Erectile Dysfunction

Erectile dysfunction (ED) is one of the most common sexual problems in men, especially as men age. ED means that a man cannot achieve or maintain an erection long enough to complete sexual intercourse. It is estimated between 15 to 30 million American men experience ED. Most men have trouble with sexual function now and then, but for some men, it becomes a more frequent and severe problem. Since ED can be an early sign of a more serious condition, such as cardiovascular disease, it’s important for men to get evaluated by their doctors.

Isn’t erectile dysfunction mostly psychological?

Not usually. Although healthcare professionals used to believe that most cases of ED were related to psychological factors like stress, anxiety, or depression, recent studies have shown that the majority of ED cases have a physical cause. That physical cause can be 1) lack of blood flow to the penis, 2) inability of the penis to store blood during an erection, and 3) nerve signals from the brain or spine that don’t reach the penis.

What are some risk factors for erectile dysfunction?

The most common risk factors for ED are being over 50 years old, high blood pressure, diabetes, obesity, smoking, high cholesterol, chronic alcoholism, low testosterone, and cardiovascular disease. Other causes can include depression, anxiety, stress and relationship problems.

How is erectile dysfunction diagnosed?

A doctor will conduct a complete physical exam and take a thorough medical history. Patients should share all their symptoms. In addition, the doctor may perform one or more blood tests to confirm the diagnosis and decide on a course of treatment.

How is erectile dysfunction treated?

The first line of treatment is often medication, such as Viagra, Levitra or Cialis. If the cause of ED is low testosterone, the doctor may prescribe hormone replacement therapy. Finally, if the problem is severe, the doctor may recommend a penile implant or prosthesis.