Erectile Dysfunction
Erectile Dysfunction, or ED, affects over 30 millions men in the US. It also affects 150 million men worldwide. It can be caused a number of ways, sometimes 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 can be caused by psychological, medical 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.
When blood fills the corpora venosa (the chambers within his penis), a man can get erection. 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.
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. As a result, many people who suffer with ED withdraw from sexual activity.
Erectile dysfunction symptoms include inability to achieve or maintain an erection, lifelong premature ejaculation, (i.e. ejaculating within one minute before vaginal penetration), and psychological symptoms like 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 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 to a Urologist.
The most common cause is a problem with blood circulation to the penis. 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 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. 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. 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 BPH or Pelvic Cancer can also affect sexual function. Surgery for prostate and bladder problems can damage the nerves controlling an erection. The problem usually gets better with time.
Some medications, such as some blood pressure drugs (especially thiazides), and some 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 policies cover these services. However, you can also pay for a private counselor. You could go to counseling sessions with your partner. This can help you both learn how to support each other through this difficult time.