Erectile Dysfunction – What Are the Symptoms of Erectile Dysfunction?
Most men have trouble with erectile function at some time. Some men are embarrassed to seek medical attention.
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.
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, erectile dysfunction is more common. 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 may have difficulty obtaining or maintaining an erection firm enough to engage in sexual activity. It can also affect their feelings such as anxiety or low sexual 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 occur as a side effect of some drugs and from the natural aging process.
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. You can also reduce your chances of erectile dysfunction by exercising, drinking less alcohol, and not smoking or using illegal drugs.
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 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 address the biopsychosocial model of ED and improve outcomes. 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.
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 are likely to work faster and longer than older drugs, and may also have fewer side-effects.
Other ways to improve sexual function include exercise, a healthy diet and avoidance of smoking and high-sodium foods. If you suspect that your erectile disorder is psychological, speak to a mental healthcare professional about individual or couple 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.