Hard to get up generally refers to erectile dysfunction, which is mainly associated with poor lifestyle, psychological factors, medication, physical diseases, and medical factors. 1. Bad lifestyle: for some long-term smoking, alcoholism, overwork, sleep deprivation, there is a certain chance of inducing erectile dysfunction. 2. Psychological factors: psychological stress is closely related to erectile dysfunction, mainly associated with daily husband and wife relationship disharmony, bad sexual experience, recent excessive tension or anxiety. 3. Medication: For some patients who have been using medication for a long time, erectile dysfunction may occur, such as antidepressants, antihypertensives, diuretics, anticholinergics, anti-androgens, etc. The medication should be used in accordance with the doctor’s instructions. 4. Somatic diseases: usually central and peripheral nerve diseases or injuries can induce erectile dysfunction, such as stroke, Parkinson’s disease, multiple sclerosis, diabetes, alcoholism, uremia and so on. If the penis itself exists disease, such as penile sclerosis, penile curvature deformity, severe glansitis. 5. Medical factors: for some patients with pelvic fracture, lumbar compression fracture, straddle injuries and local large blood vessel surgery, radical prostate cancer surgery, etc., erectile dysfunction can also occur. Erectile dysfunction may also be caused by other factors, it is recommended that people with erectile dysfunction further detailed examination, in order to clarify the cause of the disease and then comply with the doctor’s instructions for treatment, to promote the body to restore health.