Erectile Dysfunction – What Are the Symptoms of Erectile Dysfunction?
Most men have trouble with erectile function at some time. But not all seek medical help, partly out of embarrassment.
Your doctor will ask you questions about your symptoms and health history. He or she may also run blood tests and urine tests to check for underlying health conditions that can cause ED.
Causes
Men often feel embarrassed to discuss sexual dysfunction with their doctors, which may delay diagnosis and treatment. This can lead to serious health issues, such as heart disease.
The causes of erectile dysfunction depend on blood flow, nerves and hormones. ED can be caused by any neurological injury or illness, such as a Parkinson’s or Alzheimer’s. Injuries to the penile arteries can also cause ED, particularly if they result in scarring or narrowing of the arteries. Abnormalities of the pelvic nerves may interfere with erections. Long-term diabetes may damage the nerves that control the penis in the head and neck.
As men age, erectile dysfunction is more common. Impotence is most commonly caused by problems with blood flow in older adults. These can be due to the aging of the arteries or other issues such as diabetes and heart disease. These problems can be an early warning sign of arteriosclerosis. This is the buildup fatty substances within the arteries.
Symptoms
Men with ED may have difficulty obtaining or maintaining an erection firm enough to engage in sexual activity. It can also affect their feelings such as anxiety or low sexual drive. Symptoms can vary from person to person, but include:
Erectile Dysfunction can be caused by many things, including nerve and vascular problems that affect blood flow to the penis. It can also occur as a side effect of some drugs and from the natural aging process.
It’s normal for most people to sometimes have trouble with erections. If it occurs frequently and affects a person’s life quality, they should consult their doctor. Your doctor will perform a physical examination and ask you about your symptoms. They may also perform blood or urine tests. You can help reduce your chances of erectile dysfunction by exercising, drinking less alcohol and not smoking or using illegal drugs. Managing your health conditions, such as diabetes or heart disease, can also help.
Diagnosis
Occasionally, it’s normal for men to have problems getting or keeping an erection. But if it happens regularly and interferes with sex, talk to your GP.
The underlying causes of ED can vary, but in some cases a tentative diagnosis may be made by taking a careful history and physical examination. Other tests might include a blood test for diabetes and cholesterol, an ultrasound of the penis, and evaluation for endocrine disorders.
In many cases, a doctor can help with medication such as sildenafil (Viagra), tadalafil (Cialis) or vardenafil (Levitra). Other medications, dietary supplements and lifestyle changes also may be helpful. Some people may benefit from psychosexual counseling or sex therapy, especially those whose ED is caused by relationship issues or anxiety about sex. This can address the biopsychosocial model of ED and improve outcomes. Some people may need further testing or referrals to a specialist. If medical treatment is not working, then vacuum constriction devices and surgery may be considered.
Treatment
Although ED can cause embarrassment and lower self-esteem, it is important to have an open conversation with your doctor about what is going on. A candid discussion can lead to the best diagnosis and treatment.
In the 14 years since Viagra hit the market, many more ED treatments have become available. There are many other options besides pills. These include vacuum pumps, suppositories and surgical implantation.
Men with ED, who are not responding to current medications, will benefit from new medications such as phosphodiesterase inhibiters like sildenafil. These medications are likely to work faster and longer than older drugs, and may also have fewer side-effects.
Other ways to improve sexual function include exercise, a healthy diet and avoidance of smoking and high-sodium foods. If your erectile dysfunction is psychological in origin, talk to a mental health professional about individual or couples therapy. Men who are unable to achieve a rigid, permanent erection may still be able to enjoy intimacy and pleasure through non-sexual activities like cuddling, genital massage or oral sex.