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Erectile dysfunction is a common problem with erection that men are likely to experience as they age. An erection requires a strict sequence of events which constitutes no problem in healthy males without any particular medical conditions. In case of patients diagnosed with ED when one of the events does not occur or occurs in the wrong way the patient is not able to get a firm erection or maintain it for long enough. According to a number of scientific studies, such conditions as kidney disease, diabetes, multiple sclerosis, atherosclerosis, neurologic disease, chronic alcoholism and vascular disease are among the most possible risk factors for developing erectile dysfunction. In fact, health problems mentioned above are accountable for over 70 % of all cases of ED.

Other possible causes include smoking, being overweight and not getting enough exercise. In some cases erectile dysfunction is caused by surgeries when nerves and arteries near the penis get injured and are unable to function properly. This condition is a common side effect if a patient is taking certain medicines, including but not limited to ulcer drugs (cimetidine), appetite suppressants, tranquilizers, antidepressants, antihistamines and blood pressure medication. Scientists believe that erectile dysfunction is not always physical, as it can be caused by psychological factors, such as depression, guilt, stress, anxiety, fear of sexual failure and low self-esteem. Today Viagra is the most popular medicine used to treat ED, with Cialis and Levitra occupying second and third places by popularity, respectively.