Erectile Dysfunction- Causes and Treatment
Erectile Dysfunction (ED) is the inability to develop or maintain an erection of the penis during sexual performance.
ED may result from organic or psychological causes.
The organic causes of ED are more common in older men. They include:
- Vascular – atherosclerosis, peripheral arterial disease
- Neurologic – multiple sclerosis, Parkinson’s disease, stroke, spinal cord injury
- Endocrine – hypogonadism, prolactinoma
- Metabolic – diabetes mellitus, obesity
Psychological causes of ED are more common in younger men. They include:
- Performance anxiety – fear of failure to achieve or maintain an erection
- Relationship problems – lack of sexual desire or conflict with a sexual partner
The treatment of ED depends on the underlying cause.
If the cause is organic, treatment may include:
- Lifestyle changes – weight loss, exercise, reduction of alcohol intake, smoking cessation
- Medications – phosphodiesterase inhibitors, testosterone replacement therapy
- Surgery – penile implants
If the cause is psychological, treatment may include:
- Psychotherapy – individual, couple or family counseling
- Medications – antidepressants, anti-anxiety drugs