Erectile Dysfunction – What Are the Symptoms of Erectile Dysfunction?
Most men will experience erectile dysfunction at some point. But not all seek medical help, partly out of embarrassment.
Your doctor will ask about your symptoms and medical history. He or she may also run blood tests and urine tests to check for underlying health conditions that can cause ED.
Causes
Men are often embarrassed to discuss sexual dysfunctions with their doctors. This can delay diagnosis and treatment. This can lead to more serious health problems, including heart disease.
Erectile dysfunction is caused by blood flow, hormones and nerves. 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 are sometimes an early warning sign for arteriosclerosis, which is the buildup of fatty substances in 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 vary by person, but they include the following:
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. But if it happens often and interferes with a person’s quality of life, he should see his doctor. Your doctor will do a physical exam and ask about your symptoms. They may also perform blood or urine tests. Exercise, a reduced alcohol intake, and avoiding smoking or illegal drugs can reduce your risk of erectile dysfunction. 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 for ED can be different, but in some instances a tentative diagnosis can be made after a thorough history and physical exam. Other tests may include a blood test to check for diabetes and cholesterol. An ultrasound of the penis and evaluation for endocrine disorder are also possible.
In many cases, a doctor can help with medication such as sildenafil (Viagra), tadalafil (Cialis) or vardenafil (Levitra). Other medications, dietary supplementation and lifestyle changes may also be helpful. Psychosexual counseling, or sex therapy, is an option for some people, particularly those whose ED results from relationship issues or anxiety around 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 treatments are not effective, vacuum constriction devices or surgery may be considered.
Treatment
It is important to talk openly with your doctor, even though ED can be embarrassing and cause a decrease in self-esteem. Having an honest discussion can lead to a diagnosis and the most effective treatment.
In the 14 years since Viagra hit the market, many more ED treatments have become available. In addition to pills, there are vacuum pumps, suppositories, surgical implantation and other options.
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 you suspect that your erectile disorder is psychological, speak to a mental healthcare professional about individual or couple 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.