Erectile Dysfunction Basics
What is "Erectile Dysfunction" or "ED"?
Erectile Dysfunction is a condition where a man is unable to either obtain or to maintain an erection. In addition, erectile dysfunction may include a loss of libido which can contribute to the actual ability to obtain or maintain an erection.
What is the "libido"?
The libido is the sex drive or the desire to have sexual activity.
What are the primary causes of erectile dysfunction?
The primary cause of erectile dysfunction is psychogenic nature; that is, induced by the brain. Therefore if psychogenic issues could be addressed one could easily correct the problem of erectile dysfunction if it's due to psychogenic causes. Additionally however, organic causes could contribute to erectile dysfunction, and they include atherosclerosis or hardening of the arteries, thereby reducing blood flow to the penis. Additionally a condition called Venous Leak Syndrome may occur where the blood flow to the penis is satisfactory however the blood cannot be trapped within the penis long enough to allow for a firmer action and the blood leaks out prematurely thereby diminishing the quality of the erection. Other factors can contribute like hypertension, diabetes mellitus, and other more rare conditions as well.
What are the risk factors for erectile dysfunction?
The risk factors for erectile dysfunction include advanced age, primarily because there is a higher incidence of arteriosclerosis or atherosclerosis, which is the hardening of the arteries. Diabetes mellitus is a disease process that frequently contributes to erectile dysfunction through a neurogenic or nerve induced dysfunction. Additionally, hypertension can lead to erectile dysfunction. Also, one of the main environmental issues or factors affecting erectile dysfunction includes cigarette smoking.
How common is erectile dysfunction?
Well, erectile dysfunction becomes common and it's interesting to note that it can become common in a man as early as in his 40s. As many as 30% of men in their 40s may experience erectile dysfunction, and the number increases with each decade of age. Up to 60% or 70% of men over the age of 65 may be experiencing some form of occasional erectile dysfunction.
What type of doctor should I see about erectile dysfunction?
Well, any doctor can help you out with erectile dysfunction. However, urologists are the primary referral source for treating erectile dysfunction, and additionally, so are primary care doctors, like internal medicine doctors, or family practitioners.