Erectile Dysfunction After Drug Abuse

Erectile Dysfunction

Erectile Dysfunction (ED) affects over 30 million men in the US and 150 million worldwide. Many factors – often in combination – can cause it.

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 include medication and penile implant.

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 have not been fully understood. It is important to address all issues that could be causing sexual dysfunction, regardless of whether they are medical or psychological.

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. 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.

Some men may be embarrassed to talk to their doctor about erectile problems, but a diagnosis is essential to help treat the condition. 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. People with ED can cause their partners to feel anxious and upset, or they may suspect that their partner is unfaithful. As a result, many people who suffer with ED withdraw from 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 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.

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 is a problem with blood circulation to the penis. Atherosclerosis is a condition that causes narrowing or clogging in the arteries. This is often caused by ageing, but it can be caused by other things too – including being overweight, smoking, high blood pressure and taking certain medications.

Emotional problems are also a cause of ED or can make it worse. These can include feelings of low sex drive (loss of libido), stress, depression or anxiety from past experiences with ED or from the side effects of some medications. Good communication with your partner will help to address these issues. A therapist can help. It is sometimes helpful for partners to be involved in treatment sessions. Some people, however, prefer to consult a healthcare provider alone.

Treatment

Erectile Dysfunction treatment depends on the underlying cause. You can improve it by managing diabetes, heart disease and taking medications (such as nitrates) that increase blood flow to 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 usually gets better 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 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.