Erectile dysfunction is the inability to get and maintain an erection sufficient for sex.

Having erection problems from time to time is not necessarily a cause for concern. However, if erectile dysfunction is an ongoing challenge, it can cause stress and affect your self-confidence and contribute to relationship problems. In addition, problems to obtain or maintain an erection may also indicate the ground state of health that needs treatment and risk factors for cardiovascular disease in the future.

If you are concerned about erectile dysfunction, talk to your doctor – even if you’re confused. Sometimes treatment is a primary condition sufficient to reverse erectile dysfunction. Other cases may require medication or other treatments directly.

flaccid and erect penis

The penis contains two cylindrical, sponge-like structures. When a man becomes sexually aroused, nerve impulses increase blood flow to both cylinders. This sudden blood flow causes an erection by increasing straightening and stiffening the penis.


Causes of Erectile Dysfunction

Erectile Dysfunction Causes –  Male sexual arousal is a complex process that involves the brain, hormones, emotions, nerves, muscles, and blood vessels. ED can result from a problem with any of them. Similarly, stress and mental health problems can cause or worsen erectile dysfunction.

Sometimes a combination of physical and psychological problems causes erectile dysfunction. For example, a minor physical condition that slows your sexual response may cause anxiety about maintaining an erection. The result may lead to anxiety or impair erectile dysfunction.


Physical causes

In most cases, erectile dysfunction is caused by something physical. Common causes include:

  • Cardiovascular diseases
  • Clogged blood vessels
  • High cholesterol
  • High blood pressure
  • Diabetes
  • Obesity
  • Metabolic syndrome – a condition, including high blood pressure, high insulin levels, body fat around the waist, and high cholesterol
  • Parkinson’s disease
  • Multiple sclerosis
  • The development of scar tissue inside the penis
  • Some prescription medications
  • Tobacco use
  • Alcoholism and other forms of substance abuse
  • Sleep disturbances
  • Treatment of prostate cancer or an enlarged prostate
  • Surgery or trauma, which affects the pelvic area or spinal cord


Psychological causes

the brain plays a key role in the launch of a series of physical events that cause an erection, since feelings of sexual arousal. A number of things can interfere with sexual feelings and cause or worsen erectile dysfunction. These include:

  • Depression, anxiety, or other mental health conditions
  • Stress
  • Relationship problems due to stress, poor communication, or other problems


Erectile dysfunction


Erectile dysfunction Symptoms

Erectile dysfunction symptoms may include persistent:

  • The problem of obtaining an erection
  • Issues with maintaining an erection
  • Decreased sex drive


When to see a doctor

A family doctor is an excellent place to start when you have problems with erection dysfunction. See your doctor if:

  • Do you have concerns about your erections, or do you experience other sexual problems, including ejaculatory dysfunction, such as premature or delayed ejaculation
  • Do you have diabetes, heart disease, or other known medical condition that may be associated with erectile dysfunction
  • You have other symptoms along with erectile dysfunction.


Risk factors for erectile dysfunction

You may need a more direct touch to your penis to get and maintain an erection. This may indicate the basis of health status lie or be the result of medication.

Different risk factors can contribute to erectile dysfunction, including:

  • Medical conditions, in particular, heart disease or diabetes
  • Tobacco use, Which restricts the flow of blood to the veins and arteries, may – over time, cause chronic conditions that lead to erectile dysfunction
  • Excess, especially if you are obese
  • Some medical procedures Such as prostate surgery or radiation therapy for cancer
  • Wounds, particularly if they damage the arteries or nerves that control erections
  • drugs including antidepressants, antihistamines, and medications to treat high blood pressure, pain, or prostate conditions
  • Psychological conditions, Such as stress, anxiety, or depression
  • Drug and alcohol use, especially if you are a long-term drug addict or a drunk
  • Long bike, Which can compress nerves and affect blood flow to the penis, can cause temporary or permanent erectile dysfunction

Erectile dysfunction complications

Erectile dysfunction complications resulting from erectile dysfunction may include:

  • Unsatisfactory sex life
  • Stress or anxiety
  • Embarrassment or low self-esteem
  • Relationship problems
  • Inability to get your partner pregnant


Erectile Dysfunction Tests and diagnosis

For many men, a physical exam and questions are necessary for a doctor to diagnose ED and recommend treatment. However, if you have a chronic illness or your doctor suspects that an underlying disease may be involved, you may need additional tests or consultations with a specialist. Tests for underlying conditions may include:

  • Physical exam – This may consist of a thorough study of the penis and testicles and test your nerves at the sensation.
  • Blood tests – A blood sample may be sent to a laboratory to check for signs of heart disease, diabetes, low levels of testosterone, and other diseases.
  • Analysis of urine – Like blood tests, urine tests are used to look for signs of diabetes and other primary health conditions.
  • Ultrasound – This test is usually performed in a specialist office. It involves the use wand-like device held within the blood vessels supplying the penis. This creates a video to allow your doctor to see if you have circulation problems. This test is sometimes done in conjunction with the administration of drugs to the penis to stimulate blood flow and produce an erection.
  • Overnight erection test – Most men erections during sleep, not remembering them. This simple test involves wrapping a particular device around your penis before you go to sleep. This device measures the number and numerical erection, which is achieved overnight. This can help determine if your erectile dysfunction is associated with psychological or physical causes.
  • Psychological exam – Your doctor may ask questions to identify depression and other possible psychological causes of erectile dysfunction.


Erectile Dysfunction Treatments and drugs

Your doctor will first make sure you get the proper treatment for any health conditions causing or worsening erectile dysfunction.

Depending on the cause and severity of your erectile dysfunction and any underlying health condition, you can have various treatment options. Your doctor can explain the risks and benefits of each treatment and will consider your preferences. Preferences from your partner may also play a role in your choice of treatment.


Oral medications

Oral medications are successful in erectile dysfunction treatment for many men. They include:

  • Sildenafil
  • Tadalafil
  • Vardenafil
  • Avanafil

All four drugs enhance the action of nitric oxide – a natural chemical your body produces that relaxes the penile muscles. As a result, it increases blood flow and allows to achieve an erection in response to sexual stimulation.

Taking one of these tablets will not automatically produce an erection. Sexual arousal, you must first cause the release of nitric oxide from the nerves to your penis. These drugs enhance the signal, allowing the men to function normally. Oral erectile dysfunction drugs are not aphrodisiacs, will not cause excitement, and do not need men who get a normal erection.

Medications vary in dosage, how long they work, and side effects. Possible side effects include flushing, stuffy nose, headache, visual changes, back pain, and indigestion.

Your doctor will consider your specific situation to determine which drug might work better. These drugs can not fix erectile dysfunction immediately. You may need to work with your doctor to find the proper medication and dosage for you.

Before taking any medication for erectile dysfunction, including over-the-counter supplements and herbal medicines, get your doctor’s OK. Medications for erectile dysfunction may not work or may be dangerous if you are:

  • Take nitrate drugs – usually prescribed for chest pain – such as nitroglycerin, isosorbide mononitrate, and isosorbide dinitrate.
  • There is external blood pressure or uncontrolled high blood pressure.
  • There is severe liver disease.
  • Have kidney disease that requires dialysis


Other medications

Other drugs for the treatment of erectile dysfunction include:

  • Alprostadil urethral suppository

Intraurethral alprostadil therapy involves placing a tiny alprostadil suppository inside your penis penile urethra. You can use a unique applicator to insert a suppository into the urethra of your penis. The erection usually begins within 10 minutes and lasts 30 to 60 minutes. Side effects may include:

  • Pain.
  • Minor bleeding in the urethra.
  • The formation of fibrous tissue inside your penis.


Penis pumps, surgery, and implants

If medications are not effective or appropriate in your case, your doctor may recommend other treatment. Other treatments include:

  • Penis pumps

The penis pump is a hollow tube with a hand-powered or battery-powered pump. The box is placed over your penis, and then the pump is used to suck the air inside the pipe. This creates a vacuum that pulls blood into your penis. Once you get an erection, you slip a tension ring around the base of the penis to keep the blood and keep it firm. Then, remove the vacuum device.

The erection typically lasts long enough for a couple to have sex. You remove the tension ring after intercourse. Bruising of the penis is a possible side effect and will be limited to the ejaculation group. In addition, your penis may feel cold to the touch.

If the penis pump is a good treatment choice for you, your doctor may recommend or prescribe a particular model. Thus, you can be sure that it suits your needs and that this is done with the help of a reputable manufacturer. Unfortunately, penis pumps are available in magazines, and sex ads may not be safe and effective.

  • Penile implants

This procedure involves surgically placing devices on either side of the penis. These implants are made of semi-rigid or inflatable rods. Inflatable devices allow you to control when and how long you have an erection. The semi-rigid rods keep your penis firm but bendable. Penile implants are generally not recommended as other methods have been tried first. Implants have a high degree of satisfaction among men who have tried and failed more conservative therapies. However, as with any surgery, there is a risk of complications such as infection.

  • Vascular surgery

Occasionally, a leak or obstruction of blood vessels can cause erectile dysfunction. In this case, surgical intervention may be necessary, such as bypass surgery or vascular stenting procedure.


Psychological counseling

If erectile dysfunction is caused by stress, anxiety, or depression – or the condition that creates stress and relationship tension – your doctor may suggest that you, or you and your partner, visit a psychologist or counselor

battery-powered penis pump for an erectile dysfunction

penis pump. Used for taking blood into the penis to create an erection. Then place the rubber ring around the base of the penis to maintain the erection.


Erectile Dysfunction Lifestyle and home remedies

For many men, erectile dysfunction is caused or exacerbated by lifestyle choices. Here are some steps that might help:

  • If you smoke, stop smoking. If you are having trouble quitting, get help. Try Nicotine, such as over-the-counter chewing gum or lozenges, or ask your doctor about prescription medications that can help you quit smoking.
  • Lose excess pounds. Being overweight can cause – or worsen -. erectile dysfunction
  • Include physical activity in your daily life exercise can help with the primary conditions that play a role in erectile dysfunction in several ways. For example, reducing stress, helping you lose weight, and increasing blood flow.
  • Get treatment for alcohol or drugs. Drinking too much or taking certain illicit drugs can worsen erectile dysfunction directly or causing long-term health problems.
  • You are working through relationship issues. Consider couples or marriage counseling if you have any problems to improve communication with your partner or when working through issues on your own.


Erectile dysfunction Coping and support

Whether the cause is physical, psychological, or a combination of both, erectile dysfunction can be a source of mental and emotional stress for you and your partner. Here are some steps you can take:

  • Do not think that you have long-term problems – Do not watch the occasional erection problems as a reflection of your health. or masculinity, and can not automatically rely on the erection trouble again during your subsequent sexual encounter. Cause anxiety, which can make erectile dysfunction worse.
  • Involve your sexual partner – Your partner may see your inability to get an erection as a sign of low sexual interest. Your confirmation that this is not the case can help. Communicate openly and honestly about your condition. Treatment is often more successful when people involve their partners.
  • Do not ignore stress, anxiety, or other mental health problems – Talk to your doctor or contact your mental health to address these issues.


Erectile Dysfunction Prevention

The best way to prevent erectile dysfunction to make healthy lifestyle choices, and manage existing health conditions. For example:

  • Work with your doctor to manage diabetes, cardiovascular disease, and other chronic health conditions.
  • See your doctor for regular checkups and medical screening tests
  • Quit smoking, limit or avoid alcohol, and do not use illegal drugs.
  • Exercise regularly.
  • Take steps to reduce stress.
  • Get help for anxiety, depression, or other mental health problems.


Erectile dysfunction Preparing for your appointment.

You will probably start to see your family doctor or general practitioner. Depending on your specific health problems, you can go directly to a specialist, such as a doctor specializing in male sexual issues or a doctor specializing in hormonal systems.

It can be brief, and there’s often much ground to cover; it’s a good idea to be well prepared. Here is some information to help you prepare and know what to expect from your doctor


What can you do

Take these steps to prepare for the appointment:

  • Ask what you need to do ahead of time. When you make the appointment, be sure to ask if anything needs to be done in advance. For example, your doctor may ask you not to eat before having a blood test.
  • Write down any symptoms you’ve had, including any that may not appear associated with erectile dysfunction.
  • Write down critical personal information, including the recent change of life or the principal stresses.
  • Make a list of all the medicines, vitamins, herbal remedies, and supplements that you take.
  • Take your partner along, if possible. Your partner can help you remember something that you missed or forgot during the assignment

For erectile dysfunction, some basic questions to ask your doctor include:?

  • What is the most likely cause of my problems with erection
  • Is my erectile dysfunction expected temporary or chronic?
  • What are other possible causes
  • What tests do I need?
  • What’s the best treatment?
  • What is the alternative to the primary approach that you’re suggesting?
  • How can I best manage other health conditions with my erectile dysfunction?
  • Whether there are any restrictions that I need to follow?
  • Should I see a specialist? What will it cost, and will the visit be covered by my insurance?
  • If the drug is prescribed, is there a common alternative?
  • Are there any brochures or other printed material that I can take home with me? What sites do you recommend?

In addition to your prepared questions, do not hesitate to ask additional questions during the interview.


What can we expect from your doctor?

Your doctor may ask you some questions. Be prepared for issues such as:?

  • What other health problems or chronic diseases do you have
  • Have you had any other sexual problems
  • Did you have any changes in sexual desire?
  • Do you get an erection during masturbation, with a partner, or while you are sleeping?
  • Whether there are any problems in your relationship with your sexual partner?
  • Does your partner have any sexual problems?
  • Are you worried, depressed, or under stress?
  • Have you ever been diagnosed with mental health? If yes, then you are currently taking any medications or get psychological advice for him?
  • When did you first begin noticing sexual problems?
  • Do your erection problems occur only occasionally, often, or all the time?
  • What medications are you taking, including any herbal remedies or supplements?
  • Do you drink alcohol? If yes, how many?
  • Do you use any illegal drugs?
  • What, if anything, seems to improve your symptoms?
  • What, if anything, appears to worsen the symptoms?