Understanding Erectile Dysfunction

A Comprehensive Guide to Causes, Symptoms, and Treatment Options

Internal Medicine

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Last updated: Mar 24, 2025

What is Erectile Dysfunction?

Erectile dysfunction (ED) is a medical condition where a man cannot achieve or maintain an erection firm enough for sexual activity. While occasional difficulties are normal, persistent problems warrant medical attention.

Common Causes

Physical Causes:

  • Cardiovascular disease
  • Diabetes
  • High blood pressure
  • High cholesterol
  • Obesity
  • Multiple sclerosis
  • Surgery (particularly prostate surgery)
  • Medication side effects

Psychological Causes:

  • Stress and anxiety
  • Depression
  • Relationship problems
  • Past trauma

Risk Factors

  • Age (risk increases with age)
  • Smoking
  • Excessive alcohol consumption
  • Sedentary lifestyle
  • Certain medications

Diagnosis

Your healthcare provider may:

  1. Perform a physical examination
  2. Order blood tests
  3. Conduct cardiovascular assessment
  4. Request psychological evaluation if needed

Treatment Options

Lifestyle Changes:

  • Regular exercise
  • Weight management
  • Smoking cessation
  • Limiting alcohol intake
  • Stress reduction

Medications:

  • Oral medications (PDE5 inhibitors)
  • Injectable medications
  • Suppositories

Other Treatments:

  • Vacuum devices
  • Penile implants
  • Psychological counseling

When to Seek Help

Consult a healthcare provider if:

  • ED persists for several weeks
  • You have other health concerns
  • ED is affecting your relationship
  • You experience anxiety or depression

Prevention

  • Maintain a healthy lifestyle
  • Manage chronic health conditions
  • Regular medical check-ups
  • Open communication with partner

Note: ED can be an early warning sign of other health issues. Early intervention is important.

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