I got prostatitis few years back which got resolved but since then I am experiencing erectile dysfunction and also no morning erection. I did all the tests, cbc,esr, tsh,usg, lipid profile, serum testosterone (5.96) all are normal. Only vitamin d is less which is 18. What could be the reason of erection problem?

Dr. Rahul GuptaSexologist15yrs exp

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Hello- the causes of impotence varies. Erections result from a complex combination of brain stimuli, hormonal actions, and blood vessel and nerve functions. Any interference with with these factors can lead to impotence. Other contributing causes of impotency include alcohol, cigarettes, arteriosclerosis, sexually transmitted diseases, high blood pressure, hormonal imbalances (such as low levels of thyroid hormones) or abusive masturbation. In some instances, impotence results from the lack of sexual desire. This cause may be linked to the loss of attraction to a partner, but it can also result from depression, illness or medications. There are over 200 drugs that may cause impotence. Some of the most common are antidepressants, antihistamines, antihypertensives, blood-pressure medication, cancer chemotherapy, diuretics, narcotics, nicotine, sedatives, steroids, stomach acid inhibitors and ulcer medications. Fortunately, ayurveda has an answer to it irrespective of its cause.  

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