Erectile Dysfunction

Overview

ED, or impotence, is when you cannot get or keep an erection for sexual activity.

Erectile dysfunction (impotence) is the inability to get and keep an erection firm enough for sex.

Erectile dysfunction (ED), also known as impotence, is the inability to achieve or maintain an erection firm enough for sexual intercourse. While occasional erection difficulties are normal, persistent ED can impact confidence, relationships, and overall health. It may also signal underlying conditions such as heart disease or diabetes, requiring medical attention.

Common Causes of Erectile Dysfunction

Erectile dysfunction can result from a variety of factors, often a combination of physical and psychological elements. Here are some of the most common causes:

1. Physical Causes
  • Cardiovascular Disease - Poor blood circulation restricts blood flow to the penis.
  • Diabetes - High blood sugar damages nerves and blood vessels, leading to ED.
  • Obesity - Excess weight disrupts hormone balance and blood circulation.
  • Hormonal Imbalances - Low testosterone can impact sexual function.
  • Neurological Disorders - Conditions like Parkinson’s disease or multiple sclerosis affect nerve signals.
  • Medications - Certain drugs for high blood pressure, depression, or anxiety can worsen ED.
2. Psychological Causes
  • Stress & Anxiety - Work pressure or performance anxiety can affect arousal.
  • Depression - Mental health struggles can lower libido.
  • Relationship Issues - Emotional distance or unresolved conflicts can lead to ED.

Erectile Dysfunction Symptoms

The primary symptom of erectile dysfunction is the inability to achieve or maintain an erection firm enough for sexual intercourse. This issue can manifest in several ways:

  • Trouble getting an erection
  • Difficulty maintaining an erection during sex
  • Reduced sexual desire
  • Fewer or weaker morning erections

Early Warning Signs

While ED symptoms often appear suddenly, there may be subtle signs that indicate an increased risk:

  • Declining libido
  • Increased fatigue and stress
  • Fewer morning erections

ED diagnosed

Your healthcare provider will ask about your symptoms, medical history, and medicines. He or she will examine your abdomen, penis, and testicles. A rectal exam may also be done to check for an enlarged prostate. Blood and urine tests are done to check for medical conditions that may have caused your ED. You may also need tests to check your blood flow and nerve function

A healthcare provider may conduct several tests to determine the cause of ED:

  • Physical Exam - Checking the penis, testicles, and nerve function.
  • Blood Tests - Identifying conditions like diabetes, low testosterone, or heart disease.
  • Urine Tests - Screening for diabetes and other health issues.
  • Ultrasound - Assessing blood flow to the penis.
  • Psychological Evaluation - Checking for depression, anxiety, or other mental health concerns.

Erectile Dysfunction Treatments

The treatment of erectile dysfunction depends on the underlying cause and can involve a variety of approaches, including lifestyle changes, medications, therapy, and, in some cases, surgery.

1. Lifestyle Changes for Better Erectile Function
  • Exercise Regularly - Improves circulation and boosts testosterone levels.
  • Eat a Healthy Diet - Nutrient-rich foods promote heart health.
  • Quit Smoking - Enhances blood flow.
  • Limit Alcohol -Excessive drinking can contribute to ED.
2. Erectile Dysfunction Medications

One of the most effective ED treatment options is PDE5 inhibitors, which improve blood flow to the penis.

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  • Sildenafil (Viagra) - Effective for up to 4 hours.
  • Vardenafil (Levitra) - Similar to Viagra, with a slightly longer effect.
  • Avanafil (Spedra) - Acts faster than other options.
  • Penile Injections - Medications like Alprostadil directly stimulate erections.
  • Hormone Therapy - For men with low testosterone levels.

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3. Therapy & Counselling
  • Cognitive-Behavioural Therapy (CBT) - Helps manage performance anxiety.
  • Sex Therapy - Helps couples overcome intimacy challenges.

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