Erectile Dysfunction – What Are the Symptoms of Erectile Dysfunction?
Most men have trouble with erectile function at some time. 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. Penile artery injuries can also lead to ED, especially if they cause scarring or narrowing. 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, they become more likely to experience erectile difficulties. 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 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 vary by person, but they include the following:
Erectile Dysfunction is caused by a variety of factors, including nerve and blood vessel problems that affect the flow of blood 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 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
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 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 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
It is important to talk openly with your doctor, even though ED can be embarrassing and cause a decrease in self-esteem. 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 will probably work faster and last longer than the older ones, and may 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 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.