Erectile dysfunction is fairly common among men between 40-70 years but it is often considered as an uncomfortable subject. Men find it embarrassing to talk to their doctors about their condition, while that is the only way they could get proper treatment.

Here are 7 questions to ask your doctor about erectile dysfunction.

What could be causing erectile dysfunction?

ED is caused by a variety of factors either physical, psychological, or due to lifestyle choices. The most common physical causes of ED are high blood pressure, type 2 diabetes. Atherosclerosis or penile related injuries.

Psychological factors are mainly stress-related and performance anxiety while lifestyle choices include smoking or over-drinking.  Your doctor will run a series of tests to determine what exactly is causing the ED.

Is my erectile dysfunction caused by low testosterone?

While low testosterone is one of the causes of erectile dysfunction, there could be other contributing factors. There are physical causes of Erectile dysfunction including Parkinson’s diseases, high cholesterol, high blood pressure, etc.

The most common physical causes of ED are vascular diseases, especially in men over 50 years.1

Could my erectile dysfunction be psychological?

Yes, sometimes ED is caused by psychological factors stemming from sexual trauma or childhood abuse. The most common psychological cause of erectile dysfunction is performance anxiety and relationship problems.2 Stress, whether money related or due to marital issues can cause erectile dysfunction

A nocturnal test could be done to determine if the stress is psychological or not. This is where your erections are monitored during the night, to see if they reach the average number (3-5).

I smoke and drink alcohol, could that be causing my ED?

Smoking damages blood vessels by restricting the proper flow of blood throughout the body, which is one of the contributing factors of erectile dysfunction. Most men attribute alcohol to increased sexual desire but over drinking can cause Erectile dysfunction.

Some of the lifestyle changes you should make include quitting smoking and moderating your alcohol use.

Is Erectile Dysfunction Treatable?

Yes, it is. The treatment options are dependent on the contributing factors. For instance, if your erectile dysfunction is caused by underlying health conditions, treating them could also treat the ED. For cases where medication is the causing factor, changing the medication or adjusting the dosage could help.

Other treatment options include using vacuum devices, penile implants, or counseling.

Will the ED treatment work?

Your doctor will recommend a treatment option that is likely to work for you based on a series of tests. After treatment, most men are able to get and sustain an erection with ease.

Question regarding penile implant effectiveness

Penile implants are an effective treatment option for erectile dysfunction and are often used while the other treatment options fail. The implants can last anywhere from 5 to 20 years and can either be inflatable or semi-rigid.

They also don’t affect the sensations or orgasms and only help by sustaining an erection.

 

Links to sources used

  1.       The Underlying Pathophysiology and Causes of Erectile Dysfunction – https://pubmed.ncbi.nlm.nih.gov/16156420/#:~:text=Physical%20organic%20causes%20are%20now,a%20common%20cause%20of%20ED.
  2.       Erectile Dysfunction. – NCB –  https://www.ncbi.nlm.nih.gov/pubmed/27929275#:~:text=Performance%20anxiety%20and%20relationship%20issues,in%20men%20with%20metabolic%20syndrome