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Erectile dysfunction, commonly referred to as ED, is the inability to achieve
and sustain an erection suitable for sexual intercourse. This condition is not
considered normal at any age and is different from other problems that interfere
with sexual intercourse, such as lack of sexual desire and problems with
ejaculation and orgasm.
How common is ED?
It is estimated that about 1 in 10 adult males suffer from ED on a long-term
basis.
A much more common problem that affects the majority of men at some point in
their life is the occasional failure to achieve an erection.
This problem can occur for a variety of reasons, such as from drinking too much
alcohol or from being extremely tired.
Failure to achieve an erection less than 20% of the
time is not unusual and treatment is rarely needed. Failure to achieve an
erection more than 50% of the time, however, generally indicates there is a
problem requiring treatment.
Is erectile dysfunction a normal part of aging?
No. ED doesn't have to be a part of getting older. While it is true that older
men may need more stimulation (such as stroking and touching) to achieve an
erection, they should still be able to get an erection and enjoy sex.
What causes ED?
In order to achieve an erection three
conditions must occur:
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The nerves to the penis must be functioning properly.
- The blood circulation to the penis must
be adequate.
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There must be a stimulus from the brain.
If there is something interfering with any or all
of these conditions, a full erection will be prevented.
Common causes of ED include diseases that affect
blood flow, such as atherosclerosis (hardening of the arteries); nerve diseases;
psychological factors, such as stress, depression and performance anxiety; and
injury to the penis. Chronic illness, certain medications and a condition
called Peyronie’s disease (scar tissue in the penis) can also cause ED.
Can ED be prevented?
For people who are at risk of developing ED
due to personal behavior, steps may be taken to prevent its occurrence. However,
other causes of ED may not be preventable.
urologist or a psychologist.
What should I do if I am having problems
achieving/maintaining an erection?
If you suspect you may have erectile
dysfunction, see your doctor. He or she can perform a variety of tests to
identify what is causing your problem and refer you to a specialist if needed.
Once the cause is pinpointed, there are several treatments to consider.
How is erectile dysfunction treated?
There are many different ways ED can be
treated. Treatments include oral medications, sex therapy, penile injections and
surgery. Each type of treatment has its own advantages and disadvantages. Talk
to your doctor to determine the best treatment for you.
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