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 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. 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 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, they become more likely to experience erectile difficulties. 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 have trouble getting or keeping an erection that’s firm enough for 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 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
It’s not uncommon for men to experience problems obtaining or maintaining 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 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. 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 improve outcomes and address the biopsychosocial ED model. Some people may require further testing or referral 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.
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.
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.
Exercise, a healthy eating plan and avoiding smoking and foods high in sodium are all ways to improve your sexual function. 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.