How can Erectile Dysfunction (ED) be Treated Completely

Originally posted 2022-12-21 06:25:49.

Erectile dysfunction, or ED, is the most common sexual problem that men tell their doctor about. As many as 30 million men have it.

ED means that a man can’t get or keep an erection that’s strong enough for sex.

Men sometimes have trouble getting or keeping an erection, but ED that gets worse over time or happens often during sex is not normal and should be treated.

ED can occur:

• Most of the time, penis pain happens when blood flow is cut off or nerves are hurt.
• Because of stress or feelings
• As an early sign of a more serious illness, such as atherosclerosis (hardening or blocking of the arteries), heart disease, high blood pressure, or high blood sugar from diabetes.

Finding out what caused your ED will help you treat it and improve your health as a whole. What’s good for your heart is usually good for your sex health, too.

How Erections Work

When a person is sexually aroused, nerves send out chemicals that make more blood flow to the penis. Blood flows into two spongy muscle chambers in the penis that are used to get an erection (the corpus cavernosum). There are no holes in the chambers of the corpus cavernosum.

During an erection, the soft tissues loosen up and fill with blood. Because of the pressure of the blood in the chambers, the penis gets hard, causing an erection. When a man has an orgasm, a second set of nerve signals travel to the penis. These signals tell the muscles in the penis to tighten, which causes blood to flow back into the man’s body and relax the erection.

The penis is soft and limp when you are not sexually aroused. Men may notice that the size of their penis changes in response to heat, cold, or stress. This is normal and shows how much blood is entering and leaving the penis.

Symptoms of Erectile dysfunction

When you have Erectile Dysfunction (ED), it’s hard to get or keep a strong enough erection for sex. When ED happens often and bothers you, your primary care provider or an Urologist can help.

ED could be a major warning sign of cardiovascular disease, meaning that a man’s blood vessels are becoming blocked. Some studies have shown that men with ED have a higher chance of having a heart attack, a stroke, or problems with blood flow in their legs. ED also causes:

• Low self-esteem
• Depression
• Distress for the man and his partner

ED should be treated if it hurts a man’s health or relationships. The goal of treatment is to fix or improve a man’s ability to get and keep an erection, improve his health, and improve the quality of his life.

Causes of Erectile dysfunction

ED can be caused by problems with your health, your emotions, or both. There are some known risk factors:
Being over age 50

• Having high blood sugar (Diabetes)
• Having high blood pressure
• Having cardiovascular disease
• Having high cholesterol
• Smoking
• Using drugs or drinking too much alcohol
• Being obese
• Lacking exercise

Even though ED is more common in older men, getting older doesn’t always lead to it. Some men can be sexually active until they are in their 80s. ED can be a warning sign of a bigger health issue. The first step is to find and treat the cause of ED.

Physical Causes of ED

ED happens when:

• Not enough blood is getting to the penis.
• Many health problems, like hardened arteries, heart disease, high blood sugar (Diabetes), and smoking, can make it hard for blood to get to the penis.
• During an erection, the penis can’t hold blood.
• A man can’t keep an erection if blood doesn’t stay in the penis. This can happen to anyone at any age.
• The penis does not get nerve signals from the brain or spinal cord.
• Some diseases, injuries, or surgeries in the area around the pelvis can hurt the nerves that go to the penis.
• Diabetes can cause damage to the penis’s small blood vessels or nerves.
• Treatments for cancer near the pelvis can affect how well the penis works.
• ED can be caused by cancers in the lower abdomen or pelvis that are treated with surgery or radiation. Men often end up with ED after getting treatment for prostate, colon-rectal, or bladder cancer. When it comes to sexual health, people who have had cancer should see an Urologist.
• Some drugs that are used to treat other health problems can hurt erections.
• Patients should talk to their primary care doctors about how drugs make them feel.

Emotional Causes of ED

In order to have normal sex, the mind and body must work together. ED can be caused by or made worse by emotional or relationship problems.

ED can be caused by the following emotional problems:

• Depression
• Anxiety
• Relationship conflicts
• Stress at home or work
• Stress from social, cultural or religious conflicts
• Worry about sex performance

Diagnosis of Erectile dysfunction

Finding out what caused your ED will help you decide how to treat it.

The first step in diagnosing ED is for your doctor to ask you about your heart and blood vessel health as well as your erection problem. Your doctor may also do a physical exam, send you to the lab for tests, or send you to an Urologist.

Health and ED History

Your doctor will ask you about your past health and how you live now. Sharing facts about what drugs you take, if you smoke, or how much alcohol you drink is very helpful. He or she will ask about recent things that have caused you stress. Talk to your doctor about everything, so he or she can help you find the best way to get better.

What Questions your Doctor will Ask

Questions about your health:

• What over-the-counter drugs, prescription drugs, or supplements do you take?
• Do you take recreational drugs?
• Do you smoke?
• How much alcohol do you drink?
• Have you had pelvic surgery or radiation therapy?
• Do you have any urinary problems?
• Do you have any other health issues, whether they are being treated or not?

Questions About ED

Your health care provider will be able to tell if your problems are caused by your desire for sex, your erection function, ejaculation, or orgasm if you tell them about your history of ED (climax). Some of these questions might feel personal or even awkward. But you can be sure that your doctor is a professional, and that your answers will help him or her figure out what’s wrong and the best way to treat you.

Questions about your ED symptoms:

• How long have you been feeling this way? Did they begin gradually or all at once?
• Do you wake up with an erection in the morning or during the night?
• How strong are your erections if you do have them? Is penetration difficult?
• Do your erections change when you go in with a partner, stimulate yourself by mouth, or masturbation?
• Do you find it hard to get or stay aroused?
• Do you have trouble with climaxing or ejaculating?
• How does this problem change how you like to have sex?
• Do your erections hurt, do you feel a lump or bump in your penis, or does your penis curve? These are all signs of Peyronie’s disease, which can be treated but needs to be evaluated and managed by an expert in urology.

Questions About Stress and Emotional Health

If you have depression or anxiety, your doctor or nurse may ask you about it. He or she might ask if you’re having problems with a partner. Some doctors or nurses may also want to talk to your sex partner.

• Do you have a lot of stress in your life, or has something recently made you angry?
• Do you have anxiety, depression, or other problems with your mental health?
• Take any medicines for your mental health?
• How happy are you with the way your sex life is going? Has anything changed recently?
• How are things between you and your partner? Has anything changed recently?

Physical Exam

A physical exam looks at your health as a whole. When looking for ED, your penis and testicles are often the focus of the exam. Depending on your age and risk factors, the exam may also focus on your heart and blood system, including your heart rate, blood pressure, and peripheral pulses. Your doctor may do a rectal exam to check the prostate, depending on your age and family history. These tests don’t hurt. Before starting treatment, most people don’t need a lot of tests.

Lab Tests

Your doctor may take a sample of your blood and urine to look for health problems that cause ED.

Other Tests

Health experts often use questionnaires to find out how well you can get and keep an erection, how happy you are with sex, and if there are any problems with orgasm.

Treatment for Erectile dysfunction

To treat ED, you should first take care of your heart and blood vessels. Your doctor may tell you about “risk factors” that you can change or get better at.

You might be asked to change the way you eat, stop smoking, work out more, or stop drinking or using drugs. You might be given other drugs to try instead of the ones you’re on now. (Never stop taking your prescription drugs or change them without first talking to your doctor.)

Your doctor may also suggest that you get help for emotional problems. These could be caused by problems in relationships, stress from daily life, depression or anxiety from problems with ED in the past (performance anxiety).

The following treatments can be used to treat ED directly.

ED Treatments by KHOKAR

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