Erectile Dysfunction
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 by a medical condition like diabetes, nerve or cardiovascular disease, a side effect of some medications, or psychological issues such as stress and relationship problems. 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.
Blood can fill the corpora cavenosa, or chambers of the penis. 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. ED can be caused by medical problems such as diabetes, heart disease and high blood pressure. 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.
Symptoms
In addition to affecting a man’s physical health, erectile dysfunction can be disruptive to personal relationships. Partner’s of ED sufferers may feel upset or anxious, and may even suspect that their partner has been unfaithful. Many people with ED stop engaging in 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 be treated by addressing underlying causes. This could include managing a health condition like diabetes or heart disease or stopping smoking or drinking alcohol, or treating anxiety and 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 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. 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 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 help. It is sometimes helpful for partners to be involved in treatment sessions. Some people prefer to visit a health care provider by themselves.
Treatment
The treatment of erectile dysfunction depends on its 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 usually improves 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.
Changing lifestyle habits, such as eating healthier food and exercising regularly, can reduce the symptoms 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 may want to go to counseling with your partner. It can teach you how to support one another during this difficult period.