Erectile Dysfunction Issues Introduction: Erectile dysfunction (ED) is the repeated inability to get or keep an erection firm enough for sexual intercourse or other sexual activities. ED does not include problems that interfere with sexual intercourse and reproduction, such as low or absent sexual desire, infertility, or anorgasmia (the absence of orgasm). ED can have physical causes (such as circulatory problems inhibiting blood flow to the pelvic region) and psychological causes (such as performance anxiety, stress, and more). This channel will explore ED, its causes, and some of the more common methods used to address it.