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Erectile Dysfunction: Causes and Solutions

Welcome to our site. Here you will find information on erectile dysfunction and how to treat it. We invite you to read our articles and learn more about this condition. Thank you for visiting us.

What CAUSES Erectile Dysfunction (ED)? – Part 1 of 3

Erectile dysfunction (ED) is the inability to get or keep an erection firm enough to have sexual intercourse. It can be a total inability to achieve an erection, an inconsistent ability to do so, or a tendency to sustain only brief erections.

Causes of erectile dysfunction (ED)

Erectile dysfunction (ED), or impotence, is the inability to obtain or maintain an erection sufficient for intercourse. Although most men occasionally fail to get an erection, or lose one prematurely during sexual activity, some men suffer from these problems regularly.

Sexual dysfunction refers to a problem during any phase of the sexual response cycle that prevents the individual or couple from experiencing sexual satisfaction. While sexual dysfunction occurs in both men and women, it is more common in men.

There are three types of erectile dysfunction:

  • Primary ED – You have never been able to achieve or sustain an erection.
  • Secondary ED – You previously were able to achieve and sustain an erection, but now you are no longer able to do so.
  • Situational ED – You can achieve and sustain an erection most of the time, but not every time you attempt sexual intercourse.

Many men experience ED as they age. The incidence of erectile dysfunction increases with age. It is estimated that about 1 in 10 adult males suffer from ED on a long-term basis.

Erectile dysfunction can result from a number of causes. Physical causes include:

  • Cardiovascular disease
  • Diabetes
  • High blood pressure
  • High cholesterol
  • Obesity
  • Parkinson’s disease
  • Metabolic syndrome – a combination of abdominal obesity, high blood pressure, high cholesterol and insulin resistance
  • Multiple sclerosis
  • Peyronie’s disease – the development of scar tissue inside the penis
  • Cigarette smoking
  • Substance abuse, including alcohol, cocaine, and heroin
  • Side effects of prescribed medications
  • Sleep disorders

Psychological causes of erectile dysfunction include:

  • Anxiety
  • Depression
  • Relationship problems due to stress, poor communication, or other concerns

In some cases, erectile dysfunction is the result of a combination of physical and psychological causes.

Erectile dysfunction can have a negative impact on your overall quality of life. It can cause relationship problems, anxiety, and low self-esteem. If you are concerned about erectile dysfunction, talk to your doctor. Your doctor can help you identify the cause of your erectile dysfunction and recommend treatment options.

In honor of Father’s Day, Dr. Christy starts a 3-part series on Erectile Dysfunction. The 3 parts will include:

Part 1 – Causes of ED

Part 2 – Evaluation of ED

Part 3 – Treatment of ED

Illustrations used:

urologyhealth.org/urology…

byjus.com/biology/spinal-cord/

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Video transcription:

Hi and welcome to another edition of your health with dr christie, my name is dr christy reisinger and today we’re going to talk about erectile dysfunction as a general internal medicine, doctor, otherwise known as a pcp or primary care physician I get asked about and treat erectile dysfunction or ed quite a bit. I often know when a male patient wants to talk to me about treatment for ed, because they often wait until my hand is on the door as I’m exiting the room to speak up about it. So I often just simply ask patients proactively about it during their annual exams, erectile dysfunction is defined as the consistent or recurrent inability to acquire or sustain an erection of sufficient rigidity and duration for sexual intercourse. A penile erection involves interactions between many systems within the body, including the circulatory system, nerves, hormones and psychological systems, and when men are having difficulty with an erection, the problem can lie in any or several of these systems. Let’s address each system separately and discuss what problems can occur. Let’s start with a circulatory system. Normal erections require normal blood flow into the penis and normal dilation or relaxation of certain areas of the penis to allow for increased blood flow. When one of these systems does not work well, either the blood flow to the penis is inhibited or the relaxation mechanism doesn’t work well, erections will not be adequate for sexual activity did that ed can be an early warning sign for cardiovascular disease. This means that you may be at greater risk for things like heart attacks and strokes. This would make sense, because if the penis has difficulty with blood flow to certain areas, the heart or brain also may be having difficulty receiving blood normally. So naturally, since chronic conditions such as diabetes and chronic kidney disease increase someone’s risk for cardiovascular disease, these conditions are also associated with a risk for ed. Basically, anything, that’s bad for your heart is also bad for your penis, so high blood pressure, smoking, elevated cholesterol and obesity also have a higher risk for ed and, conversely, exercise is associated with a lower risk for ed. The next system involved is the neurological system or the nerves. When a man has sensual visual input, nerves send signals to the spinal cord located between the t11 and l2. Another type of erection can occur with touch to the genital area, which sends signals to the sacral spinal area from there impulses travel to the pelvis, which then instructs increased blood flow to the penis. So if a man has had a lower spinal cord injury or stroke, these nerve impulses will be inhibited and erections won’t occur. Furthermore, if a man has had damage to their pelvis from either an accident prostate surgery or radiation treatment, this can also inhibit or damage the nervous system and nerve signals will be damaged. Usually this type of erectile dysfunction develops. Suddenly, there’s a marked decrease in inability to maintain an erection after an event occurs. Next is the role of hormones and testosterone plays the largest part. If a man has low testosterone, his libido or desire for sex will be diminished. Also, testosterone is a hormone necessary to help relax certain areas of the penis, so blood flow can increase to those areas, and next is the role of psychology. Things such as depression, stress and problems within a relationship can all contribute to ed. An ed that develops very suddenly often has an emotional source which can be helped with counseling. It’s important for your doctor to understand whether the issue is stemming from low libido or a lessened desire for sex or whether the desire is there, but they can’t maintain an erection. The treatments are different and I would also add that the rise in pornography use can lead to an increase in erectile dysfunction. If greater and greater visual stimulization is needed to evoke arousal, then physical sex with a human partner just isn’t as stimulating. And lastly, it’s estimated that up to 25 percent of men’s erectile dysfunction may be caused by the medications they’re taking some of these medications include antidepressants, especially the ssris and common blood pressure medications such as thiazide diuretics, such as chlorthalidone or hydrochlorothiazide. Also, alcohol use, especially heavy alcohol use and recreational drugs, are also associated with erectile dysfunction. I’m going to continue this series and tell you more about other aspects of erectile dysfunction in parts 2 and 3 of my series. The next part of the series will be about the evaluation surrounding erectile dysfunction and, lastly, the series will end with how to treat erectile dysfunction. Thanks for joining me.

What users commented:

Sometimes I wish I had erectile dysfunction. So much time wasted on the ‘sinister urge’.

I would like to thank #drosaye for all the time he had to put into his work,I’m unable to stop thinking of how I could continue living with the erectile dysfunction,however what’s destined to be will be, I kept praying and also receiving marital support and energy, and my prayers were answered through Dr osaye,I’m considering he’s just the better doctor and I recommend him.

I definitely wouldn’t have this issue if this beauty was around.

I don’t even married yet

#BoycottMeat and all other animal products of cruelty and exploitation in any way possible!

I’m a middle-aged guy. When I start flirting with young women in shops I have the opposite problem. Vitamin C really helps keep those arteries clear.

Damnnnnnn DR. thats me I’m having problems and I take that high blood pressure medicine hydrochlorothiazide. Damnnnnnn this mess is hurting my relationship.Dr. what can I do i need help

Hi Cindy! :* <3
I’m Erwin from Hunedoara, Transylvania, Romania.
Born in the year 1976.

I want to send you an e-mail with what I want to ask you, a short question, but it has to do with sexual energy, to call it here in the comments like this.

I thank you from the bottom of my heart.

Honestly, Erwin.

It sounds like you’re talking about the recent jab. Wasn’t mayocarditis on top of the list of side effects.

Great info Dr C many thanks

Thank you for presenting this information for general consumption. As an
“old guy
” I actually welcome no erection. When I was much younger it seemed like I would have a partial erection all the time.

Thank you for addressing this topic, Dr. Christy. As always, your knowledge and reassuring delivery of information will be helpful to people.