over-the-counter and prescription medications can have a major effect on erectile capability. Antihistamines are one of those that can do a major twist on the noodle. In fact, those that are on E.D. injection therapy are as part of their instructions told to use a certain antihistamine as the first line to deal with priapism as a standard medical treatment. Anti-Depressants can cause E.D., virtually all drugs used to treat hypertension or blood pressure will cause E.D. or exacerbate it to the point that the oral Rx meds are at best hit and mis. In addition, most men taking HIV medications also have this problem over time. The first thing I would look at even before heading to the MD is what has been going in the bod with regards to OTC stuff. Then the Rx stuff and then hit up the MD.
The final and worst contributor to E.D. by the way is alcohol in any form and the effects from alcohol in some men can last until well after the buzz is gone. If you have any sign of E.D. the worst thing to have on the recreation list is any form of booze.
My own E.D. was caused by an injury as a teenager, but I think in my own case it was a "double whammy" because in the final years of her life my Mother mentioned that my biological Father started having E.D. problems when he was in his 30's. When I was undergoing the medical stuff to qualify for injection therapy, I was told that the tendency toward this can be inherited without serious health problems as well. My biological Dad had no heart or other significant health problems until he was nearly 80 years old, and then it was minor.
New research is showing by the way that Cialis is helpful in maintaining circulatory system health in aging and in many health conditions. There are some MD's now prescribing Cialis to be taken on a daily basis for this effect and there are now multiple forms of Cialis, one being a new sub-lingual that is supposed to act more quickly.
As a person who has dealt with this for years, I can tell you that herbals do not work and for me never did. In truth, the three main orals are of limited value. They all work if the E.D. is very mild. If the E.D. is severe and or caused by medications the orals are as a whole worthless and extremely expensive.
The only sure-fire E.D. treatment is injection therapy. There are multiple drugs and drug combinations used for E.D. injection therapy, if needed this is the cheapest and absolute best way to go. It works, it's safe if done correctly and contrary to belief it is not at all painful once one learns how to do it well.