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Erectile Dysfunction: Causes and Treatment

If you're experiencing erectile dysfunction, don't despair. There are many potential causes and treatments for this condition. Read more to learn about what might be causing your ED and what you can do to treat it.

Causes and Treatment of Erectile Dysfunction

Erectile dysfunction (ED) is the inability to develop or maintain an erection of the penis during sexual performance. Symptoms may also include reduced sexual desire or libido. Your doctor is likely to diagnose you with ED if the condition lasts for more than a few weeks or months. ED affects as many as 30 million men in the United States.

Causes

Many different factors affecting your vascular system, nervous system, and endocrine system can cause or contribute to ED. Although you are more likely to develop ED as you age, aging does not cause ED.

Possible physical causes of ED include:

  • Vascular (blood vessel) disease — Erections happen when blood fills two chambers inside the penis. This process is controlled by the nervous system. Vascular disease can limit the amount of blood flowing to or staying in these chambers.
  • Diabetes — Diabetes can damage the nerves that control erections and blood flow to the penis.
  • Injuries or surgery that affects the spinal cord or pelvic area — Anesthesia of the lower spinal cord may affect nerve function and cause temporary ED.
  • Certain medications — Medications used to treat high blood pressure, depression, anxiety, and other psychiatric disorders can cause ED.

Treatment

If you have trouble getting or keeping an erection more than 25% of the time, it is considered a problem. There are a number of ways to treat erectile dysfunction, depending on its cause.

Treatments for erectile dysfunction include:

  • Oral medications — PDE5 inhibitors are often the first line of treatment for erectile dysfunction. These include sildenafil (Viagra), vardenafil (Levitra, Staxyn), tadalafil (Cialis) and avanafil (Stendra). These medications work by blocking an enzyme called phosphodiesterase type 5. They also increase blood flow to the penis. In some men, these medications can cause unwanted side effects, such as headaches, flushing, indigestion, and a stuffy nose.
  • Injections — Medications injected into the penis can cause an erection. The medications used are papaverine, alprostadil (Caverject Impulse, Edex) and phentolamine (Regitine). These medications work by widening the blood vessels, causing the penis to fill with blood.
  • Urethral suppository — This medication is a very tiny pellet placed into the tip of the penis before intercourse. The pellet contains alprostadil; as it melts, the drug is absorbed into the urethra and activates a chemical that relaxes the blood vessels, allowing blood to flow into the penis.
  • Vacuum device — The penis pump pulls blood into the penis and holds it there. The man then puts on a rubber ring to keep the blood from flowing out of the penis back into the body.
  • Penile implants — In cases where medications and vacuum devices do not work, penile implants may be an option. Implants are surgically placed in the penis, and can provide a permanent solution to erectile dysfunction.

Lifestyle changes

If you smoke, quitting smoking can help prevent ED. If you have diabetes, keeping your blood sugar levels under control can help prevent ED. If you are overweight, losing weight can help reduce your risk of ED. If you are

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