Pathophysiology And Treatment Of Diabetic Erectile Dysfunction

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 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 more serious health problems, including 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. 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 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.

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 perform a physical examination and ask you 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. 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, your doctor can prescribe medication like sildenafil or 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 require further testing or referral to a specialist. If medical treatment is not working, then vacuum constriction devices and 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.

In the 14 years since Viagra hit the market, many more ED treatments have become available. There are many other options besides pills. These include vacuum pumps, suppositories and surgical implantation.

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.