Erectile Dysfunction affects more than 30 million men in the US, and 150 millions worldwide. It can be caused by a variety of factors, often 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 include medication and penile implant.
Erectile Dysfunction can be caused by medical, psychological 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 remain a mystery. 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 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.
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 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 can also be a forewarning symptom of progressive coronary heart disease, so it’s important that men discuss their sexual function with their doctors.
A health care professional may diagnose ED with questions, a physical exam, and 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 condition is usually caused by aging, but can also be caused by smoking, high blood-pressure, and 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. Having good communication with your sexual partner can help address these issues. A therapist can help. Sometimes, partners can be helpful in the treatment sessions. However, some people prefer to see a health care provider alone.
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. Surgery for prostate and bladder problems can damage the nerves controlling an erection. The problem usually improves with time.
Some medications (especially thiazides and 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. Reduced stress and anxiety can also help. Psychotherapy and counseling can be helpful to those with psychological causes for ED. Some insurance plans will cover these services. You can also pay privately to see a counsellor. You could go to counseling sessions with your partner. This can help you both learn how to support each other through this difficult time.