Erectile Dysfunction
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.
Causes
Erectile Dysfunction can be caused by medical, psychological 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 vital to address any issues causing sexual dysfunction whether they be 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. ED can be caused by anything that blocks these signals, or prevents the blood flow to your penis. 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 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. People with ED can cause their partners to feel anxious and upset, or they may suspect that their partner is 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 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 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. This can be caused by a condition called atherosclerosis, which is narrowing or clogging of the arteries. This condition can be caused not only by ageing but also by being overweight, smoking or taking certain medications.
Emotional problems may also worsen ED. These can include feelings of low sex drive (loss of libido), stress, depression or anxiety from past experiences with ED or from the side effects of some medications. Good communication with your partner will help to address these issues. A therapist can also help. Sometimes, partners can be helpful in the treatment sessions. However, some people prefer to see a health care provider alone.
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 (especially thiazides and antidepressants) can cause ED. Before changing your medication, talk to your doctor.
Changing lifestyle habits, such as eating healthier food and exercising regularly, can reduce the symptoms in some people. Reduced stress and anxiety can also help. Counseling or psychotherapy may be helpful for those with 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.