Nebraska Erectile Dysfunction Medicine

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 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.

Causes

Erectile dysfunction can be caused by psychological, medical or physical factors. It is a common disorder that affects a male’s sexual function. This can lead to emotional distress or marital problems. The causes of ED are not fully understood. It is important to address all issues that could be causing sexual dysfunction, regardless of whether they are medical or psychological.

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 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 may also affect a male’s ability to have and maintain 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.

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 with ED stop engaging in sexual activity.

Symptoms of erectile dysfunction can include a failure to achieve and maintain an erection; lifelong premature ejaculation (i.e., ejaculating before or within one minute of vaginal penetration); 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 be a warning symptom for coronary heart diseases, so men should talk to their doctors about their sexual function.

Diagnosis

A health care professional can diagnose ED by asking questions, giving you a physical exam and ordering lab tests. He may also refer you 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 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 feelings can include low sex motivation (loss libido), depression, anxiety or stress from past ED experiences or side effects. Communication with your partner can help you 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.

Treatment

The treatment of erectile dysfunction depends on its underlying 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. Sometimes surgery for prostate or bladder problems can damage nerves that control an erection. The problem usually gets better with time.

Some medications, such as some blood pressure drugs (especially thiazides), and some antidepressants, can cause ED. Talk to your doctor before 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 might consider going with your partner to counseling sessions, which can teach both of you to support each other during this difficult time.