Erectile Dysfunction
Erectile Dysfunction affects more than 30 million men in the US, and 150 millions worldwide. It can be caused a number of ways, sometimes 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 include medication and penile implant.
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.
A man can get an erection when blood fills chambers in his penis, called the corpora cavernosa. This occurs as a result of impulses from the brain and genital nerves. 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 can also affect a man’s ability to get and keep 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
Erectile dysfunction can disrupt relationships in men, as well as their physical health. Partners of people with ED may feel upset and anxious, or may suspect their partner is being unfaithful. Many people who suffer from ED will stop 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 can confirm the diagnosis by taking a sample of urine and performing blood tests.
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 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 may also worsen ED. This can include feelings of low sex desire (loss in libido), anxiety, stress or depression from past experiences of ED. Communication with your partner can help you address these issues. A therapist may also be able to 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
Erectile Dysfunction treatment depends on the underlying cause. It can be improved by managing diabetes and heart disease, and taking medications that help blood flow to the penis (such as nitrates). 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 can cause ED as a side effect, including some blood pressure drugs (especially thiazides) and some antidepressants. 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 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.