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Finally, another 2015 study on men (mean age approximately 36), reported that ED accompanied by a low desire for partnered sex is now a common observation in clinical practice among men seeking help for their excessive sexual behavior, who frequently “use pornography and masturbate” .
Traditionally, ED has been seen as an age-dependent problem , and studies investigating ED risk factors in men under 40 have often failed to identify the factors commonly associated with ED in older men, such as smoking, alcoholism, obesity, sedentary life, diabetes, hypertension, cardiovascular disease, and hyperlipidemia .
The 2001–2002 rates for older men 40–80 were about 13% in Europe .In 2012, Swiss researchers found ED rates of 30% in a cross-section of Swiss men aged 18–24 using the International Index of Erectile Function (IIEF-5) .A 2013 Italian study reported one in four patients seeking help for new onset ED were younger than 40, with rates of severe ED nearly 10% higher than in men over 40 .One clear demonstration of this phenomenon relates to ED, and compares very large samples, all of which were assessed using the same (yes/no) question about ED as part of the Global Study of Sexual Attitudes and Behavior (GSSAB).
In 2001–2002, it was administered to 13,618 sexually active men in 29 countries . Based on the findings of historical studies cited earlier, older men would be expected to have far higher ED rates than the negligible rates of younger men [2,7].ED is usually classified as either psychogenic or organic.Psychogenic ED has been related to psychological factors (e.g., depression, stress, generalized anxiety, or performance anxiety) while organic ED has been attributed to physical conditions (e.g., neurological, hormonal, anatomical, or pharmacologic side effects) .A 2014 study on Canadian adolescents reported that 53.5% of males aged 16–21 had symptoms indicative of a sexual problem .