<p data-start="116" data-end="1091">Erectile dysfunction (ED) occurs when a person has difficulty achieving or maintaining an erection. The main causes can be physical, psychological, or a combination of both. Physical causes often include poor blood flow, heart problems, high blood pressure, diabetes, obesity, or hormonal imbalances. Lifestyle factors such as smoking, excessive alcohol use, lack of exercise, and poor diet can also contribute. Psychological factors like stress, anxiety, depression, or relationship issues can make ED worse. Cenforce 150, which contains sildenafil, is a commonly used treatment that helps improve blood flow, supporting stronger and longer-lasting erections. It is most effective when taken about 30 to 60 minutes before sexual activity, ideally on an empty stomach. While Cenforce 150 can help manage symptoms, addressing underlying causes through healthy lifestyle choices and medical guidance is essential for long-term improvement. Always follow a doctor&rsquo;s prescription.