Erectile Dysfunction
Erectile Dysfunction affects more than 30 million men in the US, and 150 millions worldwide. It can be caused by a variety of factors, often 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 is caused by medical, mental or physical factors. It is a condition that affects the sexual function of men. This can cause emotional distress and marital issues. 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 as a result of impulses from the brain and genital nerves. ED can be caused if something blocks these signals or stops blood flow in the penis. ED can also be caused by medical conditions such as high blood pressure, diabetes, and heart disease. 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 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.
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 the diagnosis by taking a sample of urine and performing blood tests.
Erectile Dysfunction can be treated by addressing underlying causes. This could include managing a health condition like diabetes or heart disease or stopping smoking or drinking alcohol, or treating anxiety and depression. ED is a warning sign of coronary heart disease. Men should discuss their sexual function and their doctor.
Diagnosis
A health care professional may diagnose ED with questions, a physical exam, and lab tests. He may also refer you to a 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 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 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. Having good communication with your sexual partner can help address these issues. A therapist can 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. Diabetes and heart disease can be managed, as well as taking medications to increase blood flow in the penis. Sexual function may be affected by treatment for BPH or pelvic cancer. Surgery for prostate and bladder problems can damage the nerves controlling an erection. 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. 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 may want to go to counseling with your partner. It can teach you how to support one another during this difficult period.