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 will also perform blood tests and urine test to check for underlying conditions that may 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, they become more likely to experience erectile difficulties. Generally, the most common cause of impotence in older adults is caused by blood flow problems. These can be due to the aging of the arteries or other issues such as diabetes and heart disease. These problems can be an early warning sign of arteriosclerosis. This is the buildup fatty substances within 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 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 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. If it occurs regularly and interferes in sex, you should consult your doctor.
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 may include a blood test to check for diabetes and cholesterol. An ultrasound of the penis and evaluation for endocrine disorder are also possible.
In many cases, a doctor can help with medication such as sildenafil (Viagra), tadalafil (Cialis) or vardenafil (Levitra). Other medications, dietary supplements and lifestyle changes also may 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 address the biopsychosocial model of ED and improve outcomes. 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
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 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.