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 is caused by medical, mental 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 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.
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. 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 treatment may also affect a male’s ability to have and maintain an erection.
Men may be embarrassed about talking to their doctor, but it is important to get a diagnosis to 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. 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 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 is a warning sign of coronary heart disease. Men should discuss their sexual function and their doctor.
Diagnosis
A health care professional can diagnose ED by asking questions, giving you a physical exam and ordering lab tests. He may also refer you 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 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. Communication with your partner can help you 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
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. Sexual function may be affected by treatment for BPH or pelvic cancer. Surgery for prostate and bladder problems can damage the nerves controlling an erection. The problem usually gets better with time.
Some medications (especially thiazides and 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. Stress and anxiety levels can also be reduced. Psychotherapy and counseling can be helpful to those with psychological causes for ED. Some insurance plans will cover these services. You can also pay privately to see a counsellor. You could go to counseling sessions with your partner. This can help you both learn how to support each other through this difficult time.