Erectile Dysfunction in Men - Causes and Solutions

Erectile Dysfunction in Men – Causes and Solutions

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Men should be encouraged to see their family doctor, and to ask for a referral to a urologist. Many times ED is an early warning sign of more serious health problems.

Most men occasionally fail to get or keep an erection, especially as they age. But if it happens regularly, it might be a sign of an underlying disease or health condition. A drug called Cenforce 150 and Cenforce 120 (sildenafil) increases nitric oxide, which helps the penis to widen and increase blood flow to create an erection

Organic ED

Men with organic ED have problems with the arteries or the nerves. This is the most common cause of ED and it can be caused by age-related problems such as atherosclerosis (hardening of the arteries), diabetes, and other diseases that affect the blood vessels or the nerves. It can also be caused by medications or surgical procedures.

A thorough history should be obtained including developmental and sexual history, family history, trauma, weight loss or gain, traumatic injuries, surgical history, psychiatric disorders, alcohol use, recreational drug use and a detailed medication list. A comprehensive physical examination should be performed including a genital evaluation, eunuchoid body habitus, anal abnormalities, testicular volume and penile curvature.

Men with a psychological cause of ED can benefit from psychotherapy and other behavioral interventions. This may include eating a healthier diet and reducing alcohol, recreational drug and stress intake. This is important because one episode of failure in the bedroom can lead to heightened anxiety and depression that interfere with sexual performance. This cycle must be broken. This is often the case for men who experience ED as a result of performance anxiety or stress in their current relationship.

Physical Causes

For an erection to occur, your blood vessels, nerves and hormone levels need to work together. If any of these aren’t functioning normally, you can have a physical cause for your ED.

ED can be an early symptom of heart disease, high blood pressure and other health problems. Doctors often use questionnaires or conversations with patients to help determine the source of ED and find out if it is related to any other health issues.

If you have a physical cause for your ED, your doctor will do a complete exam to check your blood flow, look at the skin around the penis (for changes in color or texture), and test your urine. Other lab tests may include a blood count, cholesterol test and a pelvic ultrasound. A mental health evaluation and interview with your partner will also be done, and you might be asked to review your medications to see if any of them could be causing ED. These can be drugs for blood pressure, anti-anxiety or depression, glaucoma drops and certain cancer chemotherapy medications.

Psychological Causes

Erectile dysfunction can be caused by a variety of psychological factors. These may include anxiety, depression, relationship problems, drug side effects or mental health conditions such as a fear of sexual performance (genophobia). Stress, fatigue and poor diet can also contribute to ED. For some men, a medical condition such as vascular disease that reduces blood flow to the penis can cause ED.

A fear of sexual failure can lead to a lack of interest in sexual activity, which in turn can further erode a man’s self-esteem. Depression affects both physical and emotional function, often leading to ED in conjunction with other symptoms such as muscle cramps, loss of appetite, fatigue and low motivation.

Treatment for psychological ED involves changing the beliefs and behaviours that maintain it. Therapy can help men replace negative thoughts with more realistic and less stressful views of their own sex life, as well as improving intimacy in relationships. Medications like sildenafil (Viagra) can help increase blood flow to the penis, but are most effective alongside psychosexual therapy and/or sex therapy.

Medications

Medications can affect your ability to get and keep an erection. Over-the-counter and prescription drugs, as well as recreational ones, can cause ED. Some can narrow blood vessels in your penis, interfere with nerves to the penis or lower libido.

A drug called Viagra (sildenafil) increases nitric oxide, which helps the penis to widen and increase blood flow to create an erection. Another medication, called tadalafil (Cialis), also improves erectile function. Both work by blocking certain enzymes that break down nitric oxide.

Certain antiepileptic medications, such as gabapentin, valproate and topiramate, can reduce libido. Some antipsychotic medications, such as risperidone and haloperidol, can have the same effect.

Other medications, such as the antibiotics linezolid and zyvox, can also reduce libido. Many health problems that can reduce blood flow to the penis include hardened arteries, high cholesterol, heart disease, cigarette smoking, diabetes and surgery or injury in the pelvic area. Blood tests and urine test can help find the cause of your ED. Your doctor may also use questionnaires to rate your desire for sex, erectile function and satisfaction with sex and a test to measure orgasm.

Surgery

Men with vascular causes of ED, such as diabetes or heart disease, may have surgery to improve blood flow. They might also benefit from medications that boost blood flow, including oral drugs such as sildenafil (Viagra), tadalafil (Levitra), and vardenafil (Cialis) and intraurethral injections of alprostadil (Prostadil).

Many men worry that ED will be permanent and they won’t have the same sexual interest in their partner. But most people who have ED have no lasting problems with their sexual function, especially when they make healthy lifestyle changes.

Most people over age 40 have some trouble getting or keeping an erection. But it’s usually nothing to worry about, unless it occurs regularly and doesn’t go away with healthy lifestyle changes. Then it might be a sign of an underlying health condition, such as heart disease or diabetes. If that’s the case, your doctor might want to do a physical exam and ask questions about your sexual history. They might also order urine and blood tests, and do an ultrasound of the penis to check for blood flow. Read More….

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