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Erectile Dysfunction (ED)

What is erectile dysfunction?

If you're a man who can't get an erection hard enough to have sex or if you cannot keep an erection for the duration of sex, then you're said to have erectile dysfunction or impotence to use an old fashioned name. Erectile dysfunction can happen to men of any age but is more common in older men. Some estimates suggest one man in twelve has erectile dysfunction at any one time.

Is erectile dysfunction just something to do with growing older?

Not necessarily. There are many causes of erectile dysfunction, both emotional (mental / psychological) and physical. The latter include:

  • Excessive alcohol and smoking
  • Exhaustion
  • Damage to the brain or spinal-cord
  • Low testosterone levels
  • Liver or kidney failure
  • Multiple sclerosis and other diseases of the nervous system like Parkinson's disease
  • Radiation therapy to the testicles or prostate for cancer
  • Having had a stroke
  • Prostate or bladder surgery
  •  Erectile dysfunction isn't something you should expect to happen as you get older. Certainly older men need more physical stimulation during sex, but that does not mean you have erectile dysfunction. The crucial determinant for a diagnosis of erectile dysfunction is that you can't get hard at all or that you get hard and then lose your erection.

    What causes erectile dysfunction?

    There are some well known illnesses which cause erectile dysfunction. These include 
  • Diabetes
  • Hyperlipidemia (high cholesterol levels)
  • High blood pressure
  • Hypogonadism (a disorder of the testicular endocrine system)
  • Atherosclerosis (hardening of the arteries) Certainly some of these effects can be remedied by taking medication to keep the condition under control. There are many medication on the market which cause erectile dysfunction as a side-effect. These should be discussed with your doctor in case there is an alternative available.

    Emotional problems as a cause of erectile dysfunction

    Many cases of erectile dysfunction are caused by problems in the relationship. Sexual problems can grow to the point where they cause a man to suffer from loss of his erection. Sexual therapy is most effective when both sexual partners go to therapy. Some of the emotional causes of erectile dysfunction include:
  • Feeling stressed from work situations, family circumstances or other life events 
  • Being nervous about sex, anxiety caused by a bad experience such as shame or humiliation, or a previous case of impotence
  • Relationship problems
  • Depression
  • Feeling depressed
  • Being self-conscious about sex or fearing your partner's reaction to you or your sexual abilities

    How can erectile dysfunction be cured?

    This depends on what is causing your erectile dysfunction. There are medications like Viagra, vacuum pumps, sex therapy and other methods such as hypnosis. These are all discussed on this website.

    But before we go on to look at the various treatment methods which are available, it's worth looking some more at the background to the condition.

    Background information on erectile dysfunction
    ED checklist
    Partner's role in curing erectile dysfunction
    Talking about erectile dysfunction
    Beliefs which cause erectile dysfunction
    The effects of erectile dysfunction on men
    Personality and erectile dysfunction
    How to discuss erectile dysfunction


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    Erectile dysfunction treatment