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Psychological causes ED | USHealthCare4U.comPsychological causes ED | USHealthCare4U.com
Published date: March 27, 2020DescriptionPsychological causes ED | USHealthCare4U.com
In rare cases, a man may always have had ED and may never have achieved an erection. This is called primary ED, and the cause is almost always psychological if there is no obvious anatomical deformity or physiological issue. Such psychological factors can include:
guilt
fear of intimacy
depression
severe anxiety
Most cases of ED are ‘secondary.’ This means that erectile function has been normal, but becomes problematic. Causes of a new and persistent problem are usually physical.
Less commonly, psychological factors cause or contribute to ED, with factors ranging from treatable mental health illnesses to everyday emotional states that most people experience at some time.
It is important to note that there can be overlap between medical and psychosocial causes. For instance, if a man is obese, blood flow changes can affect his ability to maintain an erection, which is a physical cause. However, he may also have low self-esteem, which can impact erectile function and is a psychosocial cause.
Does riding a bicycle cause ED?
Questions remain about the effects on men’s health of riding a bicycle.
Some research has raised concerns that men who regularly cycle for long hours could have a higher risk of ED, in addition to other men’s health issues such as infertility and prostate cancer.
The most recent study to investigate this found that there was no link between riding a bike and ED, but it did find an association between longer hours of cycling and the risk of prostate cancer.
Prostate disease and ED
Prostate cancer does not cause ED.
However, prostate surgery to remove the cancer and radiation therapy to treat prostate cancer can cause ED.
Treatment of non-cancerous, benign prostate disease can also cause the condition.
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USHealthCare4U.com Published date: March 27, 2020Descriptionexperiencing this problem, or those close to them. USHealthCare4U.com Fast facts on erectile dysfunction: Erectile dysfunction (ED) is defined as persistent difficulty achieving and maintaining an erection sufficient to have sex. Causes are usually medical but can also be psychological. Organic causes are usually the result of an underlying medical condition affecting the blood vessels or nerves supplying the penis. Numerous prescription drugs, recreational drugs, alcohol, and smoking, can all cause ED. Causes Normal erectile function can be affected by problems with any of the following systems: blood flow nerve supply hormones Physical causes Erectile dysfunction can cause embarrassment. It is always worth consulting a physician about persistent erection problems, as it could be caused by a serious medical condition. Whether the cause is simple or serious, a proper diagnosis can help to address any underlying medical issues and help resolve sexual difficulties. The following list summarizes many of the most common physical or organic causes of ED: heart disease and narrowing of blood vessels diabetes high blood pressure high cholesterol obesity and metabolic syndrome Parkinson’s disease multiple sclerosis hormonal disorders including thyroid conditions and testosterone deficiency structural or anatomical disorder of the penis, such as Peyronie disease smoking, alcoholism, and substance abuse, including cocaine use treatments for prostate disease surgical complications injuries in the pelvic area or spinal cord radiation therapy to the pelvic region Atherosclerosis is a common cause of blood flow problems. Atherosclerosis causes a narrowing or clogging of arteries in the penis, preventing the necessary blood flow to the penis to produce an erection. Numerous prescription medications can also cause ED, including those below. Anyone taking prescription medications should consult their doctor before stopping or changing their medications: drugs to control high blood pressure heart medications such as digoxin some diuretics drugs that act on the central nervous system, including some sleeping pills and amphetamines anxiety treatments antidepressants, including monoamine oxidase inhibitors (MAOIs), selective serotonin reuptake inhibitors (SSRIs), and tricyclic antidepressants opioid painkillers some cancer drugs, including chemotherapeutic agents prostate treatment drugs anticholinergics hormone drugs the peptic ulcer medication cimetidine Physical causes account for 90 percent of ED cases, with psychological causes much less common.Posted by USHealthCare4u.com at 18:36 Email ThisBlogThis!Share to TwitterShare to FacebookShare to PinterestNewer PostOlder PostHome
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Treatment The good news is that there are many treatments for ED, USHealthCare4U.com
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These tests may reveal underlying medical causes o...
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experiencing ED problem, or those close to them. |...
Does riding a bicycle cause ED? | USHealthCare4u.c...
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Does riding a bicycle cause ED? | USHealthCare4u.com
Questions remain about the effects on men’s health of riding a bicycle.Some research has raised concerns that men who regularly cycle for long hours could have a higher risk of ED, in addition to other men’s health issues such as infertility and prostate cancer.The most recent study to investigate this found that there was no link between riding a bike and ED, but it did find an association between longer hours of cycling and the risk of prostate cancer.Prostate disease and ED
Prostate cancer does not cause ED.However, prostate surgery to remove the cancer and radiation therapy to treat prostate cancer can cause ED.Treatment of non-cancerous, benign prostate disease can also cause the condition.MEDICAL NEWS TODAY NEWSLETTER
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The good news is that there are many treatments for ED, and most men will find a solution that works for them. Treatments include:Drug treatments
Men can take a group of drugs called PDE-5 (phosphodiesterase-5) inhibitors.Most of these pills are taken 30 to 60 minutes before sex – the best known being the blue-colored pill sildenafil (Viagra). Other options are:vardenafil (Levitra)
tadalafil (taken as a once-daily pill called Cialis)
avanafil (Stendra)
PDE-5 inhibitors are only available on prescription. A doctor will check for heart conditions and ask about other medications being taken before prescribing.Side-effects associated with PDE-5 inhibitors include:flushing
visual abnormalities
hearing loss
indigestion
headache
Less commonly used drug options include prostaglandin E1, which is applied locally by either injecting it into the penis or inserting it down the opening of the urethra.Most men prefer a pill, however, so these locally acting drugs tend to be reserved for men who cannot take oral treatment.Online pharmacies
It is possible to buy treatment over the internet for ED. However, caution is advised.The United States (U.S.) Food and Drug Administration (FDA) has a consumer safety guide about this, including a recommendation to check that the online pharmacy:is located in the U.S. and licensed
has a licensed pharmacist to answer questions.
requires a prescription.
offers direct contact with a person who can discuss any problems.
You can check whether the pharmacy is licensed using this list of Verified Internet Pharmacy Practice Sites (VIPPS).The FDA also offers tips for spotting the dangers of an unsafe website, including watching out for the following clues:There is no way to contact the website by phone.
Prices are dramatically lower than those offered by legal online pharmacies.
Prescription drugs are offered without requiring a prescription – which is illegal.
Personal information is not protected.
The FDA adds that these illegal sites may send drugs of unknown quality and origin, even sending the wrong drug or a dangerous product.Vacuum devices
Vacuum erection devices are a mechanical way of producing an erection for men who do not want or cannot use drug treatments, or find they are not working.The penis is made rigid by the use of a vacuum pump sealed around it that draws up blood. This is prevented from then leaving the penis by the use of an accompanying band.The lack of spontaneity with the use of vacuum devices means that many men find other treatments for ED preferable.Surgical treatments
There are several surgical treatment options:Penile implants: These are a final option reserved for men who have not had any success with drug treatments and other non-invasive options.
Vascular surgery: Another surgical option for some men is vascular surgery, which attempts to correct some blood vessel causes of ED.
Surgery is a last resort and will only be used in the most extreme cases. Recovery time varies, but success rates are high.Do dietary supplements and alternative treatments work?
The short answer is “no.”No guidelines followed by doctors, nor any established sources of evidence, support the use of dietary supplements, such as herbal pills.In addition to there being no evidence in favor of non-prescription alternatives for ED, the FDA has warned of hidden risks of “treatments” sold online.SymptomsNo ratings yet.
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experiencing ED problem, or those close to them. | USHealthCare4u.com
experiencing ED problem, or those close to them.
USHealthCare4u.com
Fast facts on erectile dysfunction:
Erectile dysfunction (ED) is defined as persistent difficulty achieving and maintaining an erection sufficient to have sex.
Causes are usually medical but can also be psychological.
Organic causes are usually the result of an underlying medical condition affecting the blood vessels or nerves supplying the penis.
Numerous prescription drugs, recreational drugs, alcohol, and smoking, can all cause ED.
Causes
Normal erectile function can be affected by problems with any of the following systems:
blood flow
nerve supply
hormones
Physical causes
Erectile dysfunction can cause embarrassment.
It is always worth consulting a physician about persistent erection problems, as it could be caused by a serious medical condition.Whether the cause is simple or serious, a proper diagnosis can help to address any underlying medical issues and help resolve sexual difficulties.The following list summarizes many of the most common physical or organic causes of ED:heart disease and narrowing of blood vessels
diabetes
high blood pressure
high cholesterol
obesity and metabolic syndrome
Parkinson’s disease
multiple sclerosis
hormonal disorders including thyroid conditions and testosterone deficiency
structural or anatomical disorder of the penis, such as Peyronie disease
smoking, alcoholism, and substance abuse, including cocaine use
treatments for prostate disease
surgical complications
injuries in the pelvic area or spinal cord
radiation therapy to the pelvic region
Atherosclerosis is a common cause of blood flow problems. Atherosclerosis causes a narrowing or clogging of arteries in the penis, preventing the necessary blood flow to the penis to produce an erection.Numerous prescription medications can also cause ED, including those below. Anyone taking prescription medications should consult their doctor before stopping or changing their medications:drugs to control high blood pressure
heart medications such as digoxin
some diuretics
drugs that act on the central nervous system, including some sleeping pills and amphetamines
anxiety treatments
antidepressants, including monoamine oxidase inhibitors (MAOIs), selective serotonin reuptake inhibitors (SSRIs), and tricyclic antidepressants
opioid painkillers
some cancer drugs, including chemotherapeutic agents
prostate treatment drugs
anticholinergics
hormone drugs
the peptic ulcer medication cimetidine
Physical causes account for 90 percent of ED cases, with psychological causes much less common.Psychological causes
In rare cases, a man may always have had ED and may never have achieved an erection. This is called primary ED, and the cause is almost always psychological if there is no obvious anatomical deformity or physiological issue. Such psychological factors can include:guilt
fear of intimacy
depression
severe anxiety
Most cases of ED are ‘secondary.’ This means that erectile function has been normal, but becomes problematic. Causes of a new and persistent problem are usually physical.Less commonly, psychological factors cause or contribute to ED, with factors ranging from treatable mental health illnesses to everyday emotional states that most people experience at some time.It is important to note that there can be overlap between medical and psychosocial causes. For instance, if a man is obese, blood flow changes can affect his ability to maintain an erection, which is a physical cause. However, he may also have low self-esteem, which can impact erectile function and is a psychosocial cause.No ratings yet.
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Erectile Dysfunction Treatment: Implants
For those men with persistent erectile dysfunction, a penile implant can restore sexual function. An inflatable implant uses two cylinders that are surgically placed inside the penis. When an erection is desired, the man uses a pump to fill the cylinders with pressurized fluid. Alternatively, a malleable implant with surgically implanted rods can be used to bolster erections.Photo of a couple in a counseling session speaking with a therapist about erectile dysfunction.
Erectile Dysfunction Treatment: Psychotherapy
Psychotherapy can be beneficial for men with erectile dysfunction even when erectile dysfunction has a known physical cause. The therapist can instruct the man and his partner in techniques to reduce performance anxiety and improve intimacy. Therapy can also help couples adjust to the use of vacuum devices and implants.Photo of vitamins, ginseng and gingko biloba used to treat erectile dysfunction.
Erectile Dysfunction Treatment: Alternative Therapies
Men with erectile dysfunction should talk with their doctors before trying supplements for erectile dysfunction. They can contain 10 or more ingredients and may complicate other health conditions. Asian ginseng and ginkgo biloba (seen here) are popular, but there isn’t a lot of good research on their effectiveness. Some men find that taking a DHEA supplement improves their ability to have an erection. Unfortunately, the long-term safety of DHEA supplements is unknown. Most doctors do not recommend using it.Photo of a man looking at his computer screen at alternative treatments for erectile dysfunction.
Erectile Dysfunction Treatment: Buyer Beware
There are dozens of “dietary supplements” that claim to treat erectile dysfunction, but the FDA warns that many of these are not what they seem. One investigation discovered that supplements for erectile dysfunction can often contain prescription drugs not listed on the label, including the active ingredient in Viagra. These can put the man at risk for dangerous drug interactions.Photo of man and his dog at the beach, reducing his risk of erectile dysfunction.
Reducing Your Risk of Erectile Dysfunction
To reduce your risk of erectile dysfunction, exercise and maintain a healthy weight, stop smoking, avoid alcohol and substance abuse, and keep your diabetes under control, if you have it.Photo of man kissing and embracing a woman on a boat.
Discussing Erectile Dysfunction With Your Partner
It’s natural to feel angry or embarrassed when confronted with erectile dysfunction. Remember too that your partner is also affected. Talking openly about erectile dysfunction with your partner will help them understand the diagnosis and treatment options (and will reassure your partner that you haven’t lost interest).What’s to know about erectile dysfunction?
Causes
Treatment
Symptoms
Exercises
Tests
A man is considered to have erectile dysfunction if he regularly finds it difficult getting or keeping a firm enough erection to be able to have sex, or if it interferes with other sexual activity.Most men have occasionally experienced some difficulty with their penis becoming hard or staying firm. However, erectile dysfunction (ED) is only considered a concern if satisfactory sexual performance has been impossible on a number of occasions for some time.Since the discovery that the drug sildenafil, or Viagra, affected penile erections, most people have become aware that ED is a treatable medical condition.Men who have a problem with their sexual performance may be reluctant to talk with their doctor, seeing it can be an embarrassing issue.However, ED is now well understood, and there are various treatments available.This MNT Knowledge Center article offers helpful information for peopleNo ratings yet.
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These tests may reveal underlying medical causes of ED | USHealthCare4u.comBlood cell counts
Cholesterol levels
Blood sugar levels
Liver function tests
Photo of an electrocardiogram reading.
Is Erectile Dysfunction a Sign of Heart Disease?
Erectile dysfunction can be a warning sign of serious underlying disease. Research has found that erectile dysfunction is a strong predictor of heart attack, stroke, and even death from cardiovascular disease. All men with erectile dysfunction should be evaluated for cardiovascular disease. Notably, this does not mean every man with erectile dysfunction will develop heart disease, or that every man with heart disease has erectile dysfunction; however, erectile dysfunction patients should be aware of the link.Photo of a man weighing himself on a scale.
Erectile Dysfunction Treatment: Lifestyle Changes
Often men with erectile dysfunction are able to improve sexual function by making a few lifestyle changes. Stopping smoking, losing weight, and exercising regularly can help by improving blood flow. If you suspect a medication could be contributing to erectile dysfunction, talk to your doctor about it.Photo of man taking erectile dysfunction medication.
Erectile Dysfunction Treatment: Oral Drugs
While popularized in the media, Viagra is not the only erectile dysfunction drug. Other erectile dysfunction drugs include:Cialis
Levitra
Staxyn
Stendra
These drugs work by improving blood flow to the penis during arousal and are taken 30 to 60 minutes before sexual activity. They should not be used more than once a day. Cialis can be taken up to 36 hours before sexual activity and also comes in a lower, daily dose. Staxyn dissolves in the mouth. All require a doctor’s prescription for safety.Photo of a syringe with erectile dysfunction medication.
Erectile Dysfunction Treatment: Injections
There are also injectable drugs for erectile dysfunction. Some men sustain stronger erections by injecting these medications directly into the penis. These drugs work by widening the blood vessels, causing the penis to become engorged with blood. Another option is a medicated pellet that is inserted into the urethra and can trigger an erection within 10 minutes. Patients should discuss the use of these injections in detail with their doctor before use.Photo of a erectile dysfunction pump.
Erectile Dysfunction Treatment: Vacuum Devices (Pumps)
Vacuum devices for erectile dysfunction, also called pumps, offer an alternative to medication. To use a pump, the penis is placed inside a cylinder. Then the pump draws air out of the cylinder to create a partial vacuum around the penis causing it to fill with blood, leading to an erection. An elastic band worn around the base of the penis is used to maintain the erection during intercourse. Individuals should discuss the use of this device, and especially the elastic band use to avoid potential penile damage.Image of a blocked femoral artery, possibly causing erectile dysfunction.
Erectile Dysfunction Treatment: Surgery
If erectile dysfunction is caused by a blockage in an artery leading to the penis, surgery can be used to restore blood flow. Optimal candidates are typically younger men whose blockage stems from an injury to the crotch or pelvis. The surgery is not recommended for older men with widespread narrowing of the arteries throughout their bodies.
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Four diseases can lead to erectile dysfunction by interfering with blood flow | USHealthCare4u.com
In addition, the following four diseases can lead to erectile dysfunction by interfering with blood flow or nerve impulses throughout the body.
USHealthCare4u.com
Cardiovascular disease
Atherosclerosis (hardening of the arteries)
Kidney disease
Multiple sclerosis
Photo of a man smoking, putting himself at risk for erectile dysfunction.
Lifestyle Choices Can Cause Erectile Dysfunction
Lifestyle choices, such as smoking, alcohol abuse, and obesity can impair blood circulation and lead to erectile dysfunction. Smoking, excessive drinking, and drug abuse may damage the blood vessels and reduce blood flow to the penis. Smoking makes men with atherosclerosis even more vulnerable to erectile dysfunction. Smokers have almost twice the risk of erectile dysfunction compared with nonsmokers. Being overweight and getting too little exercise also contribute to erectile dysfunction. Men who exercise regularly have a lower risk of erectile dysfunction.Photo of surgery that may cause erectile dysfunction.
Surgery Can Cause Erectile Dysfunction
Surgical or radiation treatments for prostate cancer, bladder cancer, or prostate enlargement (BPH) can sometimes damage nerves and blood vessels near the penis. Occasionally, the nerve damage is permanent and the patient requires treatment to achieve an erection. Sometimes, surgery causes temporary erectile dysfunction that improves on its own after 6 to 18 months.An assortment of medications that cause erectile dysfunction.
Medications That Cause Erectile Dysfunction
Many medications can cause or contribute to erectile dysfunction, including certain blood pressure drugs, antidepressants, and tranquilizers. Men with erectile dysfunction should talk with their doctor if they suspect a prescription or over-the-counter drug may be causing erectile problems.Photo of man depressed about his erectile dysfunction.
Born This Way? Physiology and Erectile Dysfunction
It is common for men with erectile dysfunction to have an underlying physical basis for it, particularly in older men. However, psychological factors may be present in 10% to 20% of men with erectile dysfunction. Experts say stress, depression, poor self-esteem, and performance anxiety can impair the ability to have an erection. These factors can also make erectile dysfunction worse in men whose sexual dysfunction stems from something physical.Photo of a bicycle seat, making cyclists at risk for erectile dysfunction.
Cyclists and Erectile Dysfunction
Avid cyclists suffer more erectile dysfunction than other athletes because the shape of some bicycle seats causes pressure on the nerves that are vital to sexual arousal. Cyclists who ride for many hours each week may benefit from seats designed to protect the perineum.Photo of a man speaking with doctor about erectile dysfunction.
Erectile Dysfunction Diagnosis: Physical Exam
To diagnose erectile dysfunction, the doctor will ask questions about the symptoms and medical history. A complete physical exam is done to detect poor circulation or nerve trouble. The physician will look for abnormalities of the genital area that could cause problems with erections.Photo of vials of blood used in testing for erectile dysfunction.
Erectile Dysfunction Diagnosis: Lab Tests
Many lab tests can be helpful in diagnosing male sexual problems. Measuring testosterone levels can determine whether there is a hormonal imbalance, which is often linked to decreased desire.No ratings yet.
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While low T isn’t the only cause of erectile dysfunction, the two do seem to be connected. However, the connection between low testosterone and erectile dysfunction is complicated. Researchers believe two are connected because they both seem to coincide as a man ages. However, some men with low testosterone continue to produce healthy erections.A man feeling frustrated because of his erectile dysfunction.
Erectile Dysfunction Symptoms
Symptoms of erectile dysfunction include erections that are too soft for sexual intercourse, erections that last only briefly, and an inability to achieve erections. Men who cannot have or maintain an erection at least 75% of the time that they attempt sex are considered to have erectile dysfunction.A graph of men that experience erectile dysfunction.
Who Gets Erectile Dysfunction?
Sexual dysfunction is more common as men age. According to the Massachusetts Male Aging Study, about 40% of men experience some degree of inability to have or maintain an erection at age 40 compared with 70% of men at age 70. And the percentage of men with erectile dysfunction increases from 5% to 15% as age increases from 40 to 70 years. erectile dysfunction can be treated at any age.Illustration of a flaccid vs. erect penis known as corpora cavernosa.
The Mechanics Behind Erectile Dysfunction
When blood fills two chambers in the penis (known as the corpora cavernosa) an erection occurs. This causes the penis to expand and stiffen, much like a balloon as it is filled with water. The process is triggered by nerve impulses from the brain and genital area. Anything that interferes with these impulses or restricts blood flow to the penis can result in erectile dysfunction.Photo of a blood droplet on a fingertip from a blood glucose test.
Diseases That Can Lead to Erectile Dysfunction
The link between underlying chronic disease and erectile dysfunction is most striking with diabetes. Approximately half of the men with diabetes experience erectile dysfunction. Nevertheless, good blood sugar control can minimize this risk.No ratings yet.
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/ March 25, 2020Sample rating item Psychological/EnvironmentalPhysical/OrganicPoor communication with partner
Alcoholism
Stress
Anxiety
Depression
Fatigue
Smoking
Drug abuse
Injury to the penis
Prostate cancer treatment
Spinal cord injury
Neurological diseases
Heart disease
Peyronie’s disease
Kidney disease
Atherosclerosis
Diabetes
Obesity
Low testosterone
High cholesterol and lipid levels
Hypertension (high blood pressure)
Hormonal disorders
Certain medications
Lower urinary tract symptoms due to benign prostatic hyperplasiaPreventing Erectile DysfunctionThere are several steps men can take to reduce their risk for erectile dysfunction, including:Quit smoking
Exercise regularly
Maintain a healthy weight and healthy diet
Limit or avoid the use of alcohol
Reduce stress
Get help for anxiety or depression
Discontinue drugs with harmful side effects
Have regular check-ups with a primary care physician to monitor blood pressure, blood sugar and cholesterol levels
Treating Erectile DysfunctionUW Health urologists with advanced training offer medical and surgical treatment options for men and their partners affected by erectile dysfunction. There are several different ways that erectile dysfunction can be treated. For some men, making a few healthy lifestyle changes may solve the problem. Your urologist will help determine the most effective course of treatment for your condition.Treatment options for ED include:Medications (including oral and injectable)
Hormone replacement therapy
Vacuum erection devices
Penile implantsPractice Essentials
The National Institutes of Health (NIH) Consensus Development Conference on Impotence (December 7-9, 1992) defined impotence as “male erectile dysfunction, that is, the inability to achieve or maintain an erection sufficient for satisfactory sexual performance.”What Is Erectile Dysfunction (ED)?
Erectile dysfunction (ED) is when a man has persistent problems achieving and/or sustaining an erection. Erectile dysfunction can make sexual intercourse impossible without treatment. Erectile dysfunction can first emerge in a man as early as 40 according to the Massachusetts Male Aging Study on sexual dysfunction. They also found that an estimated 18 to 30 million men are affected by erectile dysfunction.Photo of a happy couple dancing.
Does Erectile Dysfunction Mean Poor Libido?
Erectile dysfunction refers specifically to problems achieving or maintaining an erection. Other forms of male sexual dysfunction include poor libido and problems with ejaculation. Men with erectile dysfunction often have a healthy libido, but their bodies fail to respond in the sexual encounter by producing an erection. Usually there is a physical basis for the problem.No ratings yet.
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/ March 25, 2020Sample rating item About 5 percent of men that are 40 years old have complete erectile dysfunction, and that number increases to about 15 percent of men at age 70. Mild and moderate erectile dysfunction affects approximately 10 percent of men per decade of life (i.e., 50 percent of men in their 50s, 60 percent of men in their 60s). Erectile dysfunction can occur at any age, but it is more common in men that are older. Older men are more likely to have health conditions that require medication, which can interfere with erectile function. Additionally, as men age, they may need more stimulation to get an erection and more time between erections.Three Components of Male Sexual FunctionThere are three essential components of male sexual function:Interest and desire for sexual activity (libido)
The ability to obtain and maintain an erection
Ejaculation and climax (orgasm)
During an initial visit, the urologist will help to differentiate which components of the male sexual function are affected. This is an important step because treatment options for differ depending on the affected components.
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Causes of Erectile DysfunctionNo ratings yet.
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/ March 25, 2020Sample rating item Erectile Dysfunction (ED)
Male Sexual Health | USHealthCare4u.com
The UW Health Men’s Health program offers comprehensive and compassionate expertise for a wide array of men’s urological needs, including erectile dysfunction, hypogonadism (low testosterone) and urinary problems.Definition of Erectile DysfunctionErectile dysfunction can encompass several different conditions of reproductive health and sexual dysfunction. It is a very common condition, but is also a very emotional and sensitive topic to discuss. Erectile dysfunction is defined as the inability to maintain an erection sufficient for sexual intercourse.Achieving an erection is a complex process involving the brain, hormones, nerves, muscles and blood circulation. If something interferes with this process, the result may be erectile dysfunction. In some cases, erectile dysfunction is the first sign of other serious underlying health conditions, such as cardiovascular problems, that need treatment because erectile dysfunction can share the same risk factors for heart attacks and strokes.No ratings yet.
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