Treatment Of Erectile Dysfunction Uptodate

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 you questions about your symptoms and health 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. 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 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 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 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 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

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. 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. 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 will probably work faster and last longer than the older ones, and may have fewer side effects.

Exercise, a healthy eating plan and avoiding smoking and foods high in sodium are all ways to improve your sexual function. If you suspect that your erectile disorder is psychological, speak to a mental healthcare professional about individual or couple 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.