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 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 can range from penile implants to medication.
Causes
Erectile Dysfunction is caused by medical, mental 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 are not fully understood. It is important to address all issues that could be causing sexual dysfunction, regardless of whether they are medical or psychological.
A man can get an erection when blood fills chambers in his penis, called the corpora cavernosa. 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. Medical problems, such as heart disease, diabetes and high blood pressure, can lead to ED. Surgery and cancer treatments can also affect the ability of a man to maintain and get 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. Partner’s of ED sufferers may feel upset or anxious, and may even suspect that their partner has been unfaithful. Many people who suffer from ED will stop sexual activity.
Erectile dysfunction is characterized by a failure to maintain and achieve an erection. It can also be characterized by a lifelong tendency to ejaculate prematurely (i.e. before or within ten seconds of vaginal penetrating) 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 professional can diagnose ED by asking questions, giving you a physical exam and ordering lab tests. He may also refer 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 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. Having good communication with your sexual partner can help 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
The treatment of erectile dysfunction depends on its 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 pelvic cancer or BPH may also affect sexual function. Surgery for prostate or bladder issues can sometimes damage the nerves that control erections. The problem usually gets better 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.
Making lifestyle changes, such as eating healthy food and getting regular exercise, can reduce symptoms of ED in some people. Stress and anxiety levels can also be reduced. Counseling or psychotherapy may be helpful for those with 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.