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Jan 12 2018

Understanding Erectile Dysfunction — the Basics

What Is Erectile Dysfunction?

Erectile dysfunction. also known as ED or impotence, is the inability to attain or maintain an erection of the penis adequate for the sexual satisfaction of both partners. It can be devastating to the self-esteem of a man and of his partner. As many as 30 million American men are afflicted on a continuing basis, and transient episodes affect nearly all adult males. But nearly all men who seek treatment find some measure of relief.

What Causes Erectile Dysfunction?

As recently as two decades ago, doctors tended to blame erectile dysfunction on psychological problems or, with older men, on the normal aging process. Today, the pendulum of medical opinion has swung away from both notions. While arousal takes longer as a man ages, chronic erectile dysfunction warrants medical attention. Moreover, the difficulty is often not psychological in origin. Today, urologists believe that physical factors underlie the majority of cases of persistent erectile dysfunction in men over age 50.

Erectile dysfunction in older men. Because erections primarily involve the blood vessels, it is not surprising that the most common causes in older men are conditions that block blood flow to the penis. such as atherosclerosis or diabetes. Another vascular cause may be a faulty vein, which lets blood drain too quickly from the penis. Other physical disorders, as well as hormonal imbalances and certain operations, may also result in erectile dysfunction.

The vascular processes that produce an erection are controlled by the nervous system and certain prescription medications may have the side effect of interfering with necessary nerve signals. Among the possible culprits are a variety of stimulants, sedatives, diuretics, antihistamines. and drugs to treat high blood pressure. cancer. or depression. But never stop a medication unless your doctor tells you to. In addition, alcohol, tobacco. and illegal drugs, such as marijuana. may contribute to the dysfunction.

Erectile dysfunction in younger men. With younger men, psychological problems are the likeliest reason for erectile dysfunction. Tension and anxiety may arise from poor communication with the sexual partner or a difference in sexual preferences. The sexual difficulties may also be linked to these factors:

WebMD Medical Reference Reviewed by Carol DerSarkissian on April 02, 2017

Sources

National Kidney Urologic Diseases Information Clearinghouse: “Erectile Dysfunction.”

Montague, D. Journal of Urology, July 2005.

Ginsberg, T. Medical Clinics of North America. September 2006.

Albersen M. Medical Clinics of North America. January 1, 2011.

Heidelbaugh J. American Family Physician. February 01, 201.

Lee M. BJU International, August 11,-2009.

National Center for Complementary and Alternative Medicine: “Aromatherapy May Make Good Scents, But Does It Work?”

Rakel, R. Textbook of Family Medicine, 8th ed. W.B. Saunders Company, 2011.

National Center for Complementary and Alternative Medicine: “Ginkgo.”

National Center for Complementary and Alternative Medicine: “Asian Ginseng.”

Bope, E, Kellerman, R. Conn’s Current Therapy 2012. 1st Edition, Saunders, 2011.

© 2017 WebMD, LLC. All rights reserved.

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