Erectile Dysfunction
Erectile Dysfunction, or ED, affects over 30 millions men in the US. It also affects 150 million men worldwide. It can be caused by a variety of factors, often in combination.
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 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.
Blood can fill the corpora cavenosa, or chambers of the penis. 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. ED can also be caused by medical conditions such as high blood pressure, diabetes, and heart disease. Surgery and cancer treatments can also affect the ability of a man to maintain and get an erection.
Men may be embarrassed about talking to their doctor, but it is important to get a diagnosis to treat the condition. Often, a doctor can provide a number of treatments that can improve a person’s sexual functioning and reduce the impact on relationships.
Symptoms
Erectile dysfunction affects a man’s health and can also disrupt his personal relationships. Partners of people with ED may feel upset and anxious, or may suspect their partner is being unfaithful. Many people with ED stop engaging in 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 can often be treated by addressing the underlying cause, which may involve managing a health condition such as diabetes or heart disease, stopping smoking or alcohol abuse, and/or 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 provider can diagnose ED through questions, a physical examination and ordering 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 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. Good communication with your partner will help to 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, however, prefer to consult a healthcare provider alone.
Treatment
Treatment for erectile dysfunction depends on the cause. Diabetes and heart disease can be managed, as well as taking medications to increase blood flow in the penis. Treatment for pelvic cancer or BPH may also affect sexual function. Sometimes surgery for prostate or bladder problems can damage nerves that control an erection. The problem will usually improve with time.
Some medications (especially thiazides and 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. Reduced stress and anxiety can also help. Psychotherapy or counseling may be beneficial for those who have psychological causes of ED. Some insurance policies cover these services. However, you can also pay for a private counselor. You could go to counseling sessions with your partner. This can help you both learn how to support each other through this difficult time.