Health

Erectile dysfunction (ED) is more common than many people think. It can affect your sexual desire and performance in bed, as well as your relationship with your partner.

Many health conditions can cause ED, such as diabetes, heart disease, high blood pressure and spinal cord injury. Your doctor may interview you and your partner, as well as order lab tests and perform a penile ultrasound.

Physical Problems

Men who have trouble getting and keeping erections that are firm enough for sexual intercourse should see their health care provider. This may seem embarrassing, but honest answers can help find the cause and lead to better treatment. The health care provider will ask questions about the desire for sex, erection strength, and how often it occurs. They will also want to know about any medications, over-the-counter or prescription, you are taking. Some medicines, especially those used for high blood pressure or heart disease, can cause ED. If you are taking these, your doctor will need to lower the dose or switch to a different medicine. Some other ED medicine like:

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Men of all ages can develop erectile dysfunction. However, the symptoms can be more severe in older adults. Symptoms usually start after age 40 and are more common with increasing age. Erectile problems are more likely in men who smoke, have diabetes or are overweight. They are also more common in people who have had surgery or radiation to the pelvic area due to cancer or other health conditions.

Occasional erectile dysfunction is not uncommon and can be caused by stress, nutritional or lifestyle changes, or medicines. Treatment aims to improve erections, enhance blood flow and improve quality of life. Medications such as sildenafil (sold as Viagra) are very successful in treating ED. Vacuum pumps that encourage blood to flow to the penis, causing an erection, are also effective in most cases. They are available online and from some pharmacies.

Emotional Issues

A surprisingly common reason for erectile dysfunction in men is emotional issues. Men often develop a low self-esteem because of problems with sex, and they might become emotionally distant from their partner, which can damage their relationship.

Men also sometimes suffer from anxiety about sex, which can affect their performance and cause them to worry that their partner will be angry. Low hormone levels can also affect a man's ability to get an erection, and hormonal replacement therapy is available in the form of gels, creams, patches, injections or pellets.

Getting an erection requires that the brain, nerves, hormones and blood vessels all work together. Almost everyone experiences problems with sex from time to time, but persistent erection problems are not normal and should be investigated by a doctor.

In the majority of cases, a medical professional will be able to diagnose the cause of a person's erectile problems by running a series of tests and examining the penis in detail. These will include checking for nocturnal erections (by looking at whether postage stamps placed on the penis before bed snap off during the night) and measuring the blood flow to the area with a simple tool called a Doppler stethoscope. They may also run a variety of blood tests to check for heart problems, diabetes and low testosterone.

Medications

Medications that affect the blood vessels of the penis and other parts of the body can cause erectile dysfunction. These include some psychiatric drugs, such as antidepressants and antipsychotics. High blood pressure medications can also cause ED by decreasing the flow of blood to the penis and other areas needed for an erection. Other medications can trigger ED, including some antibiotics and pain relievers. It is important to tell your doctor if you are taking any medication and have erectile dysfunction.

Getting an erection requires that the brain, nerves, hormones and blood vessels work together. Most erection problems have a physical cause and not just "all in the head." Some of these causes are age-related, but others are caused by surgery or treatment for cancers in the prostate, colon or pelvis.

In most cases, a primary care provider or Urologist can treat erectile dysfunction. They will ask questions about your medical history and do a physical exam. The exam will focus on the genital area and may involve a rectal exam to check for a prostate problem. The provider will also take your heart rate, pulses in the arms and legs, and blood pressure. They will check the condition of your erections and may order lab tests or refer you to a specialist. They will talk to you about how your erectile dysfunction is affecting your relationship and what treatment options are available.

Lifestyle Changes

A man's body is a complex system that can be impacted by the environment in which he lives, what he eats, his level of stress and even his relationship with his partner. Men who have an awareness of their bodies and a willingness to learn about the way that they work are in a much better position to spot changes that may indicate problems, such as erectile dysfunction.

The good news is that there are a number of lifestyle changes that can be made in order to reduce ED symptoms, including reducing alcohol intake to no more than two drinks per day as this may actually increase erections. Smoking should also be stopped as this can have an adverse impact on the blood vessels that are associated with erections. Keeping up with regular physical activity and a healthy diet can also help to improve ED symptoms.

In addition, a healthy heart can aid in the treatment of ED as it is often caused by clogged arteries. Exercise can be beneficial and taking medication to keep blood pressure low can also help. If a person believes that his erection problems may be due to a drug he is taking, he should speak with his doctor as it could be a sign that the medicine needs to be changed or lowered in dosage.