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Erectile Dysfunction (ED)

Erectile dysfunction (ED) is the inability to get or keep an erection firm enough for sexual intercourse. ED can have psychological causes as well as physical ones. Common causes include:

  • Diabetes - Individuals with diabetes are more prone to nerve and artery damage that can impede blood flow to the penis. Controlling blood sugar levels via diet, exercise, and medication helps prevent and manage ED.
  • Heart Disease - Anything that damages arteries can restrict blood flow to the penis. High blood pressure, high cholesterol, and atherosclerosis from smoking can all contribute to ED. Lifestyle changes and medications to improve cardiovascular health may improve ED.
  • Obesity - Excess weight strains the cardiovascular system and increases the risk of artery blockages and nerve damage. Losing weight through diet and exercise often helps alleviate ED.
  • Medications - Many common medications like antidepressants, blood pressure drugs, and tranquilizers can undermine erections. Doctors may tweak dosages or switch to alternatives that are less likely to cause sexual side effects.
  • Smoking - Smoking constricts blood vessels and impedes blood flow. Quitting has been conclusively shown to reduce the incidence of ED.
  • Alcohol/Substance Abuse - Chronic heavy drinking can damage nerves and arteries critical for erections. Cutting back or quitting drinking facilitates sexual functioning.
  • Injuries/Surgery - Injuries to the penis, prostate, bladder, colon, or rectal area may result in nerve damage or scarring that causes ED. Gentle sexual activity generally helps penile rehabilitation after surgery.

The good news is ED is one of the most treatable sexual health issues. Oral drugs like Viagra and Cialis facilitate erections by increasing blood flow. Vacuum erection devices, penile injections, urethral suppositories, or implants are other medical options. Sex therapy also helps some couples cope with ED.

Lifestyle changes like quitting smoking, losing weight, and limiting alcohol can dramatically improve ED symptoms. Open communication with your partner and doctor is key to exploring the wide range of solutions for managing erectile dysfunction. The earlier it is addressed, the easier it is to treat and reduce frustration.

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