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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 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 can range from penile implants to medication.

Causes

Erectile Dysfunction can be caused by medical, psychological 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 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 is caused by impulses from the genital and brain. ED can be caused by anything that blocks these signals, or prevents the blood flow to your penis. Medical problems, such as heart disease, diabetes and high blood pressure, can lead to ED. Surgery and cancer treatment may also affect a male’s ability to have and maintain an erection.

Men may feel embarrassed to discuss erectile dysfunction with their doctor. However, a diagnosis will help to treat the problem. A doctor can often prescribe a variety of treatments to improve a patient’s sexual function and reduce the impact it has on their relationships.

Symptoms

In addition to affecting a man’s physical health, erectile dysfunction can be disruptive to personal relationships. 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 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.

Diagnosis

A health care professional can diagnose ED by asking questions, giving you a physical exam and ordering lab tests. He may also refer 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 can be caused not only by ageing but also by being overweight, smoking or taking 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. It is sometimes helpful for partners to be involved in treatment sessions. However, some people prefer to see a health care provider alone.

Treatment

The treatment of erectile dysfunction depends on its underlying cause. Diabetes and heart disease can be managed, as well as taking medications to increase blood flow in the penis. 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.

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 and counseling can be helpful to those with psychological causes for 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.