Erectile Dysfunction

Erectile dysfunction is the frequent or consistent inability to get or sustain an erection of the penis that is satisfactory for engaging in sexual intercourse. While most men occasionally fail to get an erection, or lose one prematurely during sexual activity, some men suffer from these problems regularly. The condition is sometimes referred to as impotence and is characterised by the inability to get or maintain an erection.

What Causes Erectile dysfunction?

Erectile dysfunction can have a range of causes, both physical and psychological. Some of the causes are general aging, diabetes, multiple sclerosis (MS), prostate disease, high blood pressure, under-active thyroid gland (hypothyroidism), alcohol, cardiovascular disease, obesity, smoking, alcoholism or other substance abuse, Peyronie's disease (scar tissue inside the penis), sleep disorders, treatments for prostate cancer or enlarged prostate, surgery that affects the pelvic area or spinal cord.

Psychological factors that can cause erectile dysfunction include:

Unresolved problems, conflicts or issues within a sexual and emotional relationship

Anxiety about sexual performance (this is most common at the start of a new relationship, if a man has had previous problems with sexual performance)

Depression, Stress

There are various treatment for impotence depending upon the underlying cause. These may include measures to combat stress, counseling and sexual therapy to help resolve relationship problems, changes in life style, weight control, alternation in prescribed medication which causes impotence, pelvic floor exercises, use of an oral medication, a vacuum device or injection or insertion of medicine into the penis. For those men whose impotence has resulted from injury to nerves and blood vessels supplying the penis, two forms of penile implant can be inserted by means of surgical operation.

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