Erectile Dysfunction Evaluation And New Treatment Options

Erectile Dysfunction – What Are the Symptoms of Erectile Dysfunction?

Most men will experience erectile dysfunction at some point. Some men are embarrassed to seek medical attention.

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 more serious health problems, including 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 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, they become more likely to experience erectile difficulties. 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 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.

Most people have a problem with erections from time to time. 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 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. 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 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 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 require further testing or referral 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. Having an honest discussion can lead to a diagnosis and the most effective treatment.

Since Viagra was introduced to the market in 1994, there have been many other ED treatments 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 will probably work faster and last longer than the older ones, and may 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 cannot achieve a rigid erection can still enjoy intimacy and pleasure with their partners through non-sexual activities such as cuddling, genital caressing or oral sex.