Erectile dysfunction (ED) can stem from various causes, including both physical and psychological factors. Physical causes include cardiovascular diseases, diabetes, high blood pressure, obesity, and hormonal imbalances like low testosterone. Psychological factors such as anxiety, stress, depression, and relationship problems can also contribute to ED. Lifestyle choices like smoking, excessive alcohol consumption, or lack of physical activity can exacerbate the problem. In many cases, ED is a result of a combination of these factors. Consulting a healthcare professional can help identify the underlying cause and determine the best course of treatment. Buy Cenforce 200mg