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 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 include medication and penile implant.
Erectile dysfunction can be caused by psychological, medical 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 vital to address any issues causing sexual dysfunction whether they be psychological or medical.
Blood can fill the corpora cavenosa, or chambers of the penis. This occurs as a result of impulses from the brain and genital nerves. Anything that blocks these signals or prevents blood flow to the penis can cause ED. 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 can often prescribe a variety of treatments to improve a patient’s sexual function and reduce the impact it has on their relationships.
In addition to affecting a man’s physical health, erectile dysfunction can be disruptive to personal relationships. 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.
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 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 can be a warning symptom for coronary heart diseases, so men should talk to their doctors about their sexual function.
A health care professional may diagnose ED with questions, a physical exam, and lab tests. He may refer you to an Urologist.
Problems with blood flow to penis are the most common cause of ED. Atherosclerosis is a condition that causes narrowing or clogging in the arteries. This condition can be caused not only by ageing but also by being overweight, smoking or taking certain medications.
Emotional problems can also cause or make ED worse. 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 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 for erectile dysfunction depends on the 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 and bladder problems can damage the nerves controlling 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. Stress and anxiety levels can also be reduced. 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 could go to counseling sessions with your partner. This can help you both learn how to support each other through this difficult time.