Erectile dysfunction (ED) is a major sexual health issue
affecting males from almost all age groups. It is a condition in which when a
man can not get or keep an erection firm enough for sexual intercourse. This
condition is also termed as Impotence. There are almost more than 10 million
cases of Erectile Dysfunction (ED) reported per year world wide. The number of
men suffering from erectile dysfunction increases with age, but it is not
considered a normal part of aging. The majority of cases can be successfully
treated.This number can go up due to recent changes social and lifestyle
modification.
Erectile Dysfunction can be easily self diagnosed and can be
treated effectively after a consultation with a qualified professional. However,
Lab tests or imaging are rarely required for the diagnosis purpose.
Causes
Erectile dysfunction can be a sign of a physical or psychological condition. It can cause stress, relationship strain and low self-confidence.There are wide range of causes for Erectile Dysfunction
like diseases, medications, injuries, and psychological problems.
Circulatory problems: Usually an erection happens when
the penis fills with blood at the base of the penis traps it. Diabetes, high
blood pressure, cholesterol, clots, and atherosclerosis (hardening of the
arteries) can all interfere with this process. Such circulatory problems are
the number one cause of erectile dysfunction. Frequently, erectile dysfunction
is the first noticeable symptom of cardiovascular disease.
Cancer: Some types of Cancer can interfere with nerves or
arteries that are vital to erection.
Surgery: When we
perform some type of surgeries to the
pelvis, especially prostate surgery for
prostate cancer, can damage the nerves
and arteries that are required to gain and maintain an erection.
Hormonal disorders: Erectile Dysfunction can occur when
there is a lack of testosterone (male sex hormone) which is a result from
testicular failure, pituitary gland problems, or certain medications.
Depression: This is one of the major cause of erectile
dysfunction. Depression is a physical disorder as well as a psychiatric one,
and it can have physical effects. This may be true even if you feel comfortable
in a sexual situation.

Smoking: Smoking cigarettes causes constriction of blood
vessels. This may decrease blood flow to the penis, causing erectile
dysfunction.
Performance anxiety: Most men have had erection problems
at some point due to worrying about performing well during sexual intercourse.
If this happens often, the anticipation of sex can trigger nervous reactions
that prevent erection, setting up a vicious cycle.
Sexual aversion: Being repelled by sex is rare. It is
most common in people who suffered child abuse and those who have been brought
up in strict religious surroundings. Aversion can also exist in homosexual or
bisexual people who attempt to lead a heterosexual life against their basic
inclinations.
Drugs: The following are some of the drugs that can cause
erectile dysfunction:*
- Alcohol
- Anticancer medications
- Antidepressants (e.g., citalopram, paroxetine, sertraline, amitriptyline)
- Drugs like cocaine, heroin, marijuana, opioids
- Diuretics (e.g., spironolactone, chlorthalidone)
- Antianxiety drugs and sedatives (e.g., diazepam)
Symptoms
The main symptom is the inability to get or keep an erection firm enough for sexual intercourse. Those affected with this condition also experiences reduced sex drivePatients suffering from erectile dysfunction should first be evaluated for any underlying physical and psychological conditions. If treatment of the underlying conditions doesn't help, medication and assistive devices, such as pumps, can be prescribed
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