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 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.
The causes of erectile dysfunction depend on blood flow, nerves and hormones. 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 can be caused by many things, including nerve and vascular problems that affect blood flow 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. 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
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 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 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 require further testing or referral to a specialist. If medical treatment is not working, then vacuum constriction devices and surgery may be considered.
Treatment
Although ED can cause embarrassment and lower self-esteem, it is important to have an open conversation with your doctor about what is going on. 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. 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 are likely to work faster and longer than older drugs, and may also 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 your erectile dysfunction is psychological in origin, talk to a mental health professional about individual or couples 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.