If you are having difficulty getting an erection, you are not alone. Doctors often meet men with this problem and there are several good treatment options. Erectile dysfunction is the inability to achieve, or maintain, an erection to be able to have intercourse. In medical language it is called erectile dysfunction.
All men may experience erection problems – including the young. There are many reasons for erectile dysfunction. Since erection failure can be the first symptom of a serious illness, it is important to seek help as soon as you notice that it is a persistent problem.
Read: Erectile dysfunction is often a lack of sexual desire
What is erectile dysfunction?
Most men sometimes have problems with the erection. This can happen for several reasons. When doctors talk about erectile dysfunction, also impotence, they mean that the erection is usually so weak that sex is not possible. In many men, erection problems are something physical. An injury, disease or hormone disorder can cause erectile dysfunction. Some medicines may cause erectile dysfunction. Feelings like fear, madness or lack of commitment also play a part. Stress and depression can cause erection problems.
What are the symptoms of Erectile dysfunction?
Some men with erectile dysfunction can not get a erection at all. With others, the problem can come and go. Some can get erection but without it lasting long enough or that the penis is stiff enough to have sex. Men who have problems with the erection often do not ask for help, but there are at least two good reasons to seek a doctor. First, there is treatment that is likely to help you. Secondly, erectile dysfunction may be a warning sign to serious health problems such as diabetes and heart disease. You can check this with your doctor.
Erectile dysfunction treatments
Most people can get a erection again during treatment.
medicines for erectile dysfunction
The drugs sildenafil, tadalafil and vardenafil are taken as tablets. You must take them a half to one hour before you want to have sex. There is a lot of research showing that these drugs work. They help approx. 7 out of 10 men to get harder erections. They can also help you and your partner to more satisfying sex. These drugs work regardless of what causes your erectile dysfunction. They will probably help either you have heart problems, prostate cancer, diabetes or spinal cord injury.
There are some have side effects, but they are usually mild. You may have a headache, a heartburn or become red in your face. Side effects are usually not so bad that you stop taking them. There have been rare cases where men have lost some of the sight while taking these drugs, but there is not enough research to say if these drugs can harm the vision.
Another possible side effect of medicines for erectile dysfunction is that the erection does not go down again. If you get a erection for more than four hours, you need help at the emergency room right away. This can damage the penis.
A drug called alprostadil can also help with erectile dysfunction, but you must inject it into the penis root or lead it into the penis tube as capsules. The capsules come in an automatic dispenser. You insert a thin snake into the penis, and then press a button to release the capsule. If the doctor suggests this treatment, he or she will explain how to use it. Alprostadil injections work for approx. 9 out of 10 men. The capsules help 7 out of 10 men. Some studies show that alprostadil injections work as well as sildenafil.
If the erection problems are related to your thoughts or feelings, the doctor may suggest speech therapy. You can go to the therapist on your own or with your partner. During psycho-sexual therapy, a therapist listens to your problems and counsels. For example, it can help you with nervousness or teach you to understand your feelings during sex.
Interpersonal therapy involves talking about your relationships with other people and important events in your life.
Cognitive behavioral therapy is a treatment that helps you find ways to cope with problems and avoid unfortunate thought patterns.
There is not much research when it comes to speech therapy and erection problems. A small study that looked at interpersonal therapy and psychosocial therapy found that both helped. About 8 out of 10 men who underwent interpersonal therapy became better after one year, compared with 4 out of 10 men who went to psycho-sexual therapy.
Other form of treatment
Ginseng and yohimbin are both natural preparations marketed for erection problems. Natural preparations may have side effects and have unfortunate effects with other medicines. You should not take yohimbin if you are taking antidepressants, have heart, liver or kidney problems or high blood pressure. 2 out of 10 men get side effects such as anxiety, headache or need to drink water more often. In a small study on yohimbin, a man stopped taking it because he had high blood pressure. Another stopped because he had a heartbeat.
The research on ginseng does not mention adverse reactions. Ginseng and any other medicines may affect each other. For example, it may cause your blood sugar to become too low if you are taking certain medicines for diabetes. It can also cause warfarin and other blood thinning drugs to not work as well as they should.
You may have thought about erectile dysfunction as something you just had to deal with or that it is a normal part of the aging. But there is treatment that works for most men. If you try treatment, it is likely that your erectile dysfunction and your sex life will improve. It is also worth remembering that there are many ways to have and enjoy sex. If you have a partner, it is often useful to be open about the issues so that you can solve these together. Read more about erectile dysfunction treatment