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 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 often feel embarrassed to discuss sexual dysfunction with their doctors, which may 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. ED can be caused by any neurological injury or illness, such as a Parkinson’s or Alzheimer’s. 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 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 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. But if it happens often and interferes with a person’s quality of life, he should see his doctor. Your doctor will do a physical exam and ask about your symptoms. They may also do 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. But if it happens regularly and interferes with sex, talk to your GP.
The underlying causes of ED can vary, but in some cases a tentative diagnosis may be made by taking a careful history and physical examination. 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 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 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.