My Penis Won’t Go ‘Down’| Erectile Dysfunction
It’s not uncommon for a man to wake up with an erection. But if you have erectile dysfunction (ED), you may not be able to get or keep an erection during sex. This can be frustrating and embarrassing.
ED can happen at any age, but it’s more common in men older than 65. About 5 percent of men in their 50s and nearly 25 percent of men in their 60s experience ED.
ED is caused by different things. It could be due to physical problems like diabetes or heart disease. It could also be the result of psychological issues such as anxiety or depression.
In some cases, ED is a side effect of certain medications.
No matter what the cause, you can do something about it. There are treatments that can help.
What are the symptoms of ED?
The main symptom of ED is the inability to get or keep an erection. You may also have:
- Low self-esteem
- Performance anxiety
- Relationship problems
What causes ED?
There are many potential causes of ED, including:
- Physical problems like diabetes, heart disease, and obesity
- Psychological issues like anxiety, depression, and stress
- Medications like blood pressure medication, antidepressants, and antipsychotics
- Injury to the penis, prostate, or pelvis
How is ED diagnosed?
To diagnose ED, your doctor will ask about your symptoms and medical history. They may also do a physical exam and order blood tests.
How is ED treated?
There are many potential treatments for ED, including:
- Medications: There are many different medications that can be used to treat ED. These include phosphodiesterase inhibitors (such as sildenafil, tadalafil, and vardenafil), testosterone replacement therapy, and alprostadil (a synthetic form of prostaglandin E1).
- Psychotherapy: If the cause of your ED is psychological, you may benefit from counseling or therapy. This can help you work through the psychological issues that may be causing your ED.
- Lifestyle changes: If you are overweight, losing weight can help reduce your risk of ED. If you smoke, quitting smoking can also help. And if you drink alcohol, limiting your alcohol intake can also be helpful.
- Vacuum devices: These devices are simple, effective, and safe. They work by creating a vacuum that draws blood into the penis. Once the penis is engorged with blood, a constriction ring is placed at the base of the penis to maintain the erection.
- Penile implants: This is a last resort option for men who have not had success with other treatments. A penile implant is a surgical procedure that involves placing a metal or inflatable rod in the penis.