The primary symptom of erectile dysfunction is the inability to achieve or maintain an erection for satisfactory sexual activity. Other symptoms may include:

1. Trouble getting an erection
2. Difficulty maintaining an erection during sexual activities
3. Reduced interest in sex

These symptoms might occur inconsistently – for example, you might be able to get an erection sometimes, and not at other times. 

If these symptoms persist for more than a few weeks or months, it’s advisable to seek medical advice.

Erectile dysfunction can be caused by a variety of factors, both physical and psychological.

Physical Causes

1. Heart Disease: Conditions that affect the heart and its ability to pump blood can cause ED.
2. Diabetes: ED can be a complication of both type 1 and type 2 diabetes.
3. Obesity: Excess weight can impact blood flow and hormone levels, both of which can lead to ED.
4. Tobacco Use: Smoking restricts blood flow to veins and arteries, which can lead to chronic health conditions that cause ED.

Psychological Causes

1. Depression and Anxiety: Both conditions can lead to ED. Additionally, the medications used to treat these disorders can also cause ED.
2. Stress: Stress related to work, finances, or relationship issues can also lead to ED.
3. Mental Health Conditions: Conditions like bipolar disorder or schizophrenia can lead to ED.

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