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 range from medication to penile implants.
Erectile Dysfunction can be caused by medical, psychological 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 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 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 treatments can also affect the ability of a man to maintain and get 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.
In addition to affecting a man’s physical health, erectile dysfunction can be disruptive to personal relationships. 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 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.
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 is a problem with blood circulation to the penis. This can be caused by a condition called atherosclerosis, which is narrowing or clogging of 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. Good communication with your partner will help to address these issues. A therapist can also help. It is sometimes helpful for partners to be involved in treatment sessions. However, some people prefer to see a health care provider alone.
Erectile Dysfunction treatment depends on the underlying cause. Diabetes and heart disease can be managed, as well as taking medications to increase blood flow in the penis. Treatment for BPH or Pelvic Cancer can also affect sexual function. Surgery for prostate and bladder problems can damage the nerves controlling 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. 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. 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 may want to go to counseling with your partner. It can teach you how to support one another during this difficult period.