— Men's Health
Erectile Dysfunction (ED): Causes and Solutions
Medically reviewed by Dr. Brandon Mines, MD
Erectile dysfunction affects millions of men and is both common and highly treatable. Because it can stem from physical or psychological causes — or both — effective treatment starts with identifying the right one. At Bubolo Medical, diagnosis begins with a physical exam, blood work, and a review of your medical history.
What causes ED
ED is often a signal of an underlying issue rather than a standalone problem, which is one reason it’s worth evaluating.
- Physical — heart disease, diabetes, high blood pressure, nerve damage, or restricted blood flow
- Medication side effects
- Psychological — stress, anxiety, depression, or relationship strain
- Low testosterone
Treatment options
Treatment is tailored to the cause and often combines approaches. Many men start with lifestyle changes and build from there.
- Lifestyle changes — quitting smoking, losing weight, and managing stress
- Oral medications that improve blood flow
- Intracavernous injection therapy
- Shockwave therapy using targeted sound waves
- Hormone replacement therapy when testosterone is low
Talk to a physician
ED is treatable, and a private conversation is the first step. Bubolo Medical’s men’s health team — including specialist Jaysen Wise — sees patients in person in Acworth and Marietta or virtually across Georgia. The practice has served Cobb County since 2001.