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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 range from medication to penile implants.

Causes

Erectile Dysfunction can be caused by medical, psychological 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 vital to address any issues causing sexual dysfunction whether they be psychological or medical.

A man can get an erection when blood fills chambers in his penis, called the corpora cavernosa. 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. 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.

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 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. As a result, many people who suffer with ED withdraw from 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 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 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 also refer you to a 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 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. 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. However, some people prefer to see a health care provider alone.

Treatment

The treatment of erectile dysfunction depends on its underlying 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. Surgery for prostate or bladder issues can sometimes damage the nerves that control erections. The problem will usually improve 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.

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 or counseling may be beneficial for those who have psychological causes of ED. Some insurance policies cover these services. However, you can also pay for a private counselor. You might consider going with your partner to counseling sessions, which can teach both of you to support each other during this difficult time.