Erectile Dysfunction
Erectile Dysfunction (ED) affects over 30 million men in the US and 150 million worldwide. Many factors – often in combination – can cause it.
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 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 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. 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 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 can often prescribe a variety of treatments to improve a patient’s sexual function and reduce the impact it has on their relationships.
Symptoms
In addition to affecting a man’s physical health, erectile dysfunction can be disruptive to personal relationships. Partners of people with ED may feel upset and anxious, or may suspect their partner is being 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 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 may diagnose ED with questions, a physical exam, and lab tests. He may refer you to an Urologist.
The most common cause is a problem with blood circulation to the penis. Atherosclerosis is a condition that causes narrowing or clogging in the 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. Having good communication with your sexual partner can help 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
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. 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 improves with time.
Some medications, such as some blood pressure drugs (especially thiazides), and some antidepressants, can cause ED. Speak to your doctor about changing your medication.
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 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.