Erectile Dysfunction (ED) affects over 30 million men in the US and 150 million worldwide. It can be caused by a variety of factors, often 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 range from medication to penile implants.
Erectile Dysfunction is caused by medical, mental or physical factors. It is a common condition that affects a man’s sexual function, which can lead to emotional distress and marital problems. The causes of ED have not been fully understood. It is vital to address any issues causing sexual dysfunction whether they be psychological or medical.
Blood can fill the corpora cavenosa, or chambers of the penis. This occurs due to impulses coming from the brain and the genital nerves. ED can be caused if something blocks these signals or stops blood flow in the penis. 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.
Erectile dysfunction can disrupt relationships in men, as well as their physical health. Partner’s of ED sufferers may feel upset or anxious, and may even suspect that their partner has been unfaithful. As a result, many people who suffer with ED withdraw from sexual activity.
Symptoms of erectile dysfunction can include a failure to achieve and maintain an erection; lifelong premature ejaculation (i.e., ejaculating before or within one minute of vaginal penetration); 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 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.
Problems with blood flow to penis are the most common cause of ED. This can be caused by a condition called atherosclerosis, which is narrowing or clogging of the 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 also help. Sometimes, partners can be helpful in the treatment sessions. Some people, however, prefer to consult a healthcare provider alone.
The treatment of erectile dysfunction depends on its underlying 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 (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. Stress and anxiety levels can also be reduced. Counseling or psychotherapy may be helpful for those with psychological causes of ED. Some insurance policies cover these services. However, you can also pay for a private counselor. You could go to counseling sessions with your partner. This can help you both learn how to support each other through this difficult time.