A Man’s Embarrassing Question: What Do I Do about Erectile dysfunction

A Man’s Embarrassing Question: What Do I Do about Erectile dysfunction?

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Erectile dysfunction (ED) or (male) impotence is a sexual dysfunction characterized by the inability to develop or maintain an erection of the penis. It is also one of the most commonly experienced health concerns by a man. Almost every man, at some point in time in his life will complain of this health ailment, unfortunately. The cycle of erectile dysfunction can spiral quickly downwards into a frustrating and emotional situation for both the man, and any relationship he is pursuing.

There are various underlying causes, such as cardiovascular leakage and diabetes, many of which are medically treatable. The other causes of erectile dysfunction may be physiological or psychological.

There are three stages to the erection process in a man. Any of these three stages can host physical or emotional health problems that create a dysfunction.

At the first stage, which is arousal, a man receives stimulation from only his thoughts and/or senses. During the second stage, a man’s brain is talking to the arousal function, telling the body to increase blood flow to the penis. At the final, third stage, the blood vessels of the penis enlarge, allowing more blood to flow through and therefore an erection to occur. If anything inhibits, disrupts or confuses any of these processes, erectile dysfunction may ensue.

Causes of Erectile dysfunction or impotence:

Man’s Health: The Physical Causes of Erectile Dysfunction
There are quite a few physical reasons why a man may be having health problems surrounding his erectile functions. They include: effects from surgery, trauma to the penis or testicles, diseases or conditions (such as diabetes, flu, renal failure, Parkinson’s disease, etc.), drug abuse, medications (such as antidepressants, high blood pressure medications, etc.), smoking, hormonal imbalances, too much alcohol intake, and the aging process.

A Man’s Health: The Psychological Causes of Erectile Dysfunction
If all of the physical health reasons for a man not to have normal erectile function have been covered, then the psychological reasons are closely looked at next. These could include: lowered sexual desire, depression, mental fatigue, stress, and guilt problems with the relationship, lack of interest in sex from their partner or anxiety disorders.

Stress: Stress can be job-related, money-related, or the result of marital problems, among other factors.

Anxiety: Once a man experiences ED, he may become overly worried that the problem will happen again. This can lead to "performance anxiety," or a fear of sexual failure, and consistently cause ED.

Guilt: A man may feel guilty that he is not satisfying his partner.

Depression: A common cause of ED, depression affects a person physically and psychologically. Depression can cause ED even when a man is completely comfortable in sexual situations. Drugs used to treat depression may also cause ED.

Low self-esteem: This can be due to prior episodes of ED (thus a feeling of inadequacy) or can be the result of other issues unrelated to sexual performance.

Indifference: This may come as a result of age and a subsequent loss of interest in sex, be the result of medications or stem from problems in a couple's relationship.

What are the symptoms?

The only symptom of an erection problem is the inability to have or maintain an erection that is firm enough to consistently have sexual intercourse. This inability may or may not be related to sexual interest or the ability to have an orgasm and to ejaculate.

How are erection problems diagnosed?

A health professional can diagnose an erection problem using a medical and sexual history and a physical examination. Your health professional will want to know whether the erection problem occurs all the time or occasionally. The initial exam, laboratory tests, and possibly psychological tests can help determine whether the problem is physical, psychological, or a combination of the two.

How are they treated?

A Man’s Health: Treatments for Erectile Dysfunction

The best way to treat a man’s problem with his health is to first discuss the issues with your doctor, and then with your partner. Both are important in determining not only the causes of the problem, but appropriate treatments as well. Some treatments used regularly are: counseling, intracavernosal drugs (such as prostaglandin E.), education/advice, drugs (such as Sildenafil), vacuum devices, prosthetics, or surgery.

Treatment often includes lifestyle changes, such as avoiding tobacco, drugs, and alcohol. Discussing the issue with your partner, participating in sensual exercises, and seeking counseling may help. Further treatment may include oral medications (such as Viagra, Levitra, or Cialis), vacuum devices, or injection of medications into the penis. Surgery to place an implant in the penis also is an option.

Do not take Viagra, Levitra, or Cialis if you are taking nitrate medications—such as nitroglycerin—for heart problems. The combination of nitrates and any of these medications can lower your blood pressure to a dangerous level. You also should not take certain alpha-blockers (used to lower blood pressure and to treat an enlarged prostate) with these medications because of the risk of a dangerous drop in blood pressure. Check with your health professional to see whether you can take Viagra, Levitra, or Cialis with your alpha-blocker.

Can I prevent erection problems?

To reduce your risk of developing an erection problem, avoid smoking, drinking too much alcohol, and using illegal drugs.

Because erection difficulties are most often caused by a physical problem, maintaining good health through a healthy diet and exercise is very important. A relaxed approach to lovemaking and good communication with your partner can help prevent erection problems caused by psychological factors.

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