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Erectile Dysfunction

Erectile Dysfunction, or ED, affects over 30 millions men in the US. It also affects 150 million men worldwide. It can be caused by a variety of factors, often in combination.

It can be caused either by a medical condition such as diabetes, nerve or heart disease, a medication side effect, or a psychological issue like stress or relationship issues. Treatments can range from penile implants to medication.

Causes

Erectile dysfunction can be caused by psychological, medical 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 are not fully understood. It is vital to address any issues causing sexual dysfunction whether they be psychological or medical.

Blood can fill the corpora cavenosa, or chambers of the penis. This occurs due to impulses coming from the brain and the genital nerves. ED can be caused by anything that blocks these signals, or prevents the blood flow to your penis. Medical problems, such as heart disease, diabetes and high blood pressure, can lead to ED. 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. Often, a doctor can provide a number of treatments that can improve a person’s sexual functioning and reduce the impact on relationships.

Symptoms

Erectile dysfunction affects a man’s health and can also disrupt his personal relationships. Partner’s of ED sufferers may feel upset or anxious, and may even suspect that their partner has been unfaithful. As a result, many people who suffer with ED withdraw from 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 is a warning sign of coronary heart disease. Men should discuss their sexual function and their doctor.

Diagnosis

A health care professional can diagnose ED by asking questions, giving you a physical exam and ordering lab tests. He may also refer you to a Urologist.

The most common cause of ED is problems with blood flow to the penis. 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 may also worsen ED. 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. Good communication with your partner will help to address these issues. A therapist can help. It is sometimes helpful for partners to be involved in treatment sessions. Some people, however, prefer to consult a healthcare provider alone.

Treatment

Treatment for erectile dysfunction depends on the cause. It can be improved by managing diabetes and heart disease, and taking medications that help blood flow to the penis (such as nitrates). Sexual function may be affected by treatment for BPH or pelvic cancer. Surgery for prostate and bladder problems can damage the nerves controlling an erection. The problem usually improves 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.

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. Counseling or psychotherapy may be helpful for those with psychological causes of ED. Some insurance policies cover these services. However, you can also pay for a private counselor. You may want to go to counseling with your partner. It can teach you how to support one another during this difficult period.