Erectile Dysfunction can be debilitating. Not being able to function in bed can cause shame and embarrassment, as well as decreased satisfaction for both partners. The good news is —
Erectile dysfunction is treatable!
Scroll down to learn more about erectile dysfunction. What is erectile dysfunction? Learn what causes it? What are the treatments for erectile dysfunction? And, how can you go beyond ED to male enhancement, to make your sex life even better?
Written by Kimberly Wylie
- Happens to Most Man – The inability to get or keep an erection happens to most guys, at some point in their lives. This is NOT erectile dysfunction.
- Two Factor Categories – Factors leading to erectile dysfunction are either physically and/or psychologically based.
- Treatment Options – Treatment options for ED vary depending on the underlying factors. Prescription medication, penis pumps, injections, and even therapy are all common treatments that can lead you back to a healthy sex life.
WHAT IS ERECTILE DYSFUNCTION?
Erectile dysfunction, commonly referred to as ED, is the condition when a man is unable to get or maintain an erection strong enough for sex. Also known as impotence, erectile dysfunction can cause stress in your relationship and can damage your self confidence. Although most men, at some point, have trouble getting or maintaining their erection, this is not the same thing as true ED. With erectile dysfunction, erection difficulties are the norm. Erectile dysfunction becomes more common as men age. As noted above, the good news is, in most instances, ED is treatable.
- If erectile difficulties only happen rarely — Chances are the problem isn’t serious. Remember, most men have trouble with erections at some point in their life.
- If your erectile difficulties get gradually worse and more persistent — There is likely a physiological cause to your erectile dysfunction. You should seek the advice of a medical professional.
- If your erectile difficulties begin abruptly, but you still get early morning erections and can become erect when masturbating — Chances are there is a psychological factor affecting your ED. Speak to a medical or psychological professional.
WHAT CAUSES ERECTILE DYSFUNCTION?
Psychological Factors Causing Erectile Dysfunction
Psychological factors include:
- Stress – Stress from your job, your relationship, money, or other worries can lead to erectile dysfunction.
- Performance anxiety – Once you’ve experienced erectile dysfunction, worry about it happening again can increase your anxiety and actually cause the problem to happen again.
- Depression – Depression affects you both physically and emotionally, which can lead to ED. Additionally, many of the medications used to treat depression have ED as a possible side effect.
- Guilt – Guilt ties in with performance anxiety, when the guilt is about not being able to satisfy your partner, or may lead to anxiety if the guilt is about other issues in your relationship.
Each of these factors cause the body to go into “flight or fight” mode. Stress hormones are triggered (including epinephrine and norepinephrine). These stress hormones constrict the blood vessels in the penis, making it more difficult to get or maintain an erection. This sets up a vicious cycle — you’re worried about your sexual performance, which leads to more stress and anxiety, which releases more stress hormones, and becomes a self-fulfilling prophecy.
Physiological Factors Causing Erectile Dysfunction
Since the erection is a hydraulic function, if ED is due to a physical issue, it’s usually centered on either circulation or nerve sensitivity. Physiological factors are varied and fall into three basic sub-categories.
Vascular Causes of Erectile Dysfunction
Vascular causes of erectile dysfunction center on issues with the blood flow to the penis. Your erection is dependent on blood flowing into and being maintained in the cavernous tissues of the penis. Approximately 70% of physically caused cases of erectile dysfunction are caused by vascular issues. These include:
- Heart/Vascular Disease – Vascular disease, often associated with obesity and other unhealthy lifestyle choices, blocks the blood vessels, restricting blood flow, making getting and maintaining an erection difficult. Atherosclerosis (hardening of the arteries), high blood pressure, and high cholesterol are among the most common causes of ED.
- Venous leak – Blood flowing into your penis, and the veins constricting to trap the blood in the penis, is what leads to an erection. However, if the blood flows out too quickly, known as a venous leak, it results in erectile dysfunction. Venous leak may be a result of disease, but it also can occur due to injury to the penis.
- Kidney Disease – Kidney disease can affect several areas needed for a healthy erection, including: vascular issues, hormone levels, and your nervous system. This disease can also negatively affect your physical stamina, causing a drop in your libido. To compound matters, some medications used in the treatment of kidney disease have been known to cause erectile dysfunction.
Operative Causes of Erectile Dysfunction
On occasion, one side effect of some operations may be erectile dysfunction. Approximately 10% of physiologically-induced erectile dysfunction is from damage from operations. Most often, this includes:
- Prostate and Bladder Cancer Surgery – Although prostate and bladder cancer do not cause erectile dysfunction, treatments may lead to temporary or permanent ED. Surgery for either cancer type can damage the nerves and tissues needed for a healthy erection. This damage usually heals within 6 to 18 months; however, in some cases, the damage is permanent.
- Other Surgeries – Any other surgery in the pelvic region has a chance of leading to erectile dysfunction. This is especially true of penis enlargement surgery, which may cause nerve damage.
Pharmacological Causes of Erectile Dysfunction
Drug use (both illicit and prescribed) causes approximately 10% of all cases of erectile dysfunction due to physical factors. These drugs negatively affect the penis’s ability to fill with blood and then maintain that blood. These include:
- Nicotine, Alcohol or Illicit Drug Use -All three can damage the blood vessels needed for a healthy erection. Smoking and drinking can both specifically lead to atherosclerosis, which reduces blood flow to the penis and increase your chance of erectile dysfunction.
- Prescription Medications – There are more than 200 prescription medications known to cause erectile dysfunction.
- High blood pressure medication,
- Antidepressants/Anti-anxiety medications,
- Anti-epileptic drugs,
- Parkinson’s medication,
- Histamine H2-receptor antagonists,
- Muscle relaxants,
- Prostate cancer medications, and
- Chemotherapy drugs
Neurological Causes of Erectile Dysfunction
Neurological causes of erectile dysfunction are issues with the nervous system. This can happen from damage caused by operations or trauma to the penis. However, other nerve damage issues account for 5% of all physiologically-induced erectile dysfunction incidents. These primarily include neurogenic disease.
- Neurogenic disease (stroke, Alzheimer’s disease, Multiple sclerosis, Parkinson’s, etc.) – Your nervous system is critical to getting and maintaining an erection. Neurogenic disease can disrupt the signal between your brain and your penis, leading to erectile dysfunction.
Endocrinologic Causes of Erectile Dysfunction
Endocrinologic causes of erectile dysfunction center on issues with the pituitary, thyroid, adrenals, testes, or pancreas organs. These issues include:
- Poorly controlled diabetes – Diabetes can damage the blood vessels and nerves needed to get and maintain an erection. Poorly controlled diabetes can double your chance of erectile dysfunction.
- Hormone problems – Low testosterone or an imbalance of other hormones can also negatively affect your libido. While sometimes these issues are related to disease, such as pituitary gland tumors or kidney disease, hormone changes also can be a normal function of aging.
Trauma Causes of Erectile Dysfunction
Trauma to the pelvis, bladder, spinal cord, and penis may also cause erectile dysfunction. This trauma can be from direct injury or even from wearing tight clothing.
DIAGNOSING ERECTILE DYSFUNCTION
Given the seriousness of many of these potential contributing factors, it’s important to seek the advice of your medical professional, for a diagnosis, if you have concerns about erectile dysfunction. Read our article, Diagnosing Erectile Dysfunction, for more details on the types of tests used to diagnose ED.
HOW DO YOU TREAT ERECTILE DYSFUNCTION?
Treatment for ED depends on the underlying factors of the erectile dysfunction.
Treatment for Psychologically-Induced ED
Erectile dysfunction caused by psychological issues is usually treated with therapy to address the underlying issues. A mental health professional can help you break the anxiety-ridden cycle that compounds the erectile dysfunction problem.
- Talk Therapy – Talk therapy is often the first course of treatment if anxiety or stress is expected to be a factor in erectile dysfunction. Discussing your worries (work, relationship, financial, etc.) with a licensed mental health professional can help. Additionally, they can give you strategies to increase your intimacy. Some sessions with your partner may also be of help.
Even when your ED is based on psychological issues, physical treatments can help, by building self-confidence, as well as strengthening muscles and improving blood flow to the penis.
Treatment for Physically-Induced Erectile Dysfunction
Treatment for physiological factors causing ED are varied, depending on the factors attributed to your erectile dysfunction.
There are a number of prescription medications on the market today, for those suffering from erectile dysfunction. These are PDE05 inhibitors and work by relaxing the smooth muscle tissue in your penis. This increases blood flowing into the penis. Their primary benefit is their effectiveness in treating ED, which can lead to not only increased self-confidence in the bedroom, but also repaired relationships with your partner. Popular medications include:
Despite their effectiveness, there are side effects associated with these medications. These include:
- Muscle aches,
- Blue-greenish vision tinge.
For men in poor health, the side effects can be more severe, including heart attach and even death. For this reason, prescription medications are often not recommended for men who are diabetic, obese, are on nitrate medication, or smoke cigarettes.
Penis pumps are a common and incredibly effective treatment for erectile dysfunction. The pump creates a vacuum around the penis. This expands the tissues within the penis, causing it to fill with blood. The process to use a penis pump is simple.
- Place the Penis in the Pump – The pump is placed inside
the cylinder of the penis pump.
- Create Vacuum – Using either a manual or electronic pump, a vacuum in the cylinder is created, causing the penis to fill with blood and become erect.
- Use a Cock Ring – A cock ring is then placed around the base of the penis, to prevent the blood from flowing out of the penis, before the pump is removed.
The benefit is that there are no ill side effects when pumping is performed correctly. Additionally, some insurance policies, including Medicare, cover penis pumps for those diagnosed with erectile dysfunction, when prescribed by a doctor. However, a pump does not fix the underlying problem causing the ED.
Please view our article – Penis Pumping: Techniques & Routines – for more information on penis pumps.
Penis exercises can help strengthen the muscles needed for healthy erections, while also improving blood flow to the penis. The benefit to this method of ED treatment is that it’s all natural and the primary side effect is a larger and healthier penis. These exercises include:
- Kegels – Kegels contract the pelvic floor muscles to make them stronger. These are the skeletal muscles needed for a healthy erection.
- Jelqs – Jelqs use a milking-like motion to force blood into the penis. This nutrient-rich blood results in a healthier penis.
- Stretching – Stretching also encourages blood to flow into the penis, for a healthier penis and healthier erections.
However, penis exercises, like any other exercise routine, takes time and commitment. For this reason, you may wish to pursue other treatments for immediate improvements, while exercising for a healthier penis. Read our page – Penis Exercising 101 – How Penis Exercises Work, and How it Can Work for You – for more information on penis exercises.
Suppositories and Injections
For those who do not respond to oral medications, or who can’t take medications like Viagra, suppositories and injections are another treatment option for immediate, temporary erectile functioning.
- Suppositories – For the suppositories, an alprostadil pellet is inserted into the tip of the penis. Alprostadil boosts blood flow to your penis. This method is less effective than injections.
- Injections – The injections inject alprostadil directly into the penis. In addition to the unpleasantness of having an injection into your penis, this method also has a higher incidence of priaprism (dangerously prolonged erections) and can lead to scarring.
There are two primary surgical methods used for erectile dysfunction.
- Vascular Surgery – Vascular surgery may be indicated for those with a venous leak. This can permanently repair your erectile dysfunction.
- Surgical Implants – Surgical implants are also an option, especially for those suffering from permanent erectile dysfunction. These penile prosthesis are either bendable or inflatable.
Both forms of surgery are costly and come with the risks associated with surgery.
CONFRONTING ED: YOUR MALE ENHANCEMENT ROUTINE FOR OVERCOMING ED
Following is your action plan for confronting your erectile dysfunction.
Step 1: Confronting ED – Supplements
- Supplements – Take the right supplements to improve the blood flow to your penis. Just like supplements are effective for improving muscles in other parts of your body, penis supplements can positively affect your ED treatment plan. Specifically look for a supplement with L-Arginine. We recommend: VigRX Plus, SinRex, and Male Extra.
Step 2: Confronting ED – Kegels for Men
- Kegels – Read our article – Kegel Exercises for Men – to fully understand how to do Kegels and to learn a great beginner’s routine. Don’t go overboard on Kegeling! Over-Kegeling can actually lead to more ED problems if you overtrain your pelvic floor muscles.
Step 3: Confronting ED – Improve your Lifestyle
- Improve Your Lifestyle – Blood flow is the most important factor when it comes to your erection. For this reason, make healthy lifestyle choices that will improve your heart health and improve your blood flow to your penis. Eat a heart healthy diet. Stop smoking. Drink only in moderation. Exercise, with at least 30 minutes a day of cardio to get your heart pumping. There’s also a bonus of reduced stress with working out!
Step 4: Confronting ED – Penis Exercises
- Penis Exercises – Review our article – What is Jelqing? How to Jelq to a Bigger & Harder Penis! – and learn how to properly perform the Jelq. Our article – Penis Stretching – will teach you how to properly do this exercise. Both will get nutrient-rich blood flowing into your penis, helping you get harder erections.
Step 5: Confronting ED – Penis Pumps
- Penis Pumps – If you want immediate relief from your ED, penis pumps are a tried-and-true method for temporary relief. The Bathmate penis pump is the most versatile pump on the market, allowing you to use it in or out of the bath or shower.
Step 6: Confronting ED – Talk to a Doctor
- Talk to a Doctor – Consult your physician. Your doctor can prescribe an appropriate medication, suppository or injection. Also, consider seeking out a mental health professional, if you feel you may have a psychological component to your erectile dysfunction. Because ED may be a symptom of a much more serious problem – like cardiovascular disease or diabetes – always talk to a doctor if you have recurring or persistent erection problems.
TRANSITIONING FROM ED RELIEF TO MALE ENHANCEMENT
Once you’ve successfully overcome erectile dysfunction, male enhancement can help you not only maintain, but also improve, your erection quality. Male enhancement will help ensure you have rock-hard erections for the rest of your life, further improving your sex life. Please visit our Male Enhancement page to learn how you can take your sex life from good to phenomenal.
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