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What are the various ED types and their causes? Erectile dysfunction can take many different forms and could be caused by the following factors: Organic erectile dysfunction (ED) is the most common type of ED, especially in older men, and is caused by problems with the penile arteries, veins, or both. Arteriosclerosis, or hardening of the arteries, is typically the cause of arterial problems, although injury to the arteries may also be a factor. Being overweight, not getting enough exercise, having high cholesterol, having high blood pressure, or smoking cigarettes are all controllable risk factors for arteriosclerosis. Erectile dysfunction can often begin before it affects the heart. Atrophy, which refers to a partial or complete loss of tissue, and fibrosis, which refers to the growth of excess tissue, in the smooth muscle tissue that makes up the body of the penis (the cavernous smooth muscle), are, according to many experts, the causes of difficulties in maintaining a firm er...