Erectile Dysfunction
Erectile Dysfunction, or ED, affects over 30 millions men in the US. It also affects 150 million men worldwide. Many factors – often in combination – can cause it.
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.
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 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. ED can be caused if something blocks these signals or stops blood flow in the 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.
Some men may be embarrassed to talk to their doctor about erectile problems, but a diagnosis is essential to help 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 affects a man’s health and can also disrupt his personal relationships. 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.
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 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 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 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 feelings can include low sex motivation (loss libido), depression, anxiety or stress from past ED experiences or side effects. Having good communication with your sexual partner can help address these issues. A therapist can help. Sometimes it is helpful to have a partner involved in treatment sessions. Some people prefer to visit a health care provider by themselves.
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. 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 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.
Some people can reduce the symptoms of ED by making lifestyle changes such as eating healthily and exercising regularly. Reduced stress and anxiety can also help. 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 may want to go to counseling with your partner. It can teach you how to support one another during this difficult period.