Erectile dysfunction (ED), sometimes called impotence, is the inability to get or keep an erection firm enough for sexual intercourse. ED affects as many as 30 million men in the United States.
What causes ED?
- Atherosclerosis - Hardening and narrowing of the arteries that supply blood to the penis can limit blood flow. This is a common cause of ED as men age.
- Diabetes - High blood sugar levels associated with diabetes can damage nerves and blood vessels, leading to difficulties achieving an erection. Managing blood sugar levels can help prevent ED related to diabetes.
- Obesity - Being severely overweight puts you at higher risk of developing health conditions like atherosclerosis and diabetes that contribute to ED. Losing weight may help prevent or improve ED.
What are the treatment options for ED?
- Oral medications - Drugs like sildenafil (Viagra), vardenafil (Levitra), and others help improve blood flow to the penis. They are effective for many men and help initiate an erection.
- Vacuum erection devices - A pump is used to create suction around the base of the penis to draw blood into the corpora cavernosa to make the penis erect. A tension ring is applied to maintain the erection.
- Testosterone replacement therapy - When ED is related to low testosterone, supplements, injections or gels containing testosterone may help restore sexual function.
- Alprostadil injections - This injectable drug helps promote blood flow to the penis to produce an erection. It is injected into the side of the penis when needed.
- Penile implants - Surgical implantation of devices that allow men to have an erection is used for those who do not respond to other ED treatments.
The bottom line is that today,
ED is highly treatable. Diet, exercise, medications or devices can help most men facing erectile issues enjoy an active,
satisfying sex life. If you are experiencing consistent problems getting or maintaining an erection, see your doctor for evaluated and
treatment guidance. Caught early, ED does not have to limit your intimacy and happiness.