Understanding Erectile Dysfunction (ED)
What is it? ED is the persistent inability to achieve or maintain an erection sufficient for satisfactory sexual performance. It’s a common condition that affects millions of men of all ages everywhere. Prevalence statistics show that 40% of 40-year-olds may experience ED, and this increases to 70% by age 70. It’s a sensitive topic, but open discussion and understanding are crucial for those affected, and for their partners.
What are the causes of ED? It can result from a variety of physical and psychological factors. Understanding these will help your healthcare provider diagnose and effectively treat the condition. The physical causes can be from conditions like high blood pressure, or atherosclerosis, often called hardening of the arteries. These conditions can impair blood flow to the penis.
There are other conditions such as diabetes, or high blood sugar levels that can damage blood vessels and nerves involved in erection. Low levels of testosterone or other hormonal disorders can also lead to ED. Neurological Disorders such as Parkinson’s, multiple sclerosis, and spinal cord injuries can affect nerve signals to the penis.
Medications and lifestyle can also be culprits. Certain drugs for blood pressure, depression, or prostate conditions may have side effects that can cause ED. Smoking, excessive alcohol consumption, obesity, and lack of exercise can also contribute.
Emotional and psychological well-being are closely tied to sexual health. Stress, anxiety and depression, including performance anxiety, stress from work, and anxiety disorders can all impact sexual performance. Relationship problems and personal life stress, including a lack of communication and unresolved conflicts can also contribute.
What are the treatment options? It depends on the underlying cause. A combination of lifestyle changes, medication, behavioral therapy, and other interventions can be effective. Your healthcare provider will likely recommend lifestyle changes. Regular physical activity improves blood flow and reduces stress, and a balanced diet helps support a healthy weight and cardiovascular health. Reducing or eliminating alcohol, tobacco, and nicotine can significantly improve ED symptoms.
What about medications? There are medications taken by mouth like sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra). These are commonly prescribed and effective for many men. Testosterone hormone replacement therapy can be beneficial if low testosterone levels are detected. This option may involve more specialized care.
Other therapies. Professional counseling or therapy can help address psychological causes of ED. There is also sex therapy. Working with a sex therapist can improve sexual function and communication with your partners. La Crosse is fortunate to have several American Association of Sexuality Educators, Counselors, and Therapist (AASECT) certified therapists.
Lastly, there are medical procedures. There are medications injected directly into the penis that can help achieve an erection. Vacuum Erection Devices are available that create a vacuum that pulls blood into the penis. Surgical Implants that can be shaped or inflated can provide a permanent solution for severe cases of ED.
Support and Communication. Living with ED can be challenging, but open communication and support can really make a difference. Honest and open discussions with your partner can reduce anxiety and strengthen your relationship. Don’t hesitate to consult a healthcare provider to explore your treatment options. Consider joining a support group. Connecting with others facing similar challenges can provide you with emotional support and practical advice.
It's complex. ED has multiple causes and treatment options. With understanding the underlying factors, various treatments can lead to successful management. Remember to always approach this condition with sensitivity, openness, and a proactive mindset. With the right support and treatment, men with ED can lead fulfilling and healthy lives.
If you or someone you know is struggling with ED, don’t hesitate to reach out to the Viaro healthcare providers for guidance and support.
Katie Rowan-Koenen, FNP
ViaroCare
For questions or comments, contact wellness@viarohealth.com
