Erectile dysfunction can be an indication of underlying medical conditions. These include cardiovascular disease, diabetes, hormonal imbalances, and depression or anxiety. In addition to physical conditions, psychological issues such as stress and anxiety can contribute to ED. If you’re suffering from erectile dysfunction, it’s important to talk to your doctor about possible underlying causes. They can help you determine the best course of treatment for your individual situation. In some cases, medications like cenforce 200 may be prescribed to help improve your sexual performance and get back to feeling like yourself again.