Hello, Stress, anxiety, obesity, hormonal problems, depression, and factors such as smoking can cause ED at any age. Other factors that can contribute to the symptoms of ED are psychological and relational conditions. Underlying medical conditions that are not diagnosed and thus untreated like metabolic and cardiovascular (CV) diseases can cause ED. Erectile function can be impaired also in endocrine disorders, treating these conditions can improve ED. Sometimes, past history of diseases like prostatic surgery, stroke and Parkinson’s disease can trigger ED & manifest as neurological illness. Symptoms of ED can also occur due to developing CVD. Do regular walking at least one kms in the morning & one kilometers in the evening to maintain healthy weight. Deposition of fat in the penile area may result in ED as fat layer will interfere with the blood circulation to the penis. Get clinically examined by a GP, get lipid function tests, ECHO. EKG, stress tests, blood sugar, NVC tests and few required imaging tests done to detect the pathology causing you symptoms. Get also connected with a urologist and a physical therapist for Kegel s exercises, pelvic floor exercises, squeeze-pause technique to help get stronger erection and to strengthen the pelvic floor muscles. If diabetic control your blood sugar level at all cost. Avoid watching porn content and stuff that triggers you visually. Visual seduction will affect your performance with your partner. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Nupur K, General & Family Physician