Erectile Dysfunction
Erectile Dysfunction (ED) affects over 30 million men in the US and 150 million worldwide. It can be caused by a variety of factors, often in combination.
It can be a result of a medical problem like diabetes, nerve, or cardiovascular disease, as well as a side-effect from some medications or psychological issues, such stress and relationship issues. Treatments include medication and penile implant.
Causes
Erectile dysfunction can be caused by psychological, medical 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 important to address any issues that may be causing the sexual dysfunction, whether they are psychological or medical.
Blood can fill the corpora cavenosa, or chambers of the penis. This is caused by impulses from the genital and brain. 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 treatment may also affect a male’s ability to have and maintain an erection.
Men may be embarrassed about talking to their doctor, but it is important to get a diagnosis to treat the condition. Often, a doctor can provide a number of treatments that can improve a person’s sexual functioning and reduce the impact on relationships.
Symptoms
Erectile dysfunction can disrupt relationships in men, as well as their physical health. 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 will confirm a diagnosis after examining the penis of the patient, taking a blood sample, and taking a urine test.
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. 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 may also worsen ED. 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 help. Sometimes, partners can be helpful in the treatment sessions. However, some people prefer to see a health care provider alone.
Treatment
The treatment of erectile dysfunction depends on its 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 pelvic cancer or BPH may also affect sexual function. Surgery for prostate and bladder problems can damage the nerves controlling an erection. The problem usually improves with time.
Some medications (especially thiazides and antidepressants) can cause ED. Speak to your doctor about changing your medication.
Some people can reduce the symptoms of ED by making lifestyle changes such as eating healthily and exercising regularly. Lowering stress and anxiety levels also can help. Counseling or psychotherapy may be helpful for those with 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.