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Quite a few illnesses can also be linked to erectile dysfunction, e.g.

atherosclerosis (narrowing and hardening of the arteries), diabetes (high levels of sugar in the blood), arterial hypertension (high blood pressure), a heart attack, kidney failure, liver cirrhosis, epilepsy, multiple sclerosis, chronic lung diseases, thyroid disease, Peyronie's disease, depression, leukaemia, etc.

A number of procedures and traumas can also cause erectile dysfunction, e.g. procedures on the head, spinal cord trauma and surgery, blood vessel surgery (aortoiliac bypass and aortofemoral bypass), bowel operations (low anterior resection, abdominoperineal resection, etc.), surgery on the pelvis and pelvic fractures, urological treatment (complete removal of the prostate, bladder removal). We can use various score lists to diagnose erection problems.

The most important list used for this is the IIEF questionnaire .

It is also imperative to distinguish the different types of erections. First, the so-called erotic erection, which is the most well-known and can be induced through visual stimulation, auditory stimulation, olfactory stimulation (smell), imagination, contact, etc. The second erection type, the nightly erection, is very important to urologists and andrologists. These erections occur 4 to 6 times a night during the REM sleep and strongly resemble erotic erections. Their function is to give non-sexually active men erections in order to ensure the quality of the corpora cavernosa. Lastly, the reflex erection - such as the morning erection - is much less important from an andrological point of view.

As we mentioned earlier, erectile dysfunction covers a lot more

than

Erectile Dysfunction (Impotence) What is erectile dysfunction?

Erectile dysfunction (ED) or impotence means you can’t get an erection. It can also mean you are not happy with the size or hardness of your erections, or how long your erections last.

In the past, ED was thought to be due to psychological problems. It is now known that for most men ED is caused by physical problems.

These are most often related to the blood supply of the penis.

These are some of the most common: Premature ejaculation. This is the inability to keep an erection long enough for mutual pleasure. Being depressed can affect your ability to get an erection.

Some anti-depressants cause erection problems, too.

It is the most common cause of ED, especially in older men. It can be related to hardening of the arteries throughout the body.

Injury or a venous leak in the penis may also cause ED. It causes early and severe hardening of the arteries.

Problems with the nerves controlling erections are also often seen in men with diabetes.

For instance, multiple sclerosis, stroke, and spinal cord and nerve injuries.

Blood pressure medicines, anti-anxiety and anti-depressant medicines, glaucoma eye drops, and cancer chemotherapy medicines are just some of the many medicines that can cause ED. These include increased prolactin, a hormone made by the pituitary gland.

They also include steroid abuse by bodybuilders, too much or too little thyroid hormone, and hormones used to treat prostate cancer. ?In rare cases, low testosterone can be linked to ED.

Smoking, excessive alcohol use, being overweight, and not exercising can also lead to ED.

ED is a symptom that is linked to many health problems such as: Prostate problems Type 2 diabetes The testicles are not making hormones the way they should (hypogonadism) High blood pressure Vascular disease and vascular surgery Heart disease or heart failure High cholesterol Low levels of HDL (high-density lipoprotein) Nervous system disorders Curvature of the penis (peyronie disease) Depression, stress, or anxiety Alcohol use Relationship problems Many long-term (chronic) diseases, especially kidney failure and dialysis Smoking, which worsens the effects of other risk factors, such as vascular disease or high blood pressure.

The symptom of ED is not being able to get or keep an erection firm enough for sex. Or it can mean you can’t get an erection consistently, or can only get brief erections. Diagnosis of ED may include: Review of health and sexual history.

It can also help your healthcare provider tell the difference between problems with erection, ejaculation, orgasm, or sexual desire. To look for an underlying problem, such as: A problem in the nervous system. This may be involved if your penis does not respond as expected to certain touching.

Things such as hair pattern can point to hormone problems, which involve the endocrine system. These can include blood counts, urine tests, cholesterol test, and measurements of creatinine and liver enzymes.

When low sexual desire is a symptom, checking testosterone in the blood can show problems with the endocrine system.

This is used to measure the blood flow in the penis.

This is done to help find psychological factors that may be affecting your performance. Treatment for ED is based on the cause of the problem. Some of the treatments that may be used include: Lifestyle changes.

These include cutting back on alcohol, quitting smoking, losing weight, and increasing physical activity. You may need to cut back on or change those that may be linked to ED.

This may be used to help decrease the stress and anxiety that may be linked to sex. Tell your healthcare provider about all the medicines you are taking. This includes over-the-counter and prescription medicines, vitamins, herbs, and supplements.

The medicines used to treat ED

can

That is because there is a risk of prostate enlargement and other side effects.

These can be used to create an erection by using a partial vacuum to draw blood into the penis. Then an elastic ring is put on the base of the penis to keep the blood there during sex. These can be surgically placed if other treatments do not work. The types of implants used to treat ED include: Inflatable implants . A pump is put in the scrotum and 2 cylinders are placed in the erection chambers of the penis. The pump moves a saline solution into the cylinders to cause an erection.

Two semi-rigid but bendable rods are placed in the erection chambers of the penis.

This lets the man bend his penis into an erect or nonerect position. Many times, men will not get into sexual situations because they are embarrassed. In turn, their partner may feel rejected or inadequate.

Other men prefer to seek treatment without their partner's knowledge.

Not talking about it is the main barrier to getting treatment. The loss of erectile function can have a profound effect on a man. The good news is that ED can often be treated safely and effectively. Feeling embarrassed about ED may prevent many men from getting the medical attention they need. This can delay diagnosis and

treatment

Talk with your healthcare provider if you have problems with ED.

Erectile dysfunction (ED) or impotence means you can’t get an erection. It can also mean you are not happy with the size or hardness of erections, or how long erections last.

Mental health problems, physical problems, certain diseases and health conditions, certain prescription medicines, and lifestyle choices have all been linked to ED. Physical and psychological exams are a key part of diagnosing ED. Lab tests done on urine and blood may also be used. Treatments are based on the cause of the problem and can range from lifestyle changes to prescription medicines to penile implants.

ED can be a strain on a couple, and many times the man’s partner is involved in the diagnosis and treatment of ED.

Tips to help you get the most from a visit to your healthcare provider: Know the reason for your visit and what you want to happen. Before your visit, write down questions you want answered.

Bring someone with you to help you ask questions and remember what your provider tells you.

At the visit, write down the name of a new diagnosis, and any new medicines, treatments, or tests.

Also write down any new instructions your provider gives you.

Know why a new medicine or treatment is prescribed, and how it will help you. Ask if your condition can be treated in other ways.

Know why a test or procedure is recommended and what the results could mean.

Know what to expect if you do not take the medicine or have the test or procedure. If you have a follow-up appointment, write down the date, time, and purpose for that visit. Know how you can contact your provider if you have questions. Erectile dysfunction (impotence) affects many men, mainly as they age. In some cases it has psychological roots but it can also be an early indication of other conditions, particularly those relating to blood flow (vascular disease) and the heart. We offer expert diagnostic advice, rapid access to a range of tests that can help identify the cause.

Erectile dysfunction (or impotence) affects many men – particularly those over 40.

Research suggests that up to 45% of men aged between 40 and 70 have some difficulty getting or maintaining an erection (source: Journal of Urology 2012 May). We understand that suffering with erectile dysfunction can be distressing.

It can undermine your self-confidence and self-esteem and prevent you having a full relationship with your partner.