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 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 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.
Erectile dysfunction is caused by blood flow, hormones and nerves. Any neurological injury or disease, such as a stroke, Parkinson’s disease or Alzheimer’s disease can cause ED by interfering with nerve impulses. 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. Impotence is most commonly caused by problems with blood flow in older adults. 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 also may affect their feelings, including anxiety or low sex drive. Symptoms can vary from person to person, but include:
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 perform a physical examination and ask you about your symptoms. They may also do 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. 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. 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 improve outcomes and address the biopsychosocial ED model. 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
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. 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.
Exercise, a healthy eating plan and avoiding smoking and foods high in sodium are all ways to improve your sexual function. 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.