Venous leakage may occur as a result of medical conditions common in older men, such as diabetes, high cholesterol, high blood pressure. Sometimes, venous leakage may occur as a result of anxiety in a sexual situation. This is called "performance anxiety."
Modern treatments for erectile dysfunction abound, and these days treatment professionals often use a combined or holistic approach. Rarely does an erectile dysfunction problem have a single cause. Instead, a mixture of primary physical and secondary psychological factors is responsible. Sexual knowledge, general psychological status, the nature of the relationship, and sexual technique must all be considered, as well as any relevant medical problems or medications.
Erectile dysfunction does not include problems with ejaculation or libido (sex drive), which are completely separate matters. However, a man may experience all or some at once. Loss of libido associated with changes in a man’s testosterone (male hormone) level as he ages is of special significance. But treatment for what appears to be lowered libido is also complex because it, too, may result from several possible factors. These include changes in muscle mass and bone density, rather than libido, and treatments must therefore fit the problems and needs of each man.
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