Erectile Dysfunction
Erectile Dysfunction affects more than 30 million men in the US, and 150 millions 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 can range from penile implants to medication.
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 have not been 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 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 also be caused by medical conditions such as high blood pressure, diabetes, and heart disease. Surgery and cancer treatment can also affect a man’s ability to get and keep 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.
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 who suffer from ED will stop 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 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 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 refer you to an Urologist.
Problems with blood flow to penis are the most common cause of ED. This can be caused by a condition called atherosclerosis, which is narrowing or clogging of the arteries. This condition is usually caused by aging, but can also be caused by smoking, high blood-pressure, and certain medications.
Emotional problems are also a cause of ED or can make it 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. Communication with your partner can help you address these issues. A therapist can help. It is sometimes helpful for partners to be involved in treatment sessions. Some people prefer to visit a health care provider by themselves.
Treatment
Erectile Dysfunction treatment depends on the 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 and bladder problems can damage the nerves controlling an erection. The problem will usually improve 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. Reduced stress and anxiety can also help. Counseling or psychotherapy may be helpful for those with psychological causes of ED. Some insurance plans will cover these services. You can also pay privately to see a counsellor. You could go to counseling sessions with your partner. This can help you both learn how to support each other through this difficult time.