“Not because every person who is above 70 has erectile dysfunction, but because of a lot of the comorbidities that come along with aging, such as worsening cardiovascular health, diabetes and obesity also increase with age,” Dr. Swanton said. Beyond age, “some of the other big major factors are smoking because that contributes to poor cardiovascular health, coronary artery disease, hypertension, hyperlipidemia, diabetes, obesity—anything that plays into metabolic syndrome.”“Neurological disorders such as multiple sclerosis or Parkinson’s disease may place you at risk,” she said. Also, “sometimes people will have hormone issues. Low testosterone is something we see in the media a lot these days and testosterone decreases with age. “Not that all ED is caused by low testosterone, but especially people who have had treatment and are on an androgen deprivation therapy,” Dr. Swanton said. “Their testosterone levels are incredibly low as a method of cancer control, which can certainly have an impact.”Prostate cancer, colorectal cancers or radiation to those areas can also be risk factors, she explained. But beyond these conditions, “sometimes people can have penile fractures that aren’t treated and can result in longer lasting erectile dysfunction.”“Another cause that patients may not often hear about as much is Peyronie’s disease. That is abnormal fibrosis and scar tissue development in the tunica albuginea, which is the covering of the erectile chambers and can often start around the same time as erectile dysfunction., There are four main FDA-approved erectile dysfunction (ED) drugs: sildenafil (Viagra), tadalafil (Cialis), vardenafil, and avanafil (Stendra). Which one is the best choice for a man depends on his lifestyle and whether he takes medication that ED drugs may interfere with., Many people struggle with erectile dysfunction. Understand what are the causes of erectile dysfunction along with treatment methods..