What is Erectile Dysfunction (Impotence)?
Erectile dysfunction (ED) is the inability to get or sustain an erection strong necessary for sexual intercourse. It is sometimes referred to as impotence although this term is less commonly used now.
It’s not unusual to sometimes ed. Most men experience this during stressful times. Nonetheless, regular ED can be a symptom of health problems that require treatment. It can also be a sign of emotional or relationship problems which a specialist may need to tackle.
What causes an erection?
ED may occur at any stage of the erection process, due to problems. An erection is a result of increased blood flow to your penis. Blood flow is usually stimulated either through sexual thoughts or through direct contact with the penis.
When a man becomes sexually aroused, the penile muscles relax. It makes an increased blood flow through the penile arteries, filling the penis with two chambers. When blood fills the chambers the penis becomes erect.
An erection ends when muscles contract and the blood that has accumulated can flow through the penile veins.
Erectile dysfunction causes
There are many possible causes of ED, and both emotional and physical conditions may be involved. Different causes encompass:
- cardiovascular disease
- diabetes
- hypertension, or high blood pressure
- high cholesterol
- obesity
- low testosterone levels or other hormone imbalances
- relationship problems
- certain prescription medications, such as those used to treat high blood pressure or depression
- kidney disease
- increased age
- stress
- anxiety
- depression
- sleep disorders
- drug use
- consuming too much alcohol
- using tobacco products
- certain health conditions, such as Parkinson’s disease or multiple sclerosis (MS)
- damage to the pelvic area through injury or surgery
- Peyronie’s disease, which causes scar tissue to develop in the penis
ED can be caused by just one or several of these factors. That’s why working with your doctor is important, so they can rule out or treat any underlying medical conditions.
Erectile dysfunction treatment
Treatment for ED will depend on the cause that underlies it. A combination of treatments, including medication, or talk therapy, may need to be used.
Medications
sildenafil (Kamagra)
tadalafil (Tadacip)
avanafil (Stendra)
vardenafil (Levitra, Staxyn)
Another medication that can be used for treating ED is Alprostadil (Caverject, Edex, MUSE). It can be given in two ways: as a suppository to the penile or as a self-injection on the base or side of the penis.
Testosterone therapy (TRT) may also be recommended when you have low testosterone levels.
Medicines used to treat certain conditions may cause ED. Talk to your doctor about your medications and if they may cause symptoms. Then there may be others you can take. Never stop taking medication before talking to your doctor first.
Talk therapy
A number of psychological factors can cause ED, including:
- stress
- anxiety
- post-traumatic stress disorder (PTSD)
- depression
When you have clinical ED, talk therapy can be of use. You and your psychiatrist will discuss over several sessions:
- major stress or anxiety factors
- your feelings around sex
- subconscious conflicts that could be affecting your sexual well-being
When ED affects the relationship, consider considering talking to a counselor for the relationship. Relationship counseling can emotionally help you and your partner bond, which may also support your ED. Explore how stress and anxiety impact ED.
Vacuum pumps
This technique uses vacuum energy to induce an erection. As the tool is used, blood is drawn into the penis which leads to an erection.
A vacuum pump unit is composed of several components:
- a plastic tube, which you place over your penis
- a pump, which works to create the vacuum by drawing air out of the plastic tube
- an elastic ring, which you’ll move to the base of your penis as you remove the plastic tube
The elastic ring works to maintain the erection, to preserve the blood in the penis and to prevent it from returning to circulation. It may stay in place for 30 minutes. Read more on and how to use the vacuum pumps.
Erectile dysfunction symptoms
You may have ED if you regularly have:
- trouble getting an erection
- difficulty maintaining an erection during sexual activities
- reduced interest in sex
Other sexual disorders related to ED include:
- premature ejaculation
- delayed ejaculation
- anorgasmia, or the inability to achieve orgasm after ample stimulation
Talk to your doctor if you have any of those symptoms, especially if they last for 3 months or longer. They will help determine whether an underlying condition needing medication is causing the symptoms.
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