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 range from medication to penile implants.
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 have not been fully understood. It is important to address any issues that may be causing the sexual dysfunction, whether they are 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. ED can be caused by anything that blocks these signals, or prevents the blood flow to your penis. ED can be caused by medical problems such as diabetes, heart disease and high blood pressure. Surgery and cancer treatments can also affect the ability of a man to maintain and get 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 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 can confirm the diagnosis by taking a sample of urine and performing 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 also be a forewarning symptom of progressive coronary heart disease, so it’s important that men discuss their sexual function with their doctors.
Diagnosis
A health care provider can diagnose ED through questions, a physical examination 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. 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 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 can also help. Sometimes, partners can be helpful in the treatment sessions. However, some people prefer to see a health care provider alone.
Treatment
Treatment for erectile dysfunction depends on the 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. Surgery for prostate or bladder issues can sometimes damage the nerves that control erections. The problem usually improves with time.
Some medications (especially thiazides and antidepressants) can cause ED. Talk to your doctor before 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 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.