Erectile Dysfunction
Erectile Dysfunction affects more than 30 million men in the US, and 150 millions worldwide. Many factors – often in combination – can cause it.
It can be caused by a medical condition like diabetes, nerve or cardiovascular disease, a side effect of some medications, or psychological issues such as stress and relationship problems. Treatments include medication and penile implant.
Causes
Erectile Dysfunction can be caused by medical, psychological or physical factors. It is a common disorder that affects a male’s sexual function. This can lead to emotional distress or marital problems. The causes of ED have not been fully understood. It is vital to address any issues causing sexual dysfunction whether they be psychological or medical.
When blood fills the corpora venosa (the chambers within his penis), a man can get erection. This occurs due to impulses coming from the brain and the genital nerves. ED can be caused if something blocks these signals or stops blood flow in the penis. ED can be caused by medical problems such as diabetes, heart disease and high blood pressure. Surgery and cancer treatment can also affect a man’s ability to get and keep an erection.
Men may be embarrassed about talking to their doctor, but it is important to get a diagnosis to treat the condition. A doctor can often prescribe a variety of treatments to improve a patient’s sexual function and reduce the impact it has on their relationships.
Symptoms
Erectile dysfunction can disrupt relationships in men, as well as their physical health. Partners of people with ED may feel upset and anxious, or may suspect their partner is being unfaithful. As a result, many people who suffer with ED withdraw from sexual activity.
Erectile dysfunction symptoms include inability to achieve or maintain an erection, lifelong premature ejaculation, (i.e. ejaculating within one minute before vaginal penetration), and psychological symptoms like 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 is often treated by addressing its underlying cause. This may include managing a condition such as diabetes, heart disease, or stopping smoking and alcohol abuse. It can also involve treating anxiety or depression. ED can also be a forewarning symptom of progressive coronary heart disease, so it’s important that men discuss their sexual function with their doctors.
Diagnosis
A health care provider can diagnose ED through questions, a physical examination and ordering lab tests. He may refer you to an Urologist.
Problems with blood flow to penis are the most common cause of ED. Atherosclerosis can cause this condition, which is the narrowing or blocking of arteries. This is often caused by ageing, but it can be caused by other things too – including being overweight, smoking, high blood pressure and taking 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. Good communication with your partner will help to address these issues. A therapist can also help. Sometimes it is helpful to have a partner involved in treatment sessions. Some people prefer to visit a health care provider by themselves.
Treatment
The treatment of erectile dysfunction depends on its underlying cause. It can be improved by managing diabetes and heart disease, and taking medications that help blood flow to the penis (such as nitrates). Treatment for BPH or Pelvic Cancer can also affect sexual function. Sometimes surgery for prostate or bladder problems can damage nerves that control an erection. The problem will usually improve with time.
Some medications can cause ED as a side effect, including some blood pressure drugs (especially thiazides) and some antidepressants. Speak to your doctor about changing your medication.
Changing lifestyle habits, such as eating healthier food and exercising regularly, can reduce the symptoms in some people. Stress and anxiety levels can also be reduced. Counseling or psychotherapy may be helpful for those with psychological causes of ED. Some insurance plans will cover these services. You can also pay privately to see a counsellor. You could go to counseling sessions with your partner. This can help you both learn how to support each other through this difficult time.