Erectile Dysfunction
Erectile Dysfunction affects more than 30 million men in the US, and 150 millions worldwide. It can be caused a number of ways, sometimes 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 include medication and penile implant.
Causes
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 remain a mystery. 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 occurs due to impulses coming from the brain and the genital nerves. 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 treatment may also affect a male’s ability to have and maintain an erection.
Men may be embarrassed about talking to their doctor, but it is important to get a diagnosis to treat the condition. 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.
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 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 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 may diagnose ED with questions, a physical exam, and lab tests. He may refer you to an Urologist.
The most common cause of ED is problems with blood flow to the penis. 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 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. 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. Diabetes and heart disease can be managed, as well as taking medications to increase blood flow in the penis. Treatment for pelvic cancer or BPH may 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, such as some blood pressure drugs (especially thiazides), and some antidepressants, can cause ED. 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. Lowering stress and anxiety levels also can help. Psychotherapy and counseling can be helpful to those with psychological causes for ED. Some insurance plans will cover these services. You can also pay privately to see a counsellor. You might consider going with your partner to counseling sessions, which can teach both of you to support each other during this difficult time.