Rome Criteria Erectile Dysfunction Treatment

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.

Erectile dysfunction is caused by blood flow, hormones and nerves. 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, they become more likely to experience erectile difficulties. 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 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. 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. 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 improve outcomes and address the biopsychosocial ED model. Some people may require further testing or referral 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.

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.