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 range from medication to penile implants.
Causes
Erectile Dysfunction is caused by medical, mental 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 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.
A man can get an erection when blood fills chambers in his penis, called the corpora cavernosa. This occurs due to impulses coming from the brain and the genital nerves. Anything that blocks these signals or prevents blood flow to the penis can cause ED. ED can be caused by medical problems such as diabetes, heart disease and high blood pressure. Surgery and cancer treatment can also affect a man’s ability to get and keep 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 may prescribe treatments that improve sexual functioning and can reduce the impact of the condition on relationships.
Symptoms
Erectile dysfunction affects a man’s health and can also disrupt his personal relationships. 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.
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 be a warning symptom for coronary heart diseases, so men should talk to their doctors about their sexual function.
Diagnosis
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 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. Good communication with your partner will help to address these issues. A therapist may also be able to help. Sometimes it is helpful to have a partner involved in treatment sessions. Some people prefer to visit a health care provider by themselves.
Treatment
Erectile Dysfunction treatment depends on the 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 can cause ED as a side effect, including some blood pressure drugs (especially thiazides) and some antidepressants. Talk to your doctor before changing your medication.
Changing lifestyle habits, such as eating healthier food and exercising regularly, can reduce the symptoms in some people. Lowering stress and anxiety levels also can help. 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 may want to go to counseling with your partner. It can teach you how to support one another during this difficult period.