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Erectile Dysfunction

Erectile Dysfunction (ED) affects over 30 million men in the US and 150 million 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.

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 are not fully understood. It is important to address any issues that may be causing the sexual dysfunction, whether they are psychological or medical.

A man can get an erection when blood fills chambers in his penis, called the corpora cavernosa. 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. 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.

Some men may be embarrassed to talk to their doctor about erectile problems, but a diagnosis is essential to help treat the condition. A doctor may prescribe treatments that improve sexual functioning and can reduce the impact of the condition on relationships.

Symptoms

Erectile dysfunction can disrupt relationships in men, as well as their physical health. People with ED can cause their partners to feel anxious and upset, or they may suspect that their partner is unfaithful. Many people who suffer from ED will stop 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 can confirm a diagnosis by examining the patient’s penis, taking a urine sample, and doing 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 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 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. 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. It is sometimes helpful for partners to be involved in treatment sessions. Some people prefer to visit a health care provider by themselves.

Treatment

Erectile Dysfunction treatment depends on the underlying 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 can cause ED as a side effect, including some blood pressure drugs (especially thiazides) and some antidepressants. Before changing your medication, talk to your doctor.

Changing lifestyle habits, such as eating healthier food and exercising regularly, can reduce the symptoms in some people. Lowering stress and anxiety levels also can help. Counseling or psychotherapy may be helpful for those with psychological causes of ED. Some insurance plans cover these services, but you also can pay to see a counselor privately. You might consider going with your partner to counseling sessions, which can teach both of you to support each other during this difficult time.