Erectile dysfunction - Rebalance Hormone Clinic

What is Erectile Dysfunction?

Erectile dysfunction (ED), also known as impotence, refers to the consistent inability to get or keep an erection firm enough for sexual activity. ED is typically characterized by the consistent inability to sustain an erection sufficient for sexual intercourse.

ED is quite common, affecting up to 30 million men in the United States alone according to the Cleveland Clinic. It has many potential underlying causes, both psychological and physiological. Some major risk factors include:

• Age - ED risk rises with age, affecting nearly 50% of men in their 60s according to the Urology Care Foundation
• Lifestyle factors like obesity, smoking, and alcohol use
• Medical conditions like diabetes, heart disease, high blood pressure, and high cholesterol
• Medications like blood pressure drugs, antidepressants, and tranquilizers
• Hormonal changes or imbalances of testosterone

The main physiological causes stem from impaired blood flow or nerve damage that inhibits the complex sequence of events necessary to achieve an erection. Psychological factors like stress, anxiety, depression, and poor self-esteem can also contribute. In many cases, ED has multifactorial triggers.

Diagnosis typically begins with a medical history, physical exam, and discussion about symptoms. From there, additional tests may help pinpoint contributory factors:

• Blood tests to check hormone, cholesterol, and glucose levels
• Ultrasound to evaluate blood vessel function
• Overnight erection test to monitor involuntary erections during sleep
• Psychological assessment if mental health issues are suspected

Fortunately, there are many treatment options available, including:

• Oral medications like sildenafil, vardenafil, and tadalafil to improve blood flow
• Injections or urethral suppositories to induce erections
• Testosterone replacement if low levels are causing ED
• Penis pumps and other mechanical aids
• Counseling and lifestyle changes regarding diet, exercise, sleep habits, and stress management
• Surgical implants that allow men to mechanically control firmness

The wide range of solutions demonstrates that most men with ED can achieve worthwhile improvement. But it is always wise to consult a doctor at Rebalance Hormone Clinic for appropriate diagnosis and management instead of delaying.

I hope this overview on the definition, causes, diagnosis, and treatments for erectile dysfunction has been helpful! Let me know if you have any other questions.