Erectile dysfunction (ED) is a male sexual dysfunction
characterized by the inability to develop or maintain an erection of the penis
during sexual performance.
dysfunction affects 10-15% of all males and can be emotionally and
psychologically disabling for men and their partners. It is more common in men
over 65 years, but it can occur at any age.
80% of erectile dysfunction cases, physical factors such as drugs or
abnormalities with blood flow, nerve impulses or hormones are the major causes.
Psychological factors account for the remaining cases and may be attributed to
stress, performance anxiety or inadequate knowledge about sexuality.
can cause emotional stress between partners. Many times, men will avoid sex due
to their emotional pain associated with erectile dysfunction, causing their
partner to feel rejected or inadequate. Some couples consider seeking
treatment together, while in other cases, men prefer to seek treatment without
their partnerís knowledge. The loss of erectile capacity can have a profound
effect on a man. The good news is that erectile dysfunction can usually be
treated safely and effectively.
Depending on whether the cause of the
erection problem is physical or psychological, the urologist may prescribe a
change in medication, hormone replacement, antidepressant therapy, devices, or
self injection to promote erections. In some cases, the patient may opt for a
surgical alternative, such as insertion of a penile implant