With erectile dysfunction (ED), a male can’t get or keep an erection long enough to have sexual intercourse. Sometimes, ED is called impotence. Impotence can be ED, but can also mean a lack of sexual desire and problems with orgasm.
Signs & Symptoms
Not being able to get an erection at all
An erection is too brief, weak, or painful for satisfying sex.
An erection loses strength with penetration.
Causes
Blood vessel diseases, diabetes, and other physical problems are the usual cause of ED. Other causes are smoking and a side effect of some medicines, such as depression and hypertension medications. Some cases are due to emotional factors, such as stress and fear of not being able to perform.
Treatment
Treatment for conditions that cause ED
Medication
Counseling
A vacuum erection device
Self-injection therapy or a penile implant
Self-Care / Prevention
Take medicine for ED as prescribed.
Check with your doctor before you take herbs, etc. sold for ED.
If you have diabetes, follow your treatment plan.
If you smoke, quit.
Avoid or limit alcohol to 2 drinks a day.
Relax. Manage stress. Get plenty of rest.
Get regular physical activity. Lose weight if you have excess pounds.
Share your fears, needs, etc. with your partner. Work through relationship issues.
Don’t focus just on performance. Find pleasure when you hug, kiss, and caress your partner.
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Triage Questions
Question 1
Did ED occur with prostate or other surgery, trauma to the pelvis, or after taking prescribed medicines?