I'm dr. Matthew ziegelmann, a urologist at mayo clinic. In this video, we'll cover the basics of erectile dysfunction. What is it? who gets it? the symptoms , diagnosis, and the treatments. Whether you're looking for answers for yourself or for someone you love, we're here to give you the best information available. Erectile dysfunction, also known as impotence, is defined by difficulty getting and keeping an erection. It can be an embarrassing thing to talk about. It's been reported that more than half of men between the ages of 40 and 70 experience some form of ed. So take comfort in knowing that you are not alone.

Situational ed is a form of ed that occurs only during certain circumstances. For example, some men may have trouble maintaining an erection with a partner but not during masturbation. It’s often caused by psychological factors, such as nervousness or performance anxiety. In these cases, targeting the psychological cause is often the best treatment option. Alcohol and drug use can also lead to situational ed.

Why Men Should Not Ignore Erectile Dysfunction

That’s because even a year into the pandemic, we’re still learning about the virus’s long-term effects. Research is shedding light on the repercussions of the virus on our bodies as a whole, but also on men’s sexual and reproductive health. Researchers are piecing together that surviving covid-19 may be associated with erectile dysfunction (ed). The research points to three factors that can lead to the potential onset of ed in men who have had the virus: vascular effects. Erectile function is a predictor of heart disease, so we know that the vascular system and reproductive system are connected. We also know that covid-19 can cause hyperinflammation throughout the body, especially in the heart and surrounding muscles.

Erectile dysfunction, or ed, is difficulty or inability to attain and maintain an erection sufficient for satisfactory sexual activity. Ed is a relatively common problem, affecting up to 30 million men of all ages in the united states and more than 150 million worldwide. The ability to have an erection requires complex coordination among nerves, blood vessels, muscles and the brain. A variety of factors – frequently in combination – can cause ed. These factors include neurological, hormonal and vascular disorders, as well as the natural aging process and certain chronic diseases. Ed is also a common side effect of treatments for prostate cancer.

Can erectile dysfunction be reversed?

The popular myth that erectile dysfunction (ed) cannot be reversed is just that – a myth. The truth is that there are a plethora of options available on the market today to treat ed, and it’s important to find the best solution to fit your lifestyle and needs. The most commonly known treatments on the market today are pills, such as viagra and cialis, or penile injection therapy. However, both of these traditional methods come with an extensive list of side effects and/or downtime. Not to mention the idea of having to go to an office up to 3 times a week for penile injections is not realistic for most lifestyles.

The surgical implantation of a penile prosthesis represents the third-line therapy in the management of erectile dysfunction. This therapy may be considered only in patients who do not respond to pharmacotherapy or who prefer a permanent solution to their problem. The penile implants are classified into two categories: inflatable devices (2- and 3-piece); malleable devices. The 3-piece inflatable devices are preferred by the most patients due to the more natural erection obtained. This type of devices provides the best rigidity and the best flaccidity because they will fill every part of the corporal bodies. However, the 2-piece inflatable prosthesis can be a viable option among patients who are deemed at high risk of complications with reservoir placements.

Family practitioner most of the time, erectile dysfunction isn't a permanent condition and doesn't cause lasting damage. Sometimes, the causes of erectile dysfunction may be permanent or have permanent effects. These causes may include underlying medical conditions like diabetes or multiple sclerosis. Other times, erectile dysfunction may be caused by temporary problems like injury, stress, or relationship problems. In most cases, erectile dysfunction is treatable, if not curable. If you're concerned about lasting damage related to erectile dysfunction, talk to your doctor.

Erectile dysfunction can be a difficult problem to discuss with your partner or even your doctor. However, it needn't be because erectile dysfunction, which causes sexual performance issues for men, is a very common and highly treatable condition. It affects approximately half of all men over age 40. While erectile dysfunction is usually a physical problem, it can also have psychological roots. More often than not, it is a combination of both. And help is available. “we have a treatment for everyone,” says stanton honig, md , a director of the yale medicine male reproductive health program. “it's just a matter of what option you choose. ”at yale medicine, we take a multidisciplinary approach to determine the underlying causes of your erectile dysfunction, and we understand the relationship between erectile dysfunction and other health issues.

Urologists are the doctors that can examine, diagnose and treat your erectile dysfunction (ed).

In many cases, yes, erectile dysfunction can be reversed. A study published in the journal of sexual medicine found a remission rate of 29 percent after 5 years. It is important to note that even when ed cannot be cured, the right treatment can reduce or eliminate symptoms. Doctors have identified two types of ed: primary ed occurs when a man has never been able to have or sustain an erection. This is rare. Secondary ed occurs in people who once had regular erectile function. This is the most common type. Secondary ed can be reversed and is often temporary.

What are the risk factors for erectile dysfunction?

The first thing your doctor will do is to make sure you're getting the right treatment for any health conditions that could be causing or worsening your erectile dysfunction. Depending on the cause and severity of your erectile dysfunction and any underlying health conditions, you might have various treatment options. Your doctor can explain the risks and benefits of each treatment and will consider your preferences. Your partner's preferences also might play a role in your treatment choices.

With erectile dysfunction (ed), it is hard to get or keep an erection that is firm enough for sex. When ed becomes a routine and bothersome problem, your primary care provider or a urologist can help. Ed may be a major warning sign of cardiovascular disease indicating blockages are building in a man's vascular system. Some studies have shown men with ed are at significant risk of getting a heart attack, stroke or circulatory problems in the legs. Ed also causes: low self-esteem depression distress for the man and his partner if ed is affecting a man's well-being or his relationships, it should be treated.

Erectile dysfunction (ed) is a common side effect of a number of prescription drugs. While these medications may treat a disease or condition, in doing so they can affect a man's hormones, nerves or blood circulation, resulting in ed or increasing the risk of ed. If you experience ed and think that it may be a result of the medication you are using, do not stop taking the medication. If the problem persists, contact your doctor and he or she may be able to prescribe a different medication. Common medications that may list ed as a potential side effect include: diuretics (pills that cause increase urine flow).

Erectile dysfunction (ed) occurs when you have trouble getting or maintaining an erection on a regular basis. Erectile dysfunction is treated with lifestyle, behavioral, medical, and surgical interventions. Erectile dysfunction ( ed ) occurs when you have trouble getting or maintaining an erection on a regular basis, disrupting your sex life. Ed is a very common condition that affects at least 10% of people with penises. There are many causes of erectile dysfunction. Whether or not this condition is permanent depends on the cause and how your body responds to treatment. The main symptom of ed is that you will have trouble getting an erection or maintaining one during sexual activity.

There are also treatments for some of the causes of erectile dysfunction. For example: your doctor may switch you to a different medicine if it's causing your erectile dysfunction high blood pressure, high cholesterol and hormone problems may be treated with medicine counselling and therapy can help if your erection problems are linked to emotional or mental health problems – but there can be a long wait for these services on the nhs information:.

Some men get frustrated with ed, but it’s important to remember that erectile dysfunction can be treated. Ed can usually be reversed by treating underlying conditions, using natural remedies, or modifying your lifestyle. Early intervention can also detect a seirous medical condition and increase the likelihood of reversing it. Choice men’s health can help with customized ed treatment plans so you can lead a happier, healthier life. If you have questions about erectile dysfunction, choice men’s health in atlanta, georgia, has been helping men enjoy a healthy sex life for years. Schedule an appointment with our ed specialists to get started on your erectile dysfunction treatment by calling (404) 400-3717 or filling out a form here.

Erectile dysfunction (ed) is a common side effect of a number of prescription drugs. While these medications may treat a disease or condition, in doing so they can affect a man's hormones, nerves or blood circulation, resulting in ed or increasing the risk of ed. If you experience ed and think that it may be a result of the medication you are using, do not stop taking the medication. If the problem persists, contact your doctor and he or she may be able to prescribe a different medication. Common medications that may list ed as a potential side effect include: diuretics (pills that cause increase urine flow).

Reduce smoking and alcohol intake

Smoking and drinking a lot of liquor increases the danger of getting erectile dysfunction because blood flow to the penis is reduced, subsequently keeping the penis from achieving an erection. It is, therefore, important to minimize alcohol intake to at most two drinks a day. https://hotnewsgh.com/2023/03/05/erectile-dysfunction-rumors-debunked

Which foods help treat erectile dysfunction?

Treatment can usually help improve erectile dysfunction. https://hotnewsgh.com/2023/03/05/erectile-dysfunction-rumors-debunked

Erectile dysfunction is defined as the persistent inability to achieve or maintain penile erection sufficient for satisfactory sexual performance. The massachusetts male aging study surveyed 1,709 men aged 40–70 years between 1987 and 1989 and found there was a total prevalence of erectile dysfunction of 52 percent. It was estimated that, in 1995, over 152 million men worldwide experienced ed. For 2025, the prevalence of ed is predicted to be approximately 322 million worldwide. In the past, erectile dysfunction was commonly believed to be caused by psychological problems. It is now known that, for most men, erectile dysfunction is caused by physical problems, usually related to the blood supply of the penis. https://www.urologyhealth.org/urology-a-z/e/erectile-dysfunction-(ed)

Ayurvedic remedies for weak erection can be a great way to treat this issue naturally. Ayurveda is an ancient indian system of medicine that has been around since the 5th century bc and its primary focus is on physical, mental, and spiritual health. There are many herbs used in ayurvedic treatments for erectile dysfunction, such as ashwagandha lauh bhasma amalaki. These herbs help improve blood circulation by increasing nitric oxide levels in the body which helps to relax muscles and make it easier to achieve an erection. They also provide essential minerals and vitamins needed for proper functioning of the reproductive organs.

For example, multiple sclerosis , a stroke , parkinson's disease , etc can affect the nerves going to the penis.

What Is Sexual Dysfunction?

Peyronie’s disease obstructive sleep apnea and insomnia cancer treatments near the pelvis drugs treating other health issues having successful sexual intercourse involves the brain, hormones, blood vessels, muscles, nerves, and emotions. A problem in any one of these areas can cause erectile dysfunction. Don’t put off talking to albany urology about your symptoms. Contact albany urology at 229-883-1503 for an examination to discover any underlying medical issues that could be causing your erectile dysfunction. In this section.

June 08, 2022 if you’ve ever had trouble getting or keeping an erection, you’re not alone. However, there’s a difference between occasionally being unable to get an erection and erectile dysfunction (ed). It’s normal for men to experience an inability to get an erection occasionally, but if you are unable to get and keep an erection firm enough for sex more than half the time, then it may be time to talk to your doctor about erectile dysfunction. According to the urology care foundation , it is possible for men to have healthy sexual function into their 80s. However, ed is a complicated problem and many things can influence the condition.

Erectile dysfunction can be a difficult problem to discuss with your partner or even your doctor. However, it needn't be because erectile dysfunction, which causes sexual performance issues for men, is a very common and highly treatable condition. It affects approximately half of all men over age 40. While erectile dysfunction is usually a physical problem, it can also have psychological roots. More often than not, it is a combination of both. And help is available. “we have a treatment for everyone,” says stanton honig, md , a director of the yale medicine male reproductive health program. “it's just a matter of what option you choose. ”at yale medicine, we take a multidisciplinary approach to determine the underlying causes of your erectile dysfunction, and we understand the relationship between erectile dysfunction and other health issues.

If you have erectile dysfunction, you might: have difficulty getting or keeping an erection experience problems engaging in sexual intercourse due to your penis not being hard enough.

dr. Newton says while many medical conditions have a genetic aspect, erectile dysfunction does not follow that trend. Here are a few main causes: low testosterone. A man with low testosterone might also notice symptoms including fatigue, depression, decreased interest in sexual intercourse, changes in muscle mass and changes in body hair. Diabetes. This occurs when your body can’t appropriately handle sugar. Diabetes is one of the most frequent causes of erectile dysfunction. Peripheral vascular disease. This involves the narrowing of blood vessels. It is also one of the most frequent causes of erectile dysfunction. Obesity. A healthy diet and weight loss will help decrease the risk of multiple health issues, including erectile dysfunction.

Erectile dysfunction; impotence; sexual dysfunction - male share an erection problem occurs when a man cannot get or keep an erection that is firm enough for intercourse. You may not be able to get an erection at all. Or, you may lose the erection during intercourse before you are ready. Erection problems do not usually affect your sex drive. Erection problems are common. Almost all adult men have trouble getting or keeping an erection at one time or another. Often the problem goes away with little or no treatment. But for some men, it can be an ongoing problem. This is called erectile dysfunction (ed).

The evaluations for erectile dysfunction include those specific to sexual function: the precise nature of the dysfunction (i. E. , whether the problem is attaining or sustaining an erection, insufficient rigidity, penetration, or ejaculation); whether ed occurs with all sexual partners or only specific partners; psychosocial factors; the presence or absence of nocturnal and morning erections; and any treatments (pharmacologic and non-pharmacologic) that the patient has tried. The sexual health inventory for men (shim) assesses the degree to which ed impacts the quality of the patient’s life. If there are no other known medical conditions, a full physical examination is necessary.

It’s crucial that any underlying medical condition, such as angina or diabetes, is detected. So if you’re experiencing problems with ed, book an appointment with your doctor. He or she will assess and examine you to try to establish the cause of the problem, and may refer you for tests. Don’t take any medicine for ed without first discussing it with your doctor.

Lots of men have occasional erection problems due to the over-consumption of alcohol. Fortunately, after a good night’s sleep, it’s generally business as normal. However, when men drink too much too often it can lead to erection difficulties that are not so easily overcome. Research shows sexual dysfunction is common among men who have alcohol dependence and drinking heavily “proportionately increases the risk. ”.

Mitchell kr, jones kg, wellings k, et al. Estimating the prevalence of sexual function problems: the impact of morbidity criteria. J sex res. 2016;53(8):955–967. Doi:10. 1080/00224499. 2015. 1089214 world health organization (who). F52. Sexual dysfunction, not caused by organic disorder or disease. In: international statistical classification of diseases and related health problems, 11th revision (icd-11). Geneva, switzerland: who; 2015. Avasthi a, grover s, sathyanarayana rao ts. Clinical practice guidelines for management of sexual dysfunction. Indian j psychiatry. 2017;59(suppl 1):s91–s115. Doi:10. 4103/0019-5545. 196977 goldstein i, kim n, clayton a, et al. Hypoactive sexual desire disorder. Mayo clinic proceedings. 2017;92(1):114-128. Doi:10. 1016/j. Mayocp.

What sexual problems can women with diabetes have?

Certain lifestyle factors are associated with ed for similar reasons to some health conditions. For instance, smoking cigarettes negatively affects blood circulation throughout the entire body. And being overweight or inactive means being at higher risk for issues like heart conditions and diabetes. Finally, studies have shown that chronic use of alcohol or illicit drugs has negative effects on sexual function for both men and women. Treatment for erectile dysfunction has two parts:.

Although 70% of men over the age of 70 are still sexually active, erectile dysfunction does get more likely as you get older. This may be linked to the deterioration to the blood vessels that carry blood to the penis, and also to the deterioration of heart or brain arteries. Both men and women can – and do - have problems that affect their sex lives. You may have lost interest in sex, or been unable to maintain an erection, or have difficulty with premature ejaculation, or be having difficulty having an orgasm. There are many reasons why men may experience sexual problems.

Low sexual desire and response

Psychogenic erectile dysfunction is the persistent inability to achieve or maintain an erection rigid enough for sexual performance, due primarily to psychological or interpersonal factors. Performance anxiety and relationship issues are common psychogenic causes. 

parkinson’s, alzheimer’s, and ms (multiple sclerosis) can lead to ed because they all interfere with the brain’s ability to communicate sexual desire to the reproductive system.

Advertisement also known as ed or impotence, erectile dysfunction occurs when a man is unable to get or keep an erection firm enough to engage in sexual intercourse. While these commercials spur jokes and laughs among most, erectile dysfunction could indicate a serious health issue. The likelihood of erectile dysfunction does increase with age (22 percent of men over the age of 60 and 30 percent of men over the age of 70 suffer from impotence), but it's not an inevitable part of growing older. Instead, the cause is more likely related to an underlying physical or psychological condition. 1.

Psychogenic erectile dysfunction is the persistent inability to achieve or maintain an erection rigid enough for sexual performance, due primarily to psychological or interpersonal factors. Performance anxiety and relationship issues are common psychogenic causes.  sexual dysfunction sexual dysfunction refers to problems that prevent an individual or couple from enjoying and completing the sex act. The issue can occur during any point of the sexual response cycle—desire, arousal, plateau, orgasm, and resolution. Both men and women can experience sexual dysfunction.  pastuszak aw. Current diagnosis and management of erectile dysfunction. Curr sex health rep. 2014;6(3):164-176. Doi:10. 1007/s11930-014-0023-9 cleveland clinic. Erectile dysfunction. Updated october 14, 2019.

Erectile Dysfunction (ED): Symptoms, Causes, Diagnosis, and Treatment

To determine a cause and treatment options, physicians evaluate a patient’s detailed medical history and look for obvious causes such as medications known to be linked to erectile dysfunction. Physicians then take into account the patient’s lifestyle, such as smoking and illicit drug use, which can affect a man’s ability to obtain an erection. Other health conditions are addressed as well. Medical history is important. For example, a man who has a history of decreased sex drive may have deficient production of the male hormone testosterone. Testosterone is the hormone responsible for the physical transition into manhood. It helps with gaining muscles, facial hair, and a deeper voice.

What causes an erection?

Old age -as men age there is a natural slowing down of many bodily functions. From a sexual viewpoint, this may occur as decreased firmness of erections, shorter lasting erections or a longer "recovery time" in between erections these changes may be caused by a decreased production of testosterone, decreased blood flow or other diseases that are more common in men as they age. Most commonly, the sexual changes associated with old age are due to a combination of the factors discussed in more detail below. Decreased bloodflow - a decrease in the blood flow to the penis will affect the quality of erections.

). By preventing the hydrolysis of cgmp, these drugs promote the cgmp-dependent smooth muscle relaxation that is essential for normal erection. Although vardenafil and tadalafil are more selective for the penile vasculature than sildenafil, clinical responses and adverse effects of these drugs are similar. In comparative clinical trials, these drugs show comparable efficacy (60 to 75%). All pde5 inhibitors cause direct coronary vasodilation and potentiate the hypotensive effects of other nitrates, including those used to treat coronary artery disease. The concomitant use of nitrates and pde5 inhibitors can be dangerous and should be avoided. Patients who only occasionally use nitrates (eg, for rare bouts of angina) should discuss the risks, selection, and proper timing of possible pde5 inhibitor use with a cardiologist.

Your brain, blood vessels and nerves all play a part in helping you get and keep an erection. Hormones and muscles do, too. Physical, psychological and environmental factors can cause problems with any of these.

"ed is commonly caused by temporary stress or chronic cardiovascular conditions that reduce blood flow to the penis. But, low testosterone can contribute to issues with forming and maintaining an erection," says dr. Starke. "your doctor can help you understand if your testosterone levels are low and whether starting testosterone treatment may help alleviate your ed symptoms. "though testosterone replacement is not recommended as a first-line, single treatment for ed, your doctor may recommend it or try it in combination with another ed treatment option, depending on your individual symptom profile.

Premature ejaculation. This is the inability to keep an erection long enough for mutual pleasure due to climaxing too soon. Performance anxiety. This is most often caused by stress. Depression. Being depressed can affect your ability to get an erection. Some antidepressants cause erection problems, too. Organic impotence. This involves the arteries or veins in the penis. It is the most common cause of ed, especially in older men. It can be related to hardening of the arteries throughout the body. Injury or a venous leak in the penis may also cause ed. Diabetes. Ed is common in men with diabetes.

Low serum testosterone levels are one factor that may explain the relationship between metabolic syndrome and ed. 23 the adipose tissue enzyme aromatase prevalent in obese men converts testosterone into estradiol, a significant cause of hypogonadism. 24 – 26 adipocytes also generate inflammatory cytokines associated with impaired endothelial function, cardiovascular events, and ed. 27 – 29 patients with diabetes are three times more likely to develop ed, and a longer duration of diabetes is strongly associated with ed. 18 , 30 , 31 metabolic syndrome is associated with a 2. 6-fold increase in the incidence of ed, and the fasting blood glucose level is the component associated with the highest risk of ed.

Total testosterone should be measured in all men with ed to determine if td, defined as total testosterone < 300 ng/dl with the presence of symptoms and signs, is present. In the european male aging study, the symptoms of weak morning erections, low sexual desire, ed, the inability to perform vigorous activity, depression, and fatigue were significantly associated with testosterone level. The three sexual symptoms had an inverse relationship with testosterone levels such that the lower the testosterone levels, the more sexual symptoms reported. 72 men who are diagnosed as testosterone deficient should be evaluated and counseled according to the aua guideline on the evaluation and management of testosterone deficiency.

What is the treatment for ED?

Early-stage prostate cancer does not cause ed, but advanced forms of prostate cancer can. Prostate surgery to remove tumors and radiation therapy to treat prostate cancer can cause ed. Some medications for prostate cancer may also result in ed. For example, hormone therapies can lower a person’s libido, and by association lead to ed. Research has shown that the medication finasteride may cause sexual dysfunction in men. The good news is that there are many treatments for ed, and most people will find a solution that works for them.

When you see your healthcare provider, they’ll gather your health history, ask additional follow-up questions regarding your sexual health, and perform a physical exam. In some instances, this may be all the healthcare provider needs to make an accurate diagnosis of ed and provide you with treatment options. However, if the healthcare provider believes an underlying condition may be contributing to ed, they might suggest additional testing or an appointment with a specialist for the following.

When to see a doctor

The doctor or nurse will ask about your lifestyle and relationships, and any problems you might be having. They'll carry out basic health checks, such as taking your blood pressure. They'll also examine your genitals to rule out any obvious physical cause. If you have symptoms like needing to pee more often, your gp may also need to examine your prostate. They might have to examine your bottom (rectal examination).

There are no doctors whose last name begins with the letter d d there are no doctors whose last name begins with the letter e e there are no doctors whose last name begins with the letter f f there are no doctors whose last name begins with the letter g g there are no doctors whose last name begins with the letter i i there are no doctors whose last name begins with the letter j j there are no doctors whose last name begins with the letter l l there are no doctors whose last name begins with the letter m m there are no doctors whose last name begins with the letter n n.

Yes, the good news is ed drugs, pde5 inhibitors that are prescription medications, have been clinically proven to be effective treatments for ed. Wondering about side effects, an underlying cause, or an underlying condition? find out if ed medication is right for you by getting medical advice from the expert providers through our healthcare platform, without any of the stress of an in-person doctor visit.

lifestyle changes could improve male sexual function video interview with elizabeth selvin (quicktime required) more than 18 million men in the united states over age 20 are affected by erectile dysfunction, according to a study by researchers from the johns hopkins bloomberg school of public health. The prevalence of erectile dysfunction was strongly linked with age, cardiovascular disease, diabetes and a lack of physical activity. The findings also indicate that lifestyle changes, such as increased physical activity and measures to prevent cardiovascular disease and diabetes, may also prevent decreased erectile function. The study is published in the february 1, 2007, issue of the american journal of medicine.

Erectile dysfunction can have a physical, neurological, or psychological cause. Physical conditions associated with ed include obesity, type-2 diabetes, metabolic syndrome, high blood pressure, high blood fats, coronary artery disease, premature ejaculation, and a deficiency of the hormone testosterone. Medical treatments, such as surgery, radiation, hormones commonly used for prostate cancer, and medications, such as some antidepressants , can also cause or worsen ed, as can the use of tobacco, alcohol , and illegal drugs. Neurological conditions that can cause ed include parkinson's disease and strokes. The psychological causes of ed generally occur in men under the age of 40 and include performance anxiety , relationship problems, religious taboos, prior sexual abuse , and mood disorders, such as depression , ptsd , and generalized anxiety.

Finding the cause of your ed will help direct your treatment options. Diagnosing ed starts with your health care provider asking questions about your heart and vascular health and your erection problem. Your provider may also give you a physical exam, order lab tests or refer you to a urologist. See more see less.

To diagnose this disorder, your ohio state urologist will ask you questions about your medical and sexual history and conduct a physical examination. Based upon your individual condition, additional tests may be considered, such as blood tests, neurological testing or a psychological evaluation.

erectile dysfunction is defined as the persistent inability to achieve or maintain penile erection sufficient for satisfactory sexual performance. The massachusetts male aging study surveyed 1,709 men aged 40–70 years between 1987 and 1989 and found there was a total prevalence of erectile dysfunction of 52 percent. It was estimated that, in 1995, over 152 million men worldwide experienced ed. For 2025, the prevalence of ed is predicted to be approximately 322 million worldwide. In the past, erectile dysfunction was commonly believed to be caused by psychological problems. It is now known that, for most men, erectile dysfunction is caused by physical problems, usually related to the blood supply of the penis.

Emotional Causes of ED

Ed can result from health problems, emotional issues, or from both. Some known risk factors are: being over age 50 using drugs or drinking too much alcohol being obese lacking exercise even though ed becomes more common as men age, growing old is not always going to cause ed. Some men stay sexually functional into their 80s. Ed can be an early sign of a more serious health problem. Finding and treating the reason for ed is a vital first step. Ed happens when: there is not enough blood flows into the penis many health issues can reduce blood flow into the penis, such as hardened arteries, heart disease, high blood sugar (diabetes) and smoking.

“most men who come in concerned with erectile dysfunction do have it,” dr. Newton says. He says there are three questions you can ask to help determine if you have erectile dysfunction. Do you have trouble getting an erection when desired? does the erection last long enough for satisfactory performance? is the erection too soft for penetration? if the answer is yes to any of these questions, it’s a great idea to talk to your doctor. “the number one question i get when talking about erectile dysfunction is, ‘is it common?’ most guys feel isolated and alone with this problem, in large part because despite the frequent commercials, most men don’t talk about it.

In addition to these emotional effects, ed can also have a negative impact on relationships and marriages as men with ed may avoid sexual intimacy, which can lead to distance and emotional disconnection from their partners. In an interview with ht lifestyle, dr chirag bhandari, founder of institute of andrology and sexual health, explained, “ed is hurting the younger generation by limiting their ability to start and maintain healthy relationships. Men with ed may be too self-conscious or embarrassed to pursue romantic relationships, which can lead to isolation and loneliness. Additionally, ed can also cause men to avoid sexual activity altogether, which can limit their ability to form close emotional bonds with others.

Health and ED History

The type of medical specialist who treats ed will depend on the cause of the problem. Based on your family's medical history, as well as your own medical history and current health, your doctor may treat you with oral medications (viagra®, levitra®, cialis®). If these options fail, you may be referred to a urologist who can assist with other non-surgical options such as vacuum device or injections or surgical treatment options. If needed, your doctor may also refer you to a psychologist specializing in sexual dysfunction.

Validated questionnaires quantify ed severity and the consequences of ed (e. G. , bother, sexual satisfaction, relationship impact). These instruments, or incorporation of their content as part of history and follow-up interviews, are useful to measure treatment effectiveness and to adjust management plans based on outcomes over time. They can be used to quantify unassisted erectile function compared to erectile function with treatment or across treatments (e. G. , at a different medication doses). Questionnaires also can provide an opportunity to initiate a conversation about ed when sexual concerns are not the presenting issue. Note that questionnaires will not generate a valid score for the man who is not sexually active.

To determine a cause and treatment options, physicians evaluate a patient’s detailed medical history and look for obvious causes such as medications known to be linked to erectile dysfunction. Physicians then take into account the patient’s lifestyle, such as smoking and illicit drug use, which can affect a man’s ability to obtain an erection. Other health conditions are addressed as well. Medical history is important. For example, a man who has a history of decreased sex drive may have deficient production of the male hormone testosterone. Testosterone is the hormone responsible for the physical transition into manhood. It helps with gaining muscles, facial hair, and a deeper voice.

Effectively treating ed is highly dependent on finding the root cause of the disorder. Some providers use a questionnaire to supplement their medical history and physical exam. Questionnaires may rate your ability to initiate and keep erections, gauge your satisfaction with sex, and help identify any problems with orgasm. Your healthcare provider may also order blood tests and collect a urine sample to look for health problems that may cause ed. Gathering this information will help your provider determine the best and most specific treatments for your erectile dysfunction. If the root of your ed is physical, your doctor or another healthcare provider may point out certain lifestyle-related risk factors like smoking or an unhealthy diet that you can change.

If you have any medical questions or concerns, please talk to your healthcare provider. The articles on health guide are underpinned by peer-reviewed research and information drawn from medical societies and governmental agencies. However, they are not a substitute for professional medical advice, diagnosis, or treatment. Getting (and maintaining) an erection requires a surprising amount of things to go right. Your brain sends signals through your nerves and hormones, which have to communicate with your blood vessels and muscles before an erection can happen. If one thing goes wrong in that complicated exchange between your cardiovascular and nervous systems—not to mention your hormone levels, blood vessels, and mood—the result can be erectile dysfunction (ed).

Since the 1990s, erectile dysfunction (ed) has been recognized as a common problem. Higher rates of reporting, diagnosis, and treatment of ed have been driven by effective treatments, direct to consumer advertising, and screening by health care providers. Back to top.

Finding the cause of your ed will help direct your treatment options. Diagnosing ed starts with your health care provider asking questions about your heart and vascular health and your erection problem. Your provider may also give you a physical exam, order lab tests or refer you to a urologist. See more see less.

erectile dysfunction can be a warning sign of current or future heart disease sometimes. In fact, ed can precede coronary artery disease in almost 70 percent of cases. When you have heart disease, or coronary artery disease (blocked blood vessels), it will affect the tiny arteries in your penis sooner. Many times, we will refer you to a cardiologist to determine if you have cardiovascular disease that is causing your ed. Improving your heart health can help lower your risk for ed. You can start by: increasing physical activity,.

A physical exam checks your total health. Examination focusing on your genitals (penis and testicles) is often done to check for ed. Based on your age and risk factors, the exam may also focus on your heart and blood system: heart, peripheral pulses and blood pressure. Based on your age and family history your doctor may do a rectal exam to check the prostate. These tests are not painful. Most patients do not need a lot of testing before starting treatment.

Organic erectile dysfunction is difficulty achieving or sustaining an erection rigid enough for intercourse, due to physical causes. Heart disease, diabetes, depression, neurological issues, certain medications, and hormonal imbalances can result in organic erectile dysfunction.  psychogenic.

Emotional Causes of ED

Erectile dysfunction can cause strain on a couple. Many times, men will avoid sexual situations due to the emotional pain associated with ed, causing their partner to feel rejected or inadequate. It is important to communicate openly with your partner. Some couples consider seeking treatment for ed together, while other men prefer to seek treatment without their partner's knowledge. A lack of communication is the primary barrier for seeking treatment and can prolong the suffering. The loss of erectile capacity can have a profound effect on a man. The good news is that ed can usually be treated safely and effectively.

“most men who come in concerned with erectile dysfunction do have it,” dr. Newton says. He says there are three questions you can ask to help determine if you have erectile dysfunction. Do you have trouble getting an erection when desired? does the erection last long enough for satisfactory performance? is the erection too soft for penetration? if the answer is yes to any of these questions, it’s a great idea to talk to your doctor. “the number one question i get when talking about erectile dysfunction is, ‘is it common?’ most guys feel isolated and alone with this problem, in large part because despite the frequent commercials, most men don’t talk about it.

Decreased blood flow, typically because vessels that supply blood to the penis have narrowed, is often the cause of erectile dysfunction (ed) in older men. Emotional issues are more commonly at the root of it for younger men.

Complications of erectile dysfunction are predominantly emotional, both to the patient and his partner. It can cause a strain on relationships and negatively impact the quality of life of these patients. Of course, the cardiovascular pathologies and diabetic complications that may accompany this condition come with their own health issues. Priapism from pde-5 inhibitor medications is relatively uncommon at only about 3% of all priapism cases despite the widespread use of these drugs. Penile injection therapy is involved in about 8. 8% of priapism cases and trazodone in about 6%, while second-generation antipsychotic drugs are responsible for 33. 8%.

The type of medical specialist who treats ed will depend on the cause of the problem. Based on your family's medical history, as well as your own medical history and current health, your doctor may treat you with oral medications (viagra®, levitra®, cialis®). If these options fail, you may be referred to a urologist who can assist with other non-surgical options such as vacuum device or injections or surgical treatment options. If needed, your doctor may also refer you to a psychologist specializing in sexual dysfunction.

Validated questionnaires quantify ed severity and the consequences of ed (e. G. , bother, sexual satisfaction, relationship impact). These instruments, or incorporation of their content as part of history and follow-up interviews, are useful to measure treatment effectiveness and to adjust management plans based on outcomes over time. They can be used to quantify unassisted erectile function compared to erectile function with treatment or across treatments (e. G. , at a different medication doses). Questionnaires also can provide an opportunity to initiate a conversation about ed when sexual concerns are not the presenting issue. Note that questionnaires will not generate a valid score for the man who is not sexually active.

Men presenting with erectile dysfunction are initially assessed with a comprehensive history ( box 1 ). This helps the clinician to understand and differentiate the causes as predisposing (why this person?), precipitating (why now?) and perpetuating (what is keeping the problem?) factors. The history includes lifestyle (quality and quantity of sleep, snoring and sleep apnoea, weight, exercise, alcohol, smoking history), general health (physical and mental, medicines) and a relationship and psychosexual history. 4 , 5 box 2 shows some key questions to ask. Eliciting details about the quality of morning erections and erectile capacity during other sexual activities (e.

Initially, you'll talk to your health care provider or a urologist about penile implants. During your visit, your health care provider will likely: review your medical history. Be prepared to answer questions about current and past medical conditions, especially your experience with ed. Talk about medications you take or have taken recently, as well as any surgeries you've had. Before penile implant surgery you might also need to: avoid certain medications. Your health care provider might recommend that you temporarily stop taking aspirin and anti-inflammatory drugs, which can increase your risk of bleeding. Arrange for a ride home. Ask your health care provider when you'll be able to go home after surgery.

You should not use a vacuum pump if you have a bleeding disorder or if you are taking anticoagulant medicines , which reduce the ability of your blood to clot. Side effects of vacuum pumps include pain or bruising, although these occur in less than a third of men. Men who qualify for nhs prescriptions for erectile dysfunction treatments may be able to get a vacuum pump on the nhs (see above for more details). However, some men will need to buy one. The sexual advice association produces a number of factsheets, including one on vacuum pumps that provides details of companies that supply them.

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Physical Causes of ED

Finding the cause of your ed will help direct your treatment options. Diagnosing ed starts with your health care provider asking questions about your heart and vascular health and your erection problem. Your provider may also give you a physical exam, order lab tests or refer you to a urologist. See more see less.

Erectile dysfunction is a common clinical entity that affects mainly men older than 40 years. In addition to the classical causes of erectile dysfunction, such as diabetes mellitus and hypertension, several common lifestyle factors, such as obesity, limited or an absence of physical exercise, and lower urinary tract symptoms, have been linked to the development of erectile dysfunction. Substantial steps have been taken in the study of the association between erectile dysfunction and cardiovascular disease. Erectile dysfunction is a strong predictor for coronary artery disease, and cardiovascular assessment of a non-cardiac patient presenting with erectile dysfunction is now recommended.

A physical exam checks your total health. Examination focusing on your genitals (penis and testicles) is often done to check for ed. Based on your age and risk factors, the exam may also focus on your heart and blood system: heart, peripheral pulses and blood pressure. Based on your age and family history your doctor may do a rectal exam to check the prostate. These tests are not painful. Most patients do not need a lot of testing before starting treatment.

“most men who come in concerned with erectile dysfunction do have it,” dr. Newton says. He says there are three questions you can ask to help determine if you have erectile dysfunction. Do you have trouble getting an erection when desired? does the erection last long enough for satisfactory performance? is the erection too soft for penetration? if the answer is yes to any of these questions, it’s a great idea to talk to your doctor. “the number one question i get when talking about erectile dysfunction is, ‘is it common?’ most guys feel isolated and alone with this problem, in large part because despite the frequent commercials, most men don’t talk about it.

A number of psychological factors can cause ed, including: stress post-traumatic stress disorder (ptsd) depression if you’re experiencing psychological ed, you may benefit from talk therapy. Over several sessions, you and your therapist will discuss: major stress or anxiety factors your feelings around sex subconscious conflicts that could be affecting your sexual well-being if ed is affecting your relationship , consider speaking with a relationship counselor as well. Relationship counseling can help you and your partner reconnect emotionally, which may also help your ed. Explore the effects of stress and anxiety on ed.

Decreased blood flow, typically because vessels that supply blood to the penis have narrowed, is often the cause of erectile dysfunction (ed) in older men. Emotional issues are more commonly at the root of it for younger men.