Erectile dysfunction (ED) is not merely a localized condition but often reflects underlying systemic pathology. The vascular mechanism of erection relies on endothelial integrity and nitric oxide-mediated vasodilation. Conditions such as diabetes mellitus, hypertension, dyslipidemia, and obesity impair vascular function, leading to ED.
The American Urological Association recommends cardiovascular risk assessment in men presenting with ED, particularly in younger individuals without known cardiac disease.
Management strategies include lifestyle modification, pharmacologic therapy with phosphodiesterase type 5 inhibitors, hormonal correction when indicated, and psychological counseling. Recognition of ED as a sentinel symptom enhances erotic preventive cardiometabolic care.
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