Erectile dysfunction (ED) is the inability of a man to achieve or maintain an erection sufficient for satisfactory sexual performance. Most men experience this at some point in their lives, usually by age 40, and are not psychologically affected by it. This results from decrease in the blood flow in the penis thereby causing lesser penile stiffness.
There are many underlying physical and psychological causes of erectile dysfunction. Reduced blood flow to the penis and nerve damage are the most common physical causes.
Listed below are conditions commonly associated with ED:
* Vascular disease
* Diabetes
* Drugs
* Hormone disorders
* Neurologic conditions
* Pelvic trauma, surgery, radiation therapy
* Peyronie's disease
* Venous leak
* Psychological conditions
Whether the cause of impotence is physiological or psychological, both the patient and his partner often experience a range of intense feelings and emotions. Any of these feelings can lead to a sense of hopelessness and lower self-esteem.
Of course, feelings of sexual insecurity can reinforce any performance anxiety a man experiences and create a vicious cycle of repeated failures and increasingly negative feelings.
Treatment options include counseling, behaviour and lifestyle changes, oral medications, penile injections and the placement of penile prostheses.
The goal of treatment:
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