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Understanding erectile dysfunction

Erectile dysfunction (ED) is a common condition affecting millions of men, with prevalence exceeding 50% in those over 50.2 It is characterized by the inability to achieve or maintain an erection firm enough for sexual intercourse. ED can be caused by a variety of factors, both physical and psychological.

Types of erectile dysfunction3

Erectile dysfunction (ED) can be classified into several types based on the underlying cause:

  • Vascular ED: Caused by issues with blood vessels that supply the penis
  • Neurogenic ED: Results from nerve problems affecting signals from the brain to the penis
  • Hormonal ED: Typically due to hormonal imbalances, such as low testosterone levels
  • Psychogenic ED: Often linked to psychological factors like stress, anxiety, or depression

Erectile dysfunction symptoms1-3

Erectile dysfunction (ED) is a common condition characterized by the inability to achieve or maintain an erection firm enough for sexual intercourse. It can significantly impact a person’s quality of life and relationships.

Common symptoms of erectile dysfunction include:
  • Difficulty achieving or maintaining an erection
  • Decreased sexual desire
  • Difficulty achieving orgasm

Erectile dysfunction causes1-3

Erectile dysfunction (ED) can be caused by a variety of factors, both physical and psychological. While aging can increase the risk of ED,  it can also occur at any age.

Physical causes:
  • Vascular issues: Conditions like atherosclerosis (hardening of the arteries) and diabetes can impair blood flow to the penis.
  • Nerve damage: Neurological conditions like multiple sclerosis or spinal cord injuries can interfere with the nerve signals necessary for erections.
  • Hormonal imbalances: Low testosterone levels can contribute to ED.
  • Medical conditions: Certain medical conditions, such as heart disease, high blood pressure, and prostate problems, can increase the risk of ED.
  • Medications: Some medications, including those for high blood pressure, heart conditions, anxiety, depression, and prostate cancer, can have side effects that contribute to ED.
  • Lifestyle factors: Smoking, excessive alcohol consumption, substance abuse, and obesity can increase the risk of ED.
 Psychological causes:
  • Stress, anxiety, and depression: These mental health conditions can significantly impact sexual function.
  • Relationship issues: Communication problems or dissatisfaction with a partner can contribute to ED.
  • Performance anxiety: Fear of failure or inadequacy can hinder sexual performance.

Erectile dysfunction treatments

If you are experiencing symptoms, such as sudden or significant changes in erectile function, several treatment options are available, including:1-3

  • Oral medications: Viagra, Cialis, Levitra, Staxyn, and Stendra are commonly prescribed medications that can help improve erectile function.
  • Suppositories and injections: Alprostadil can be administered as a suppository or injection directly into the penis to help achieve an erection.
  • Lifestyle changes: Quitting smoking, limiting alcohol consumption, maintaining a healthy weight, and exercising regularly can improve overall health and may help address ED.

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References

1National Institutes of Health (NIH). (Last reviewed 2017, July). Erectile Dysfunction. National Institutes of Health (.gov). Retrieved from https://www.niddk.nih.gov/health-information/urologic-diseases/erectile-dysfunction

2MacGill, M. (2024, January 18). Erectile dysfunction: Causes, symptoms, and treatments. Medical News Today. Retrieved from https://www.medicalnewstoday.com/articles/5702

3Gower, T., Mitchell, K., & WebMD Editorial Contributors. (2024, May 21). Understanding erectile dysfunction basics. WebMD. Medically reviewed by Zilpah Sheikh, MD. Retrieved from https://www.webmd.com/erectile-dysfunction/understanding-erectile-dysfunction-basics

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