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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 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 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.

When blood fills the corpora venosa (the chambers within his penis), a man can get erection. This occurs due to impulses coming from the brain and the genital nerves. ED can be caused by anything that blocks these signals, or prevents the blood flow to your 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.

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. As a result, many people who suffer with ED withdraw from 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 a diagnosis by examining the patient’s penis, taking a urine sample, and doing blood tests.

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 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 refer you to an 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 can also help. It is sometimes helpful for partners to be involved in treatment sessions. Some people, however, prefer to consult a healthcare 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. 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 improves with time.

Some medications (especially thiazides and 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. Psychotherapy and counseling can be helpful to those with psychological causes for 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.