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.
Erectile Dysfunction is caused by medical, mental 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 are not fully understood. 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 occurs as a result of impulses from the brain and genital nerves. 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 can also affect a man’s ability to get and keep an erection.
Men may feel embarrassed to discuss erectile dysfunction with their doctor. However, a diagnosis will help to treat the problem. A doctor may prescribe treatments that improve sexual functioning and can reduce the impact of the condition on relationships.
Erectile dysfunction can disrupt relationships in men, as well as their physical health. 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.
Symptoms of erectile dysfunction can include a failure to achieve and maintain an erection; lifelong premature ejaculation (i.e., ejaculating before or within one minute of vaginal penetration); 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 often be treated by addressing the underlying cause, which may involve managing a health condition such as diabetes or heart disease, stopping smoking or alcohol abuse, and/or treating anxiety or depression. ED is a warning sign of coronary heart disease. Men should discuss their sexual function and their doctor.
A health care provider can diagnose ED through questions, a physical examination and ordering lab tests. He may also refer to a Urologist.
Problems with blood flow to penis are the most common cause of ED. This can be caused by a condition called atherosclerosis, which is narrowing or clogging of the arteries. This condition can be caused not only by ageing but also by being overweight, smoking or taking certain medications.
Emotional problems are also a cause of ED or can make it worse. These feelings can include low sex motivation (loss libido), depression, anxiety or stress from past ED experiences or side effects. 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.
Erectile Dysfunction treatment depends on the underlying cause. Diabetes and heart disease can be managed, as well as taking medications to increase blood flow in the penis. Sexual function may be affected by treatment for BPH or pelvic cancer. Surgery for prostate or bladder issues can sometimes damage the nerves that control erections. The problem will usually improve with time.
Some medications, such as some blood pressure drugs (especially thiazides), and some antidepressants, can cause ED. Talk to your doctor before changing your medication.
Making lifestyle changes, such as eating healthy food and getting regular exercise, can reduce symptoms of ED 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 might consider going with your partner to counseling sessions, which can teach both of you to support each other during this difficult time.