Erectile dysfunction concerns erection problems characterized by the inability to develop or maintain an erection sufficient for satisfactory sexual performance.
An erection occurs due to hydraulic effects due to blood entering and being retained in sponge-like bodies inside the penis. During intercourse, the process is initiated when sexual arousal is transmitted from the brain to nerves in the pelvis.
Causes
There are various and often multiple underlying causes for erectile dysfunction, some of which are treatable medical conditions. The most important organic causes of erection problems are cardiovascular disease and diabetes, neurological problems (for example, trauma from prostatectomy surgery), hormonal insufficiencies (hypogonadism) and drug side effects. It is important to realise that erectile dysfunction can signal underlying risk for cardiovascular disease.
There is often a contributing and complicating and sometimes a primary psychological or relational problem. Psychological erection problems are due to thoughts or feelings (psychological reasons) rather than physical impossibility; this can often be helped. Notably in psychological erectile dysfunction, there is a strong response to placebo treatment.
Erectile dysfunction, tied closely as it is to cultural notions of potency, success and masculinity, can have severe psychological consequences. There is a strong culture of silence and inability to discuss the matter. In reality, it has been estimated that around 1 in 10 men will experience recurring erectile dysfunction at some point in their lives.
Treatment
Besides treating the underlying causes and psychological consequences, the first line treatment of erectile dysfunction consists of a trial of PDE5 inhibitor drugs (the first of which was Sildenafil or Viagra). In some cases, treatment of erection problems can involve prostaglandin tablets in the urethra, intracavernous injections with a fine needle into the penis that cause swelling, a penile prosthesis, a penis pump or vascular reconstructive surgery.
Viagra is by far the most well known treatment for erectile dysfunction. It is an oral medication that works in about 30 minutes and the effects last for about 4 hours. Viagra is safe for men who suffer from high blood pressure, cholesterol, heart disease, diabetes, prostate problems or depression. It is safe to take with most medicines however you should not take Viagra if you take medication containing nitrates. Possible side effects of Viagra are mild and don’t last long, such as headache, facial flush and upset stomach. Contact your doctor to check your suitability for Viagra and to get a prescription.
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