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 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 can range from penile implants to medication.
Causes
Erectile dysfunction can be caused by psychological, medical 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.
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. ED can be caused by medical problems such as diabetes, heart disease and high blood pressure. Surgery and cancer treatments can also affect the ability of a man to maintain and get 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 affects a man’s health and can also disrupt his personal relationships. 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 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 the diagnosis by taking a sample of urine and performing blood tests.
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 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 also refer to a Urologist.
The most common cause of ED is problems with blood flow to the penis. This can be caused by a condition called atherosclerosis, which is narrowing or clogging of the arteries. This condition can be caused not only by ageing but also by being overweight, smoking or taking certain medications.
Emotional problems may also worsen ED. 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 can help. Sometimes, partners can be helpful in the treatment sessions. However, some people prefer to see a health care 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). Treatment for BPH or Pelvic Cancer can also affect sexual function. Sometimes surgery for prostate or bladder problems can damage nerves that control an erection. The problem usually gets better with time.
Some medications, such as some blood pressure drugs (especially thiazides), and some antidepressants, can cause ED. Speak to your doctor about changing your medication.
Making lifestyle changes, such as eating healthy food and getting regular exercise, can reduce symptoms of ED in some people. Lowering stress and anxiety levels also can help. Psychotherapy or counseling may be beneficial for those who have psychological causes of ED. Some insurance plans cover these services, but you also can pay to see a counselor privately. You could go to counseling sessions with your partner. This can help you both learn how to support each other through this difficult time.