What would cause a 28 year old man to have erectile disfunction?

There are many potential causes of erectile dysfunction (ED) in a 28-year-old man, including physical, psychological, and lifestyle factors. Some common causes include:

Physical causes:

- Medical conditions: Certain medical conditions, such as diabetes, heart disease, and kidney disease, can affect blood flow to the penis and cause ED.

- Medications: Some medications, such as antidepressants, antihistamines, and blood pressure medications, can have ED as a side effect.

- Hormonal imbalances: Low levels of testosterone, the male sex hormone, can contribute to ED.

- Neurological problems: Damage to the nerves that control erection, such as from spinal cord injuries or multiple sclerosis, can lead to ED.

- Vascular problems: Conditions that affect blood flow, such as atherosclerosis, can restrict blood flow to the penis and cause ED.

Psychological causes:

- Stress: Chronic stress can affect sexual desire and performance, including causing ED.

- Anxiety: Anxiety about sexual performance can lead to ED.

- Depression: Depression can affect sexual desire and performance, including causing ED.

- Relationship problems: Relationship problems, such as conflict, lack of intimacy, or infidelity, can lead to ED.

Lifestyle factors:

- Smoking: Smoking can damage the blood vessels and restrict blood flow to the penis, leading to ED.

- Alcohol use: Excessive alcohol consumption can affect sexual desire and performance, including causing ED.

- Recreational drug use: Certain recreational drugs, such as cocaine and marijuana, can have ED as a side effect.

- Obesity: Obesity can increase the risk of ED.

It is important to see a doctor to determine the cause of ED in a 28-year-old man, as it can be a sign of an underlying medical condition.