Erectile dysfunction (ED) is defined as the persistent inability to attain and maintain an erection sufficient to permit satisfactory sexual performance. Erection problems are very common, particularly in men over 40. Usually, it is nothing to worry about, but you should see your GP if it keeps happening.
Erectile dysfunction can be caused by many factors and may have a gradual or sudden onset. It can be very upsetting and result in a lot of stress and worry. It can feel embarrassing to discuss this with your doctor, but it is important that you do, so that you can receive the appropriate help. Erectile dysfunction can also be a sign of other illnesses such as heart disease or diabetes, so it is important that you seek medical advice.
Physical Causes of ED
90% of men have at least one underlying physical cause for their problem
ED happens when:
- There is not enough blood flow into the penis Many health issues can reduce blood flow into the penis, such as hardened arteries, heart disease, high blood sugar (Diabetes) and smoking.
- The penis cannot trap blood during an erection If blood does not stay in the penis, a man cannot keep an erection. This issue can happen at any age.
- Nerve signals from the brain or spinal cord do not reach the penis Certain diseases, injury or surgery in the pelvic area can harm nerves to the penis.
- Diabetes can cause small vessel disease or nerve damage to the penis
- Cancer treatments near the pelvis can affect the penis' functionality Surgery and or radiation for cancers in the lower abdomen or pelvis can cause ED. Treating prostate, colon-rectal or bladder cancer often leaves men with ED. Cancer survivors should see a Urologist for sexual health concerns.
- Drugs used to treat other health problems can negatively impact erections Talk to your GP about drug side effects.
Emotional Causes of ED
Normal sex needs the mind and body working together. Emotional or relationship problems can cause or worsen ED.
Some emotional issues that can cause ED are:
- Depression
- Anxiety
- Relationship conflicts
- Stress at home or work
- Stress from social, cultural or religious conflicts
- Worry about sex performance
Improvement in lifestyle can dramatically improve ED:-
- lose weight if you're overweight
- stop smoking
- eat a healthy diet
- exercise daily
- try to reduce stress and anxiety
- reduce alcohol consumption
- do not cycle for a while (if you cycle for more than 3 hours a week
- psychological support if necessary
Treatment options
Medication is the first line treatment. If these are ineffective, cause side effects or cannot be used, other measures can be considered. These include Penile injections, medicated urethral system for erection (MUSE), vacuum erection assistance devices, vascular surgery /angioplasty, penile prosthesis
“Quality of Life is now an important area of research in medicine. Hence, there is a need to recognize the prevalence and consequences of erectile dysfunction, as to allow better support and interventions for these men.” Dr Mieke Van Hemelrijck, School of Cancer & Pharmaceutical Sciences Kings College London
For more information go to
https://www.nhs.uk/conditions/erection-problems-erectile-dysfunction/
https://www.baus.org.uk/patients/conditions/3/erectile_dysfunction_impotence/
