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 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 can range from penile implants to medication.
Causes
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 is caused by impulses from the genital and brain. Anything that blocks these signals or prevents blood flow to the penis can cause ED. 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 feel embarrassed to discuss erectile dysfunction with their doctor. However, a diagnosis will help to treat the problem. 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 affects a man’s health and can also disrupt his personal relationships. People with ED can cause their partners to feel anxious and upset, or they may suspect that their partner is 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 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 can be a warning symptom for coronary heart diseases, so men should talk to their doctors about their sexual function.
Diagnosis
A health care provider can diagnose ED through questions, a physical examination and ordering lab tests. He may also refer you to a Urologist.
The most common cause is a problem with blood circulation to the penis. Atherosclerosis is a condition that causes narrowing or clogging in the arteries. This condition can be caused not only by ageing but also by being overweight, smoking or taking certain medications.
Emotional problems can also cause or make ED worse. These feelings can include low sex motivation (loss libido), depression, anxiety or stress from past ED experiences or side effects. Communication with your partner can help you address these issues. A therapist may also be able to help. Sometimes, partners can be helpful in the treatment sessions. Some people prefer to visit a health care provider by themselves.
Treatment
The treatment of erectile dysfunction depends on its underlying cause. Diabetes and heart disease can be managed, as well as taking medications to increase blood flow in the penis. Treatment for BPH or Pelvic Cancer can also affect sexual function. Surgery for prostate or bladder issues can sometimes damage the nerves that control erections. 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. 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 or counseling may be beneficial for those who have psychological causes of ED. Some insurance policies cover these services. However, you can also pay for a private counselor. You might consider going with your partner to counseling sessions, which can teach both of you to support each other during this difficult time.