Erectile Dysfunction
Erectile Dysfunction affects more than 30 million men in the US, and 150 millions worldwide. Many factors – often in combination – can cause it.
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 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 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 due to impulses coming from the brain and the 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. 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
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 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 is a warning sign of coronary heart disease. Men should discuss their sexual function and their doctor.
Diagnosis
A health care provider can diagnose ED through questions, a physical examination and ordering 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 can also cause or make ED worse. 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. Sometimes it is helpful to have a partner involved in treatment sessions. However, some people prefer to see a health care provider alone.
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. 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 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 could go to counseling sessions with your partner. This can help you both learn how to support each other through this difficult time.