Erectile dysfunction (ED), also known as impotence, is the inability to get and maintain an erection firm enough for satisfactory sexual intercourse. ED is a fairly common condition that affects as many as 30 million men in the United States alone.
What causes ED? There are many potential underlying causes:
- Atherosclerosis - Hardening and narrowing of the arteries that supply blood to the penis can prevent sufficient blood flow for an erection. This is a common vascular cause linked to other conditions like high blood pressure, high cholesterol, and diabetes.
- Diabetes - Poorly controlled blood sugar levels associated with diabetes can damage nerves and restrict blood vessels, leading to ED. About 35-75% of diabetic men suffer from some degree of ED.
- Obesity - Excess weight strains the cardiovascular system and increases atherosclerosis risk. Obese men have a 30% higher chance of ED. Losing weight can help.
- Smoking - Smoking cigarettes promotes atherosclerosis and damages tissue and nerves responsible for erectile function. Quitting smoking often improves sexual function.
- Medications - Many common meds like antidepressants, diuretics and beta blockers can negatively impact erections. Always chat with your doctor about sexual side effects.
- Low Testosterone - Declining testosterone production due to aging or endocrine problems can diminish libido and erection capacity. Testosterone therapy may help some men.
There are excellent treatment options for ED available today:
- PDE5 inhibitor medications like Viagra, Cialis and Levitra improve blood flow and are effective for most men. Convenient oral tablets. Side effects are generally mild.
- Testosterone therapy can benefit men with androgen deficiency confirmed by bloodwork. Effects take weeks-months for maximum benefit.
In summary, erectile dysfunction is a manageable condition with solutions available. Partner up with a knowledgeable healthcare provider, communicate openly with your partner, and explore proven medical therapies tailored to your health profile. Most men with ED can regain satisfying sexual function.
Don't lose hope! The first step is seeking help.