Erectile dysfunction (ED), also known as impotence, is the difficulty in achieving or maintaining an erection during sexual activity. It is the most commonly reported sexual issue among men. ED can lead to stress, relationship problems, and confidence issues.

Occasional difficulties with erections are normal, but if the problem persists, it is important to consult your doctor. Sometimes, an underlying health condition can contribute to erectile dysfunction, and addressing that condition may resolve the ED. The goal of ED treatment is to restore erectile function and enhance a man’s overall quality of life.

At Golden Gate Urology, our urologists are highly skilled in diagnosing and treating erectile dysfunction. Although discussing ED can be sensitive, we handle your condition with the utmost discretion to ensure a comfortable and respectful experience.

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Causes

Erectile dysfunction (ED) can result from stress, health issues, or a combination of both. It becomes more common as men age. Key risk factors for ED include:

  • Age (especially over 50 years)
  • Diabetes
  • High blood pressure
  • Cardiovascular disease
  • High cholesterol
  • Smoking
  • Excessive drug or alcohol use
  • Obesity
  • Sleep disorders

Psychological factors such as depression, anxiety, stress, and relationship problems can also affect sexual function and lead to ED. Addressing these conditions may help alleviate erectile dysfunction.

Diagnosis

Erectile dysfunction is typically diagnosed through a physical exam and medical history. Your urologist may ask questions such as:

  • What symptoms are you experiencing?
  • How long have you had these symptoms?
  • Have you experienced any recent life changes or major stressors?
  • What medications are you currently taking?

If an underlying health condition is suspected, additional tests may be necessary. Blood tests and urine analysis can help identify potential causes of ED. Occasionally, an ultrasound may be used to assess blood flow to the penis.

Treatment

Once the cause of your erectile dysfunction is determined, your doctor will address any underlying conditions that may be contributing to the problem. Treatment options will vary based on the cause and severity of your ED. Your doctor will discuss the best treatment approach for your individual needs.

Common oral medications for treating ED include:

  • Sildenafil (Viagra)
  • Tadalafil (Cialis)
  • Vardenafil (Staxyn)

These medications work by relaxing the muscles in the penis to increase blood flow, although stimulation is still necessary to achieve an erection.

Other treatment options include injections, suppositories, testosterone replacement therapy, and penile pumps or implants. Lifestyle changes, such as exercise, may also improve erectile function and will likely be recommended by your doctor. Be prepared for your appointment by noting your symptoms, listing all medications, and sharing any recent life changes.

FAQs

What is causing my erection problems?

Erectile dysfunction can have various causes, with age being a significant factor, particularly in individuals over 60. Often, addressing underlying conditions such as high blood pressure, diabetes, or issues related to diet and exercise can help restore sexual health. Psychological factors, stress, and sudden lifestyle changes can also contribute to ED. It’s important to discuss your symptoms with your doctor to identify the underlying cause and determine the most appropriate treatment.

What kind of tests do I need?

Your doctor will assess your symptoms, medical history and sometimes conduct a physical exam to diagnose and treat erectile dysfunction. If there is any question about underlying conditions causing the problem, a blood test or urine analyisis may be done.

How do you treat erectile dysfunction?

Oral medications are the most commonly used treatment of erectile dysfunction, which often relieve the problem with minimum side effects. Discuss all treatment options with your doctor to find the best one for you.

Is my erectile dysfunction temporary or chronic?

Most erectile dysfunction is temporary and situational and can be treated. In some cases, injuries that cause nerve damage can cause more permanent conditions. Discuss all concerns with your doctor to diagnose the cause and severity.