What Are the Symptoms of Erectile Dysfunction?

What Are the Symptoms of Erectile Dysfunction?

Being unable to have or keep an erection adequate for sexual activity is the defining mark of erectile dysfunction. The problem may manifest itself in several ways. If the dysfunction:

 

Is transient or appearing only occasionally, the problem is not likely to be serious; all men experience problems with erections at some time in their lives.

Develops gradually and persistently, there is probably a physical cause; this is generally the case with chronic impotence.

Develops abruptly but you still have early-morning erections and are able to have an erection while masturbating, the problem is likely to have a psychological component, perhaps with an underlying physical factor.

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Diabetes & Erectile Dysfunction

To understand how diabetes leads to erectile dysfunction -- also called ED or impotence -- you first have to understand how erections work. Getting an erection is a complicated process.

Read the Diabetes & Erectile Dysfunction article > >

Call Your Doctor About Erectile Dysfunction If:

Erectile dysfunction is linked with anxiety or threatens your sexual relationship. At a minimum, your doctor can help clear up misinformation, which commonly exacerbates sexual problems. Sometimes a short course of medication can get you through a rough patch.

Erectile dysfunction persists. Physical causes can be early warning signs of more general, potentially dangerous conditions; for example, narrowing of the penile artery may indicate coronary artery disease or diabetes. For the dysfunction itself, a doctor may suggest a medication that will allow for normal erections or might advise the use of a mechanical device or penile injection therapy. But the underlying medical condition must be addressed and treated.

Erection problems are associated with pain or penile curvature (a condition called Peyronie's disease).

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Supporting Your Partner

Erectile Dysfunction: Supporting Your Partner

Erectile dysfunction can take a toll on a relationship. It is important to show support and offer encouragement to your loved one with ED. In addition to encouraging your partner to seek medical treatment for his condition, you can help him deal with erectile dysfunction by offering emotional support. Here are some tips:

Learn as much as you can about ED. Knowledge is power, so the more you know, the more you'll be able to support your partner. When seeking treatment, you and your partner should both agree on a method that best fits your lifestyle.

Let your partner know that he's not alone. Remind him that ED is a fairly common and very treatable medical condition. ED is not a reflection on his masculinity or a lack of attraction or desire for you. You should also support your partner in any efforts to change his lifestyle (adopting a healthy diet, quitting smoking and the use of any recreational drugs, etc.) to deal with ED.

Go with him to see the doctor. If your partner is agreeable, accompany him when he sees his doctor. This is another way to show that you're concerned and willing to work with him to treat his condition.

Remind him that there are many options for successful treatment. If your partner does not succeed initially, encourage him to continue to visit the doctor and explore other options.

As a partner of a man with ED, you are also affected. Here are some tips to help you better deal with the situation:

Discuss your feelings and let your partner know that you care.

Stay positive. Talk about what you and your partner want and need, and how to achieve it.

Try alternative techniques to obtain sexual satisfaction by finding other ways to obtain and receive pleasure without pressuring your partner to perform.

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Prostate Cancer and Erectile Dysfunction

Prostate Cancer and Erectile Dysfunction

Prostate cancer is not a cause of erectile dysfunction (or ED). However, treatments for the disease can cause it. The current methods of treating prostate cancer, including surgery with radical prostatectomy (removal of the entire prostate gland), radiation therapy -- whether by external beam or brachytherapy (seed implant) -- and hormone therapy, can all cause ED.

When Can Erectile Dysfunction Occur After Prostate Cancer Treatment?

Radical prostatectomy. Erectile dysfunction can begin immediately following the removal of the entire prostate and surrounding tissues, whether the nerve-sparing or non-nerve-sparing technique is used. If the nerve-sparing technique is used, recovery from ED may occur within the first year following the procedure. Recovery of erectile function after a non-nerve-sparing technique is unlikely but possible.

Radiation therapy. The onset of ED following radiation therapy is gradual and usually begins about six months following treatment. Without treatment for erectile dysfunction, ED is usually permanent.

Hormone therapy. When hormone therapy is used, ED may occur approximately two to four weeks following the initiation of the therapy and is usually accompanied by a decreased desire for sex. Without treatment, the ED is usually permanent.

How Is Erectile Dysfunction Treated Following Prostate Cancer Treatment?

The current treatment options for erectile dysfunction for people who have received treatment for prostate cancer include:

Pills, including Cialis, Levitra, Stendra, Staxyn, and Viagra

Intracavernous injection therapy

Vacuum constriction device

Intraurethral therapy

Penile prosthesis

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What is erectile dysfunction?

What is erectile dysfunction?

 First, let's define the problem. ED means an inability to get a good enough erection to achieve satisfactory intercourse.
Some sufferers can't get a 'hard-on' at all. Others get one, but it isn't firm enough to penetrate the partner. And others can manage penetration for a bit, but then they lose it.

Why does ED occur?

ED is very common, and it occurs for a variety of reasons and at different ages.

Teenagers and young men
In younger males, the most frequent cause is anxiety – particularly nervousness about having sex, about causing a pregnancy or about using a condom.
A lot of men in this age group complain that they 'can't get on with a condom' because as soon as they try to put it on, they lose their 'stiffy'. We have termed this 'condom collapse syndrome'.

Middle age

Common causes in this age group are overwork, stress, guilt and bereavement (ED often happens when a widowed man tries to form a new sexual relationship). A few cases are due to diabetes. Alcohol, nicotine and other drugs can be factors, as can obesity.

Post-middle age

In this group of men, ED gets commoner with increasing age. Nonetheless, 70 per cent of all 70-year-olds are sexually potent.
It is now clear that in a high proportion of cases, the problem is due to narrowing of the blood vessels that carry blood into the penis.
Research, which was carried out in 2007, suggests that in some older men who have erection difficulties, there may also be deterioration in the arteries of the brain or the heart.
In 2008, leading sex expert Dr Geoffrey Hackett said in the British Medical Journal, 'Erectile dysfunction is the manifestation of vascular disease in smaller arteries and can give a two to three year early warning of heart attack.'
This doesn't mean that if you have erection problems, you're about to have either a stroke or a heart problem.
But older men with ED should take care to protect themselves against strokes and heart attacks – for example by keeping their blood pressure and cholesterol down and getting an adequate amount of exercise. Also, at all costs they should avoid smoking.
You may be surprised to see that I have not listed 'lack of hormones' as a common cause of ED. In fact, lack of male hormone is pretty rare. However, it can occur particularly after severe injuries to the testicles or to the base of the brain.
If you are tempted to go to one of the many private clinics that make a habit of diagnosing 'male hormone deficiency', and then charging huge sums of money for testosterone treatment, I suggest you think twice.

What is an erection?

An erection occurs when blood is pumped into the penis and stays there, making it hard. It generally happens because a guy is thinking about sex or because his penis is being stimulated – or both.
The result is that signals go down the nerves that lead from his spinal cord to his genitals. They tell the blood vessels which supply the penis to open up. Blood flows in and the organ 'blows up' like a balloon. A valve mechanism near the base of the penis keeps the blood from flowing out again – a least, until sex is over.
As you can see, getting an erection is a complex process. It's awfully easy for various factors to interfere with it – for instance, worry, tiredness, too much alcohol or in later life, narrowing of the blood vessels.
Nicotine is now known to narrow those vital blood vessels – which is why ED is much commoner in smokers. But often, there is nothing physically wrong with men who develop ED.

Are many cases due to psychological causes?

Yes, particularly in the young. In general, erectile dysfunction is quite likely to be psychological rather than physical if the man:
• is still waking with morning erections
• can still get a good erection by masturbation.
Common psychological causes of erection difficulties include:
• nerves – especially about performing
• guilt – notably if you're trying to have sex with somebody else's wife
• relationship problems – especially if you're no longer keen on your partner
• latent gayness – for instance, if you’re a basically gay guy, trying to have sex with a woman
• depression
• exhaustion.
In a lot of cases, ED turns out to be due to a mixture of psychological and physical causes.

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Premature Ejaculation

What causes Premature Ejaculation?

For many years, sex experts have tended to say that premature ejaculation is caused by early conditioning.
In other words, the man's early, rushed (and perhaps furtive) sexual experiences had to be quick so as to avoid detection. The idea is that this conditions him to climax as quickly as possible.
However, our own surveys have found that many men with PE did not have rushed early sexual experiences – though others say they did.
It's worth noting that from an evolutionary point of view, it's probable that males who climaxed quickly were more likely to have children. In other words, if you were a caveman who came very fast, you'd stand more chance of impregnating your woman and enlarging your tribe.

Some men seem to be highly triggered right from the start of their sex lives, and we have encountered instances where their fathers were much the same. Therefore, we feel that the tendency to reach orgasm quickly may possibly be inherited rather than learned.
Finally, there's no question that anxiety  or 'nerves' play a part in many cases of PE. If you're nervous, you're likely to come too quickly.



This is why many males have discovered for themselves that a small amount of alcohol eases their nerves and makes them less likely to climax prematurely. But we wouldn't recommend alcohol  as a treatment.
So, what can be done for PE?

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