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Erectile Dysfunction

Erectile Dysfunction affects more than 30 million men in the US, and 150 millions worldwide. It can be caused a number of ways, sometimes 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 include medication and penile implant.

Causes

Erectile Dysfunction can be caused by medical, psychological or physical factors. It is a condition that affects the sexual function of men. This can cause emotional distress and marital issues. The causes of ED have not been fully understood. It is important to address any issues that may be causing the sexual dysfunction, whether they are 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 feel embarrassed to discuss erectile dysfunction with their doctor. However, a diagnosis will help to treat the problem. 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 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. Many people who suffer from ED will stop 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 be a warning symptom for coronary heart diseases, so men should talk to their doctors about their sexual function.

Diagnosis

A health care professional may diagnose ED with questions, a physical exam, and lab tests. He may refer you to an Urologist.

The most common cause of ED is problems with blood flow 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 can also cause or make ED worse. This can include feelings of low sex desire (loss in libido), anxiety, stress or depression from past experiences of ED. Having good communication with your sexual partner can help address these issues. A therapist may also be able to 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. 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. 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.

Changing lifestyle habits, such as eating healthier food and exercising regularly, can reduce the symptoms in some people. Reduced stress and anxiety can also help. Psychotherapy and counseling can be helpful to those with psychological causes for ED. Some insurance plans cover these services, but you also can pay to see a counselor privately. You may want to go to counseling with your partner. It can teach you how to support one another during this difficult period.