Erectile Dysfunction Treatment Nhs

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 serious health issues, such as 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 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 problems can be caused by the aging of arteries, or other factors such as diabetes and cardiovascular disease. These problems can be an early warning sign of arteriosclerosis. This is the buildup fatty substances within 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 can be caused by many things, including nerve and vascular problems that affect blood flow 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. If it occurs frequently and affects a person’s life quality, they should consult their 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

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 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 improve outcomes and address the biopsychosocial ED model. 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.

In the 14 years since Viagra hit the market, many more ED treatments have become available. There are many other options besides pills. These include vacuum pumps, suppositories and surgical implantation.

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 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.