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Erectile Dysfunction Treatment

Erectile dysfunction (ED), also known as impotence, is a type of sexual dysfunction characterized by the inability to develop or maintain an erection of the penis during sexual activity. ED can have psychological consequences as it can be tied to relationship difficulties and self-image. A physical cause can be identified in about 80% of cases. These include cardiovascular disease, diabetes, neurological problems such as following prostatectomy, and drug side effects. Psychological impotence is where erection or penetration fails due to thoughts or feelings; this is somewhat less frequent, in the order of about 10% of cases. In psychological impotence, there is a strong response to placebo treatment. Apart from its importance as a common and distressing sexual problem, ED may impact a man’s quality of life.

Treatment involves addressing the underlying causes, lifestyle modifications, and addressing psychosocial issues. In many cases, a trial of pharmacological therapy with a PDE5 inhibitor, such as sildenafil, can be attempted. In some cases, treatment can involve inserting prostaglandin pellets into the urethra, injecting smooth muscle relaxants and vasodilators into the penis, a penile prosthesis, a penis pump, or vascular reconstructive surgery.


The most common physical causes of erectile dysfunction are related to circulation and blood pressure. These conditions include heart disease, hypertension, and diabetes. Neurological problems like Parkinson’s disease, multiple sclerosis, and Peyronie’s disease can also cause erectile dysfunction. Surgery to treat prostate or bladder problems can also affect a man’s ability to have erections.

Certain medications can interfere with erections as well. These include some blood pressure medications, antidepressants, and antihistamines. Alcohol, cigarettes, and illegal drugs may also contribute. In some cases, psychological issues like depression, anxiety, or relationship problems can be the main cause. In other cases, there may be no clear reason for the problem.

Risk factors

  • Heart disease: Atherosclerosis (narrowing of the arteries) can cause erectile dysfunction. High cholesterol and high blood pressure (hypertension) are risk factors for atherosclerosis.
  • Diabetes: This is a well-known cause of nerve damage, which can lead to problems with the function of many organs, including the penis.
  • Obesity: Obesity itself can cause erectile dysfunction, because it can lead to type 2 diabetes and atherosclerosis.
  • Metabolic syndrome: This is a combination of risk factors that increase the chances of developing heart disease, stroke, and diabetes.
  • Parkinson’s disease: This disease can cause problems with nerve signals in the brain, which can lead to problems in the genitals.
  • Multiple sclerosis: This disease can cause problems with the nerve signals that control erections.
  • Spinal cord injury: An injury to the spinal cord can cause problems with erections.
  • Peyronie’s disease: This disease can cause the penis to curve, which can make erections painful.
  • Surgery: Surgery, such as surgery for prostate cancer, can sometimes damage the nerves or blood vessels that are needed for erections.
  • Radiation therapy: Radiation therapy, such as for cancer, can sometimes damage
Family Practice Center holds the ED Clinic inside our facilities to treat Erectile Dysfunction. We also have helped hundreds of men enhance their sexual performance. Call our office to get an appointment 956-668-0044