Erectile Dysfunction

What is Erectile Dysfunction
Erectile dysfunction, also called impotence, means that a man's penis doesn't get hard enough to have intercourse

Causes of Erectile Dysfunction

Vascular (blood vessel) disease,
Nerve damage (neuropathy)
Psychological factors
Medications
Hormonal problems

.

Symptoms of Erectile Dysfunction
A man with erectile dysfunction has either a problem getting an erection or difficulty maintaining one. This usually interferes with sexual activity by preventing penetration during intercourse.

Erectile dysfunction can occur suddenly or gradually. Some men slowly lose the firmness of their erections or how long the erections last. In other men, especially those whose impotence is largely caused by psychological factors, the problem may occur unpredictably and can improve at any time. Despite their difficulties with erections, men with impotence often continue to have normal orgasm and ejaculation.

Diagnosis
Your doctor first will ask you about your medical history. This is to learn if any medical conditions might be causing the erectile dysfunction, including vascular, neurological and hormonal disorders. Since vascular disorders affect the entire body, many men who have erectile dysfunction because of vascular disease also have a history of heart disease, stroke or poor circulation in their legs. Neurological problems can contribute to erectile dysfunction in men with a history of diabetes and spinal-cord injury. They also can cause symptoms in other parts of the body, such as numbness or weakness in legs. In men with abnormal hormone levels, reduced sex drive often accompanies erectile dysfunction.

Your doctor also will review the medications you are taking, including over-the-counter medications and herbal remedies. Your doctor also will ask about your sex life. This sometimes is called a psychosexual history. It includes questions about the quality of your sexual relationships.

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