Erectile Dysfunction: Signs
From time to time, most men experience difficulty getting an erection that’s firm enough for sex. However, repeated problems with ED could indicate a serious health problem.
For example, heart disease and diabetes can reduce blood flow to the penis, while surgery and certain drugs may damage nerves. However many causes of ED are treatable.
1. Erections Take Longer
An erection occurs when blood fills the chambers of the penis and forces the penis to become hard, just as Kamagra Oral Jelly treatment does. Nerves and blood vessels send messages to the penis to do so, but anything that blocks the impulses or restricts blood flow prevents an erection. Atherosclerosis – narrowing or blockage of the arteries that supply the penis – is a common cause. Other causes include diabetes, high blood pressure and heart disease, certain medications, and nerve disorders such as multiple sclerosis or Parkinson’s.
Men who have erectile dysfunction may feel embarrassed to discuss it with their doctor, so they often don’t seek help. This delay in diagnosis and treatment can hurt both the patient and his partner. It can also lead to more serious health problems, such as heart disease, as a symptom of erectile dysfunction is often a forewarning sign of progressive coronary heart disease.
When a man is experiencing ED, his doctor may ask questions to get more information on the symptoms and find the underlying cause. Your provider will want to know how often you experience sexual dysfunction, whether your erections are firm or not, and how long you can keep them. They will also want to know about any changes in your sexual response that happened around the same time that your erectile problems started.
A doctor might order a urine test (urinalysis) to look for signs of diabetes or other conditions that can affect erections, such as gout and high cholesterol. They might also order a video examination of the penis and scrotum using an ultrasound machine, which uses a wandlike device to scan the penis for signs of vascular (blood flow) problems. They might also give you a psychological exam to check for mental health issues, such as depression and performance anxiety.
2. Erections Are Short
A man who has ED may notice that his erections are soft or don’t last long enough for sex. An erection develops when blood fills the penis’s two chambers, due to impulses from brain and genital nerves. Anything that blocks these impulses or restricts blood flow to the penis can cause ED. This can include vascular disease, such as diabetes, or damage to the nerves that run to the penis from the spinal cord. It can also be caused by certain medications, such as those used to treat psychiatric conditions, such as antidepressants or some types of antihypertensives.
If ED is interfering with a man’s sexual enjoyment, or impacting his relationship, it is important to see a doctor for evaluation. Most providers will start by taking a detailed history of the problem and doing a physical exam. They will often order lab tests such as a complete blood count (CBC), electrolytes, kidney and liver function tests, and HgbA1c to screen for diabetes and lipid profile. Some clinicians will also measure morning testosterone levels to evaluate for hypogonadism, especially if oral PDE-5 ED medication has failed.
Many people who experience ED also have psychological issues that can affect their sexual drive, such as depression or low self-esteem. Your urologist can help with these as well, by working with psychologists or other mental health specialists who specialize in sexual problems.
3. Erections Are Soft
Many men are embarrassed to talk about their sexual problems with doctors, which can delay diagnosis and treatment. As a result, they can suffer from erectile dysfunction (ED) for years before getting help. This can lead to frustration, stress, and relationship problems in couples. In addition, it can make men feel less confident about their physical appearance and affect their self-esteem.
Most adult men have erection problems from time to time. However, if these problems are ongoing and interfere with your ability to have satisfying sex, they may be a sign of erectile dysfunction, or at least a health condition that needs treatment, such as diabetes or high blood pressure.
In some cases, a physical exam and a doctor’s questions about your medical history will be enough to diagnose and treat ED. Other times, your doctor will need to take a sample of your blood to look for signs of heart disease, diabetes, or low testosterone levels.
Almost all men who have ED get better with treatment. A treatment plan that includes addressing any underlying health problems often helps restore a man’s erections to the point where they are firm enough for sex. It is also important to involve your partner in the process. This can reduce feelings of rejection and make it easier to discuss the problem openly with your doctor.
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4. Erections Are Hard
Erectile Dysfunction is a physical condition that causes an ongoing problem with getting and keeping an erection firm enough for sex. It affects men of all ages and can cause stress, low self-esteem, and relationship problems over time if not treated.
The good news is that ED is treatable. Your primary care doctor or urologist can help you create a treatment plan. They may refer you to a specialist if they don’t have the expertise or the medical equipment needed to diagnose and treat the underlying problem.
Your healthcare provider will ask about your symptoms, including when they started and how they change over time. They will do a physical exam and order diagnostic tests. These might include blood and urine tests to check for an underlying health problem that is causing ED. For example, heart disease, high blood pressure, and diabetes are all conditions that can lead to erectile dysfunction in men.
Your healthcare provider might recommend that you take a PDE5 inhibitor drug to improve blood flow in the penis, which can lead to an erection. The medications are available as pills, injections, or suppositories. They can be effective for most people with ED. Some doctors might suggest other treatments that increase testosterone, which can boost sexual desire and erections. They might also suggest that you or your partner see a counselor or therapist for help with emotional issues that might be contributing to ED. Read More…