Erectile Dysfunction
Erectile Dysfunction (ED) affects over 30 million men in the US and 150 million worldwide. Many factors – often in combination – can cause it.
It can be a result of a medical problem like diabetes, nerve, or cardiovascular disease, as well as a side-effect from some medications or psychological issues, such stress and relationship issues. Treatments range from medication to penile implants.
Causes
Erectile Dysfunction can be caused by medical, psychological or physical factors. It is a common condition that affects a man’s sexual function, which can lead to emotional distress and marital problems. The causes of ED remain a mystery. It is vital to address any issues causing sexual dysfunction whether they be psychological or medical.
A man can get an erection when blood fills chambers in his penis, called the corpora cavernosa. This is caused by impulses from the genital and brain. Anything that blocks these signals or prevents blood flow to the penis can cause ED. ED can also be caused by medical conditions such as high blood pressure, diabetes, and heart disease. Surgery and cancer treatment may also affect a male’s ability to have and maintain an erection.
Some men may be embarrassed to talk to their doctor about erectile problems, but a diagnosis is essential to help treat the condition. A doctor may prescribe treatments that improve sexual functioning and can reduce the impact of the condition on relationships.
Symptoms
In addition to affecting a man’s physical health, erectile dysfunction can be disruptive to personal relationships. People with ED can cause their partners to feel anxious and upset, or they may suspect that their partner is unfaithful. Many people who suffer from ED will stop sexual activity.
Erectile dysfunction is characterized by a failure to maintain and achieve an erection. It can also be characterized by a lifelong tendency to ejaculate prematurely (i.e. before or within ten seconds of vaginal penetrating) and psychological symptoms, such as performance anxiety. A doctor will confirm a diagnosis after examining the penis of the patient, taking a blood sample, and taking a urine test.
Erectile Dysfunction can be treated by addressing underlying causes. This could include managing a health condition like diabetes or heart disease or stopping smoking or drinking alcohol, or treating anxiety and depression. ED can be a warning symptom for coronary heart diseases, so men should talk to their doctors about their sexual function.
Diagnosis
A health care provider can diagnose ED through questions, a physical examination and ordering lab tests. He may also refer to a Urologist.
The most common cause is a problem with blood circulation to the penis. Atherosclerosis is a condition that causes narrowing or clogging in the arteries. This condition is usually caused by aging, but can also be caused by smoking, high blood-pressure, and certain medications.
Emotional problems are also a cause of ED or can make it worse. This can include feelings of low sex desire (loss in libido), anxiety, stress or depression from past experiences of ED. Communication with your partner can help you address these issues. A therapist can also help. It is sometimes helpful for partners to be involved in treatment sessions. Some people prefer to visit a health care provider by themselves.
Treatment
Treatment for erectile dysfunction depends on the cause. You can improve it by managing diabetes, heart disease and taking medications (such as nitrates) that increase blood flow to the penis. Sexual function may be affected by treatment for BPH or pelvic cancer. Sometimes surgery for prostate or bladder problems can damage nerves that control an erection. The problem usually improves with time.
Some medications can cause ED as a side effect, including some blood pressure drugs (especially thiazides) and some antidepressants. Talk to your doctor before changing your medication.
Some people can reduce the symptoms of ED by making lifestyle changes such as eating healthily and exercising regularly. Reduced stress and anxiety can also help. Psychotherapy and counseling can be helpful to those with psychological causes for ED. Some insurance policies cover these services. However, you can also pay for a private counselor. You might consider going with your partner to counseling sessions, which can teach both of you to support each other during this difficult time.