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 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.
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, 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 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 be a side-effect of some drugs or from the natural aging.
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 do a physical exam and ask 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
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 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 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 require further testing or referral to a specialist. If medical treatments are not effective, vacuum constriction devices or 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. 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 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.