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Erectile Dysfunction Treatment, Sexual Impotence

Erectile dysfunction (ED) is the inability to get or keep an erection. It can be caused by physical problems, psychological issues, or a combination of both. Many men experience ED at some point in their lives, but it’s more common as you get older. ED can make sex less enjoyable and affect your self-esteem. If you’re experiencing ED, there are treatments available that can help.

Causes of ED

ED can be caused by a variety of factors, both physical and psychological. Physical causes include:

  • Heart disease
  • Diabetes
  • High cholesterol
  • High blood pressure
  • Atherosclerosis (narrowing of the arteries)
  • Injury to the nerves that control erections
  • Peyronie’s disease (a condition that affects the shape of the penis)
  • Certain medications

Psychological causes of ED include:

  • Depression
  • Anxiety
  • Stress
  • Relationship problems

Treatment for ED

ED is treatable, regardless of the cause. The first step is to see your doctor to find out what’s causing your ED. Once the cause is determined, your doctor can recommend a course of treatment. There are a variety of treatments available, including:

  • Oral medications: These are drugs that you take by mouth to treat ED. They include sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra). These drugs work by relaxing muscles and increasing blood flow to the penis.
  • Penile injections: These injectable medications, such as alprostadil (Caverject Impulse, Edex), papaverine (Pavabid), and phentolamine (Regitine), can be effective in some men. They work by increasing blood flow to the penis.
  • Penis pumps: These devices, also called vacuum pumps, are usually used to treat men who have erectile dysfunction caused by physical problems. The device consists of a plastic cylinder that’s placed over the penis, a hand- or battery-operated pump that draws air out of the cylinder, and a constriction band that’s placed around the base of the penis to maintain the erection.
  • Penile implants: This is a surgical option that’s used in some men who don’t respond to other treatments. A penile implant is a device that’s placed inside the penis. It causes an erection by being inflated with fluid.
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What’s to know about erectile dysfunction?

A man is considered to have erectile dysfunction if he regularly finds it difficult getting or keeping a firm enough erection to be able to have sex, or if it interferes with other sexual activity.

Most men have occasionally experienced some difficulty with their penis becoming hard or staying firm. However, erectile dysfunction (ED) is only considered a concern if satisfactory sexual performance has been impossible on a number of occasions for some time.

Since the discovery that the drug sildenafil, or Viagra, affected penile erections, most people have become aware that ED is a treatable medical condition.

Men who have a problem with their sexual performance may be reluctant to talk with their doctor, seeing it can be an embarrassing issue.

However, ED is now well understood, and there are various treatments available.

Fast facts on erectile dysfunction:

Erectile dysfunction (ED) is defined as persistent difficulty achieving and maintaining an erection sufficient to have sex.

Causes are usually medical but can also be psychological.

Organic causes are usually the result of an underlying medical condition affecting the blood vessels or nerves supplying the penis. Numerous prescription drugs, recreational drugs, alcohol, and smoking, can all cause ED.

Causes

Normal erectile function can be affected by problems with any of the following systems:

blood flow

nerve supply

hormones

Physical causes

It is always worth consulting a physician about persistent erection problems, as it could be caused by a serious medical condition.

Whether the cause is simple or serious, a proper diagnosis can help to address any underlying medical issues and help resolve sexual difficulties.

The following list summarizes many of the most common physical or organic causes of ED:

heart disease and narrowing of blood vessels

diabetes, high blood pressure, high cholesterol,

obesity and metabolic syndrome

Parkinson’s disease

multiple sclerosis

hormonal disorders including thyroid conditions and testosterone deficiency

structural or anatomical disorder of the penis, such as Peyronie disease

smoking, alcoholism, and substance abuse, including cocaine use

treatments for prostate disease

surgical complications

injuries in the pelvic area or spinal cord

radiation therapy to the pelvic region

Atherosclerosis is a common cause of blood flow problems. Atherosclerosis causes a narrowing or clogging of arteries in the penis, preventing the necessary blood flow to the penis to produce an erection.

Numerous prescription medications can also cause ED, including those below. Anyone taking prescription medications should consult their doctor before stopping or changing their medications:

drugs to control high blood pressure

heart medications such as digoxin

some diuretics

drugs that act on the central nervous system, including some sleeping pills and amphetamines

anxiety treatments

antidepressants, including monoamine oxidase inhibitors (MAOIs), selective serotonin reuptake inhibitors (SSRIs), and tricyclic antidepressants

opioid painkillers

some cancer drugs, including chemotherapeutic agents

Physical causes account for 90 percent of ED cases

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