Erectile dysfunction (ED), also known as impotence, is the inability to get and keep an erection firm enough for sexual intercourse. ED affects as many as 30 million men in the United States.
What causes ED?
There are many potential underlying causes of erectile dysfunction, including:
- Vascular disease: Damage to arteries, smooth muscles, and nerves of the penis can prevent adequate blood flow into the penis. Common causes include atherosclerosis, diabetes, high blood pressure, and high cholesterol.
- Neurologic disease: Multiple sclerosis, Parkinson's disease, strokes, and spinal cord injuries can disrupt nerve signals involved in erections.
- Hormonal disorders: Low levels of testosterone, thyroid problems, and high prolactin levels can reduce sexual desire and cause ED.
- Medications: Blood pressure medications, antidepressants, antipsychotics, and antihistamines are common culprits.
- Lifestyle factors: Excess alcohol, tobacco use, illegal drug use, and obesity contribute to ED. Psychologic conditions like depression, anxiety, and stress can also cause problems.
How is ED diagnosed and evaluated?
The first step is to have an open conversation with your doctor about your symptoms. Your doctor will ask about your medical history and perform a physical exam. Simple blood tests can check for heart disease risk factors like high cholesterol.
Your doctor may order tests to assess blood flow and nerve function in the penis. An ultrasound, MRI, or CT scan can reveal Peyronie's disease or other anatomical problems. Overnight erection tests can monitor erections during sleep. Psychologic exams help identify stress or relationship issues.
What are the treatment options for ED?
Lifestyle changes like exercising, eating healthier, limiting alcohol, and quitting smoking can help in some cases. Treating underlying conditions like diabetes and high blood pressure are also important. For many men, oral ED medications like
sildenafil (Viagra),
tadalafil (Cialis), and
vardenafil (Levitra) are quite effective. These pills improve blood flow to allow erections when sexually aroused.
Other options include vacuum pump devices, injections directly into the penis, urethral suppositories, and penile implants. Sex therapy and counseling can help with psychologic causes of ED. The specialists at
Vitality Hormone Clinic provide personalized, effective treatments to help men regain intimacy and confidence.
Don't lose hope! With today's treatment options, most cases of ED can be successfully managed. Work closely with your doctor to find the strategies that work best for your needs and goals. By taking proactive steps, you can overcome ED and enjoy a fulfilling sex life again.