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 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.
Erectile Dysfunction is caused by medical, mental 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 are not fully understood. It is important to address any issues that may be causing the sexual dysfunction, whether they are psychological or medical.
Blood can fill the corpora cavenosa, or chambers of the penis. 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. 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 may prescribe treatments that improve sexual functioning and can reduce the impact of the condition on relationships.
Erectile dysfunction affects a man’s health and can also disrupt his 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.
A health care provider can diagnose ED through questions, a physical examination 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 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 feelings can include low sex motivation (loss libido), depression, anxiety or stress from past ED experiences or side effects. Communication with your partner can help you address these issues. A therapist may also be able to help. Sometimes, partners can be helpful in the treatment sessions. Some people prefer to visit a health care provider by themselves.
Treatment for erectile dysfunction depends on the cause. You can improve it by managing diabetes, heart disease and taking medications (such as nitrates) that increase blood flow to the penis. Sexual function may be affected by treatment for BPH or pelvic cancer. Sometimes surgery for prostate or bladder problems can damage nerves that control an erection. The problem will usually improve with time.
Some medications can cause ED as a side effect, including some blood pressure drugs (especially thiazides) and some antidepressants. Before changing your medication, talk to your doctor.
Some people can reduce the symptoms of ED by making lifestyle changes such as eating healthily and exercising regularly. Lowering stress and anxiety levels also can help. Psychotherapy and counseling can be helpful to those with psychological causes for 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.