Conditions and Treatments

Erectile Dysfunction

Erectile dysfunction (ED) is the inability of a man to attain and/or maintain an erection sufficient for sexual activity. The process leading to an erection is a complex interaction between physical and psychological factors.  There have been great advances over the past twenty or so years in the diagnosis and treatment of erectile dysfunction.

  1. Estimated 30 million men in the United States including over half of men between the age of 40 and 70 years old are affected by ED to some degree.
  2. Erectile dysfunction is not normal at any age
  3. Erectile dysfunction (ED) may be an indication of other health concerns.
  4. New evidence indicating a role of ED as an early marker of cardiovascular disease highlights the importance of diagnosis and early intervention.

Unfortunately, many men do not seek help because of embarrassment over erectile dysfunction which can lead to emotional and relationship problems.

COMMON RISK FACTORS OF E.D. INCLUDE

  1. Age
  2. Diabetes
  3. High blood pressure
  4. High blood cholesterol
  5. Smoking and
  6. Cardiovascular disease.
  7. Low testosterone or hypogonadism.

A diagnosis is made by a thorough medical history, physical examination and a few routine blood tests to check hormone levels and blood sugar.

Most cases do not require extensive testing before beginning treatment. In some cases however, the urologist may recommend penile injection or ultrasound testing to better understand the cause of ED,

TREATMENT OPTIONS AND RECOMMENDATIONS MAY INCLUDE

  1. Lifestyle changes such as weight loss, smoking cessation and exercise
  2. Oral medication such as Viagra, Levitra and Cialis.

Medications may not be effective or appropriate for all men so other equally effective options are considered. These may include:

  1. Vacuum erection device
  2. Urethral suppositories
  3. Injection therapy
  4. Penile implants