Tulane Urology
Erectile dysfunction
Many men experience occasional difficulties with erections, but some face a condition known as erectile dysfunction (ED). ED makes it challenging to achieve or maintain an erection firm enough for sexual activity.
What Causes Erectile Dsyfunction?
ED becomes more prevalent with age, but aging itself is not the root cause. It may signal underlying health issues, such as heart disease, high blood pressure, and diabetes, or the effects of smoking and substance use.
How is erectile dsyfunction diagnosed?
Diagnosing the cause of ED is crucial for determining the most effective treatment. Healthcare providers typically inquire about health history, conduct a physical exam, and order lab tests:
- Health & ED History: Providers review medical history, medications, and lifestyle factors to identify potential contributors to ED. Adjusting or discontinuing certain medications may improve symptoms.
- Physical Exam: A physical exam assesses overall health and includes an examination of the penis, offering insights into the potential causes of ED.
- Lab Tests: Blood tests and urine samples may be ordered to identify diseases associated with ED.
- Stress & Emotional Health: Providers may ask about depression, stress, or relationship difficulties, as these emotional factors can impact ED.
How is Erecticle Dsyfunction treated?
The encouraging news is that ED can be safely treated, and effective treatments are available. Treating ED involves addressing underlying causes. Healthcare providers may recommend quitting smoking, reducing substance use, managing emotional factors like stress or depression, or adjusting medications. If testosterone levels are low, testosterone replacement therapy may help. Other options include oral medications, vacuum erection devices, self-injections, intraurethral therapy, or surgical implants.
It is crucial not to discontinue medications without consulting a healthcare provider. Dietary supplements, often labeled as “herbal remedies,” are popular but may not be safe or effective. Consulting with a healthcare provider before trying any supplements for ED is highly recommended.