What is Erectile Dysfunction (ED)? 2023
Erectile dysfunction (ED), also called impotence, is the type of sexual dysfunction in which the penis fails to become or stay erect during sexual activity. It is the most common sexual problem in men. Through its connection to self-image and to difficulties in sexual relationships, erectile dysfunction can cause psychological harm. ED often impacts the emotional well-being of both men and their partners. Many men do not seek treatment due to feelings of embarrassment. About 75% of diagnosed cases of ED go untreated. (source)
According to estimates, one in 10 men will experience ED at some time during their lifetime. It is important that you understand that ED can be a symptom or a symptom of an underlying condition. ED should not be considered normal and can be caused by other issues that affect sexual intercourse such as lack of desire, orgasm, and ejaculation.
Is Erectile Dysfunction Common in Men?
About one in 10 adult males will experience long-term ED. Men can experience occasional failures to an erection. This can be caused by a number of factors, including alcohol abuse, stress, and fatigue. It is normal to fail to erection less than 20% of the time. This does not usually require treatment. Failure to erection for more than half of the time is an indication that something is wrong and treatment is required.
Erectile Dysfunction Age
Scientifically there is no such thing as Erectile Dysfunction Age, but the researchers who have been doing research on this issue for the last many years are saying that most of the cases of ED Comes are from the 25 to 40 age group of Men’s. Because nowadays men between the age of 25 to 40 are more likely to be depressed and are facing mental pressure because of their Career and love Life, this attack or Anxiety and Depression are the main reason for Erectile Dysfunction in most of the Men’s Right Now.
Symptoms of ED
ED refers to the inability to erect or maintain sufficient rigidity to perform sexual activity. It’s defined as a “persistent, recurrent inability” to achieve or maintain enough rigidity in the penile to allow satisfactory sexual activity for at most 3 months.
- Being able to get an erection occasionally, but not always.
- Being unable to have an erection at all
- Low self-esteem
- Depression
- Distress for the man, and his partner
- Reduced sexual desire
ED is more than a problem with your body. It can impact a person’s mental and emotional health, as well as their relationships and social life.
What is the Main Cause of Erectile Dysfunction?
Physical
Sexual arousal in men is complex and involves the brain and hormones. Any of these can cause erectile dysfunction. Erectile dysfunction can also be caused by stress or mental health issues. ED is more common in older men, but it does not always occur. Some men remain sexually active into their 80s. An early sign of a larger health problem, ED may be an indicator. It is important to identify and treat the cause of ED as soon as possible.
- External link to the NIH for heart and blood vessel disease
- Atherosclerosis: Clogged blood vessels
- High levels of cholesterol
- High blood pressure
- Diabetes
- Obesity
- Metabolic syndrome — A condition that causes high blood pressure, high insulin levels, and body fat around your waist.
- Chronic kidney disease
- Atherosclerosis
- Some prescription medications
- Peyronie’s Disease — scar tissue in the penis.
- The treatment of prostate cancer and enlarged prostate
- Surgery or injury to the spinal cord or pelvic area
- Low testosterone
Mental
Erectile dysfunction can sometimes be caused by a combination of physical and psychological problems. Anxiety over maintaining an erection might result from a minor medical condition. Erectile dysfunction can be made worse by stress. Mental problems can also lead to sexual trauma. Erectile dysfunction is caused by stimulation starting in the brain. Mental disorders like depression and anxiety cause erectile dysfunction.
- Fear of sexual failure
- Anxiety NIH external link
- Depression NIH external link
- Sexual performance and certain activities can be considered a crime.
- low self-esteem
- stress-about sexual performance, or stress in your life in general
Bad Habits
Apart from Physical and Mental Causes, some Habits can also become the cause of Erectile Dysfunction because some of your habits directly affect your body physically and mentally both.
- smoking
- Drinking too much alcohol
- Illegal drug use
- being overweight
- Not being physically active
- Sleep disorders
Do’s & Dont’s as Prevention
It is important to live a healthy lifestyle and take care of any health issues to avoid erectile dysfunction. Take, for example:
- To manage diabetes, heart disease, and other chronic conditions, you should consult your doctor.
- Regular checkups with your doctor are recommended.
- Don’t smoke, don’t drink alcohol, or use any illegal drugs.
- Exercise regularly.
- Reduce stress by taking steps.
- Seek help for depression, anxiety, and other mental health issues.
Diagnosis and Erectile Dysfunction Treatments
Before the Diagnosis of Erectile Dysfunction, There are many causes of ED. Your doctor may recommend several tests to diagnose the condition. It is only after the cause of ED has been determined that it can be treated effectively. Your doctor will first review your medical history. Then, he or she will perform a complete physical exam. Your personal and sexual history will be “interviewed” by the doctor. Some of these questions may be too personal for you and can feel intrusive. It is important to answer these questions honestly.
Physical Examination
- Listen to your heart and lungs.
- Check your blood pressure
- Examine your penis and testicles.
- Look out for signs of decreased blood supply to the pelvic region
- Check nerve function in the pelvic area
Interview
Your doctor may want to interview you and your partner if there are any underlying causes.
- Which medications are you currently taking? This includes prescription and over-the-counter medications, herbals, dietary supplements, and illegal drugs.
- Are you a smoker?
- How much alcohol do your drinks contain?
- Are you a victim of radiation therapy or surgery in the pelvic region?
- Are you experiencing any problems with your urinary system?
- Are you experiencing other health issues (treated or not)?
- What are your symptoms like? These symptoms started slowly or did they appear suddenly?
- Are you prone to erections in the morning or at night?
- Do you have any issues with sexual desire, ejaculating, or having orgasms?
- How frequent, how long, and what quality was any erections that you’ve had?
- Are you having problems with sex drive and arousal?
- What is the impact of this problem on your enjoyment of sex?
- Are you experiencing pain during erections? Do you feel a lump in your penis, a bump, or a pinch in your penis?
- Are you experiencing any mental health issues such as anxiety, stress, or depression?
- Do you take any medication for your mental health?
- What is your average frequency of sex? Is this frequency changing in recent years?
- Are you satisfied with your sex life today? Are there any recent changes?
- What’s the state of your relationship right now? What are your expectations of each other? Are there any new expectations?
Erectile Dysfunction Tests
Your doctor may order the following tests after your discussion and physical exam.
- Penile nerves function
Tests such as the bulbocavernosus reflex test are used to ascertain whether there is enough nerve sensation in the penis. The physician squeezes the glans (head) of the penis, which immediately causes the anus to contract if nerve function is normal. A physician measures the latency between squeeze and contraction by observing the anal sphincter or by feeling it with a gloved finger in the anus. (source)
- Nocturnal penile tumescence (NPT)
It is normal for a man to have five to six erections during sleep, especially during rapid eye movement (REM). Their absence may indicate a problem with nerve function or blood supply in the penis. There are two methods for measuring changes in penile rigidity and circumference during nocturnal erection: snap gauge and strain gauge. A significant proportion of men who have no sexual dysfunction nonetheless do not have regular nocturnal erections. (source)
- Penile biothesiometry
This test uses electromagnetic vibration to evaluate sensitivity and nerve function in the glans and shaft of the penis. (source)
- Dynamic infusion cavernosometry (DICC)
Technique in which fluid is pumped into the penis at a known rate and pressure. It gives a measurement of the vascular pressure in the corpus cavernosum during an erection. (source)
- Corpus cavernosometry
Cavernosography measurement of the vascular pressure in the corpus cavernosum. Saline is infused under pressure into the corpus cavernosum with a butterfly needle, and the flow rate needed to maintain an erection indicates the degree of venous leakage. The leaking veins responsible may be visualized by infusing a mixture of saline and x-ray contrast medium and performing a cavernosogram. In Digital Subtraction Angiography (DSA), the images are acquired digitally. (source)
- Magnetic resonance angiography (MRA)
This is similar to magnetic resonance imaging. Magnetic resonance angiography uses magnetic fields and radio waves to provide detailed images of the blood vessels. The doctor may inject into the patient’s bloodstream a contrast agent, which causes vascular tissues to stand out against other tissues, so that information about blood supply and vascular anomalies is easier to gather. (source)
Your doctor will explain the results to you before you undergo any of these tests. Ask your doctor if you have any questions.
Medicines and Erectile Dysfunction Pills
Medicines that increase penile blood flow, are known as PDE-5 inhibitors. These are the only approved oral medicines in India. The Food and Drug Administration approved these oral Medicines for treating ED.
- Viagra (sildenafil citrate)
- Levitra (vardenafil HCl)
- Cialis (tadalafil)
- Stendra (avanafil)
Normal nerve function is required for medicines. PDE5 inhibitors increase normal erectile response and blood flow to the penis. These Medicines should be used as directed. About 75% of men feel well and have better erections. Diabetics and patients with cancer have lower response rates. But there are some side effects that can cause you a little problem after having these medicines, like – Headache, Stuffy nose, Facial flushing, Muscle aches, Indigestion, etc.
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Arousal Techniques
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April 1, 2023 at 1:49 am