Erectile Dysfunction
Erectile Dysfunction affects more than 30 million men in the US, and 150 millions worldwide. Many factors – often in combination – can cause it.
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 can be caused by psychological, medical 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 remain a mystery. 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 is caused by impulses from the genital and brain. Anything that blocks these signals or prevents blood flow to the penis can cause ED. ED can be caused by medical problems such as diabetes, heart disease and high blood pressure. Surgery and cancer treatment can also affect a man’s ability to get and keep an erection.
Men may be embarrassed about talking to their doctor, but it is important to get a diagnosis to treat the condition. A doctor may prescribe treatments that improve sexual functioning and can reduce the impact of the condition 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. 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 can confirm a diagnosis by examining the patient’s penis, taking a urine sample, and doing blood tests.
Erectile dysfunction is often treated by addressing its underlying cause. This may include managing a condition such as diabetes, heart disease, or stopping smoking and alcohol abuse. It can also involve 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 refer you to an Urologist.
Problems with blood flow to penis are the most common cause of ED. Atherosclerosis is a condition that causes narrowing or clogging in the arteries. This condition can be caused not only by ageing but also by being overweight, smoking or taking certain medications.
Emotional problems may also worsen ED. 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 can also help. Sometimes, partners can be helpful in the 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 pelvic cancer or BPH may also affect sexual function. Surgery for prostate or bladder issues can sometimes damage the nerves that control erections. The problem will usually improve with time.
Some medications, such as some blood pressure drugs (especially thiazides), and some 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. Lowering stress and anxiety levels also can help. Psychotherapy or counseling may be beneficial for those who have psychological causes of ED. Some insurance plans cover these services, but you also can pay to see a counselor privately. You could go to counseling sessions with your partner. This can help you both learn how to support each other through this difficult time.