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Erectile dysfunction (ED), which used to be called "impotence", is the incapacity of a man to attain or sustain an erection before penetration. ED can be very mild up to very acute, meaning that a man can have limited up to total incapacity to have erections.
ED is very embarrassing to many men, so those who have it often deny it. They give all kinds of excuses such as:
- I’m exhausted
- It’s not always
- I’m just not in the mood today
- I’m too stressed
- I’m still young, so I can't have a problem
- I’m not contented with her
- I’m drunk
You’re not alone in your misery. A recent study gave appalling statistics: about 30 million men in the US have ED.
ED is serious, and is often related to illnesses like diabetes, arteriosclerosis, etc. Thus, it should not be ignored. Visit your physician today! Discover the real cause, so that right treatment can be taken at once.
The Erection Process
Here are the steps from arousal to penis erection:
- Sexual stimulation
- Relaxation of smooth muscles in the genitalia
- Dilation of arterioles in the genitalia
- Blood occupies spaces in the penis' Corpora Cavernosa
- Corpora Cavernosa expands
- Strong pressure is exerted on veins which push blood from the penis
- Exerted pressure traps the blood in the penis
- The penis thickens, becomes rigid, and elongates
- Erector muscle of penis draws the penis forward
- Penis is now ready to penetrate the vagina
Causes of Erectile Dysfunction
Erectile dysfunction (ED) is the incapacity to attain or sustain an erection before penetration. There are many degrees of ED, depending on the complexity and severity. ED can be caused by physical and/or psychological problems. For more information on ED, visit our ED room.
Physical Factors (80% cases of ED)
Vascular Diseases: Arteriosclerosis, heart disease or stroke, high blood pressure and high cholesterol
Metabolic disorders: Described by too much urine discharge and constant thirst, especially the two types of Diabetes
Nerve Disease: Spinal cord injury, multiple sclerosis, pelvic fractures and nerve degeneration
Cancer treatment: Surgery performed for colon, rectal or prostate cancer and even radiation therapy in the pelvic area
Hormonal Problems: Low levels of the male hormone testosterone affect the desire for sex
Side Effects of Medications: Medications including anti-hypertensives (blood pressure medications) or medications
prescribed for depression or mood disorders
Alcohol: Long-term and too much drinking can cause nerve and liver damage and hormone imbalances
Smoking: Studies show that men who smoke have a higher chance of developing ED than men who don't use
Sedentary Lifestyle: Lack of exercise can cause ED.
Physical Factors (80% cases of ED)
Anxiety: Anxiety about sexual performance
Stress: Stress at home, work or in general
Depression: Depression can lead to some degree of ED, and vice versa
Relationship Problems: Tensions between sexual partners, whether related to sexual issues or others
Psychosocial causes can occur alone or in combination with one or more of the physical causes of ED.
Erectile Dysfunction Diagnosis
Nocturnal Penile Tumescence (NPT): Various methods are used to measure changes in penile rigidity and girth during nocturnal erections.
Blood tests: Male hormone levels are measured and tests are done to rule out diseases such as diabetes from the list of possible causes.
Penile nerve function: Physical tests are done to see sufficient nerve sensation in the penis.
Ultrasonography: Duplex ultrasound is used to check the adequacy of arterial circulation in the genital area.
Cavernosometry: This test measures vascular pressure in the penis.
Treatment and care
Your doctor or healthcare professional will give several treatment choices, depending on the severity.
Oral Medication (prescription): Oral medications (like Viagra, Cialis and Levitra) are used in treating ED.
The currently available oral medications are called PDE5 inhibitors, which work to bring back a normal blood flow in the penis so that an erection can be attained at stimulation. But these usually bring many possible bad side effects.
Oral Medication (herbal remedies): These are supplements which could be ingested before sex to improve erectile function. Herbal supplements such as ProCalisX are made of herbs, vitamins, and minerals which are safe and do not have side effects.
Vacuum Therapy: A vacuum device is used to increase blood flow to the penis and a constriction ring is placed on its base to sustain the erection.
Penile Implant Surgery: This is a device that is surgically inserted into the penis and used when there is a longing to make love.
Before using any medication for ED, it is better to do some easy changes in your daily routine. Your doctor or healthcare professional can suggest and help you follow some of these:
- Exercise
- Diet
- Manage stress
- Reduce alcohol intake
- Quit smoking
Sex Counseling: Talk to a good counselor, psychologist, or psychiatrist to help you identify, understand, and deal with your sexual problems.
Penile Injection Therapy: Just before sexual activity, you can inject a drug which increases blood flow to the penis.
Intraurethral Therapy: Pellets of a medication which improve blood flow are inserted into the urethra (through which the urine flows out).
