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 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 more serious health problems, including heart disease.
The causes of erectile dysfunction depend on blood flow, nerves and hormones. Any neurological injury or disease, such as a stroke, Parkinson’s disease or Alzheimer’s disease can cause ED by interfering with nerve impulses. Penile artery injuries can also lead to ED, especially if they cause scarring or narrowing. 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.
Most people have a problem with erections from time to time. 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 do 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 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 supplementation and lifestyle changes may also 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 need further testing or referrals 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. A candid discussion can lead to the best diagnosis and treatment.
In the 14 years since Viagra hit the market, many more ED treatments have become 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 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.