Erectile Dysfunction, or ED, affects over 30 millions men in the US. It also affects 150 million men worldwide. It can be caused a number of ways, sometimes in combination.
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.
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 have not been fully understood. It is important to address all issues that could be causing sexual dysfunction, regardless of whether they are medical or psychological.
When blood fills the corpora venosa (the chambers within his penis), a man can get erection. This is caused by impulses from the genital and brain. ED can be caused if something blocks these signals or stops blood flow in the penis. ED can also be caused by medical conditions such as high blood pressure, diabetes, and heart disease. Surgery and cancer treatments can also affect the ability of a man to maintain and get 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.
In addition to affecting a man’s physical health, erectile dysfunction can be disruptive to personal relationships. Partners of people with ED may feel upset and anxious, or may suspect their partner is being unfaithful. Many people with ED stop engaging in 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 can confirm the diagnosis by taking a sample of urine and performing blood tests.
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 is a warning sign of coronary heart disease. Men should discuss their sexual function and their doctor.
A health care professional can diagnose ED by asking questions, giving you a physical exam and ordering lab tests. He may refer you to an Urologist.
The most common cause is a problem with blood circulation to the penis. Atherosclerosis can cause this condition, which is the narrowing or blocking of arteries. This condition is usually caused by aging, but can also be caused by smoking, high blood-pressure, and certain medications.
Emotional problems can also cause or make ED worse. These can include feelings of low sex drive (loss of libido), stress, depression or anxiety from past experiences with ED or from the side effects of some medications. Having good communication with your sexual partner can help 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 for erectile dysfunction depends on the cause. Diabetes and heart disease can be managed, as well as taking medications to increase blood flow in the penis. Treatment for pelvic cancer or BPH may also affect sexual function. Sometimes surgery for prostate or bladder problems can damage nerves that control an erection. The problem usually gets better with time.
Some medications, such as some blood pressure drugs (especially thiazides), and some antidepressants, can cause ED. Before changing your medication, talk to your doctor.
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 may want to go to counseling with your partner. It can teach you how to support one another during this difficult period.