Do you experience Erectile dysfunction? here are the causes and treatments.
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 mellitus, 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.
The most common organic causes are cardiovascula
Erectile dysfunction is frequently encountered in patients with underlying cardiovascular disease. Therefore, the physician should inquire about the presence of risk factors for cardiovascular disease, including smoking, hypertension, diabetes mellitus, and hyperlipidemia. These risk factors should be addressed as part of the initial evaluation.
In addition, a comprehensive evaluation should include a medical and psychosocial history, a physical examination, and laboratory testing. A simple office-based test to screen for ED is the “Doppler ultrasound of the penile vessels.”
Treatment of erectile dysfunction depends on the underlying cause. In some cases, such as with psychological impotence, counseling may be useful. In other cases, medications may be needed.
Oral therapies currently available include:
- sildenafil (Viagra),
- vardenafil (Levitra),
- tadalafil (Cialis), and
- avanafil (Stendra).
These agents are effective in about 70% of men with erectile dysfunction. They are generally well tolerated and have few serious side effects.
If oral therapies do not work, other options include:
- intracavernosal injection therapy,
- vacuum constriction devices,
- penile prosthesis, and
- arterial surgery.
These are more invasive and are generally used only as a last resort.
There is no sure way to prevent erectile dysfunction. However, there are things that can be done to reduce the risk. These include:
- Quit smoking
- Exercise regularly
- Eat a healthy diet
- Maintain a healthy weight
- Manage stress
- Limit alcohol intake
- Get enough sleep
If you have diabetes, control your blood sugar levels. If you have high blood pressure, talk to your doctor about ways to lower it. These lifestyle changes can help to prevent ED.