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 you questions about your symptoms and health history. He or she will also perform blood tests and urine test to check for underlying conditions that may cause ED.
Causes
Men often feel embarrassed to discuss sexual dysfunction with their doctors, which may 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 in the pelvic nerves can interfere with erections, and long-term diabetes can damage the nerves in the head and neck that control the penis.
As men age, erectile dysfunction is more common. Generally, the most common cause of impotence in older adults is caused by blood flow problems. These problems can be caused by the aging of arteries, or other factors such as diabetes and cardiovascular 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 is caused by a variety of factors, including nerve and blood vessel problems that affect the flow of blood to the penis. It can also be a side-effect of some drugs or from the natural aging.
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 do 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. If it occurs regularly and interferes in sex, you should consult your doctor.
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 require further testing or referral to a specialist. If medical treatment is not working, then vacuum constriction devices and 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. A candid discussion can lead to the best diagnosis and treatment.
Since Viagra was introduced to the market in 1994, there have been many other ED treatments available. There are many other options besides pills. These include vacuum pumps, suppositories and surgical implantation.
New medications, including phosphodiesterase inhibitors like sildenafil (Viagra), are being developed to help men with ED who don’t respond to the current drugs. 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.