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Home > Help Desk > Health Concern > Section E > Erectile Dysfunction

Erectile Dysfunction



Erectile dysfunction (ED) is the inability of a male to attain or sustain an erection sufficient for sexual intercourse. It can be a persistent condition; however, almost half of all men experience ED only occasionally. ED can have physical, psychological, or drug-induced causes. Although some doctors used to believe differently, most researchers and doctors now believe that physical factors are responsible for the majority of ED cases.

What are the symptoms of erectile dysfunction?
ED is defined by the symptoms listed above. Symptoms may also include loss of sexual desire (libido), premature ejaculation, or inability to achieve orgasm.

How is it treated?
Depending on the cause, conventional therapy may include psychological and behavioral counseling, treatment of underlying cardiovascular disease, and avoidance of certain medications. Drug treatments for ED include male hormone replacement therapy (testosterone, DHEA), sildenafil (ViagraŽ), and medications inserted or injected into the penis (alprostadil). Penile vacuum devices and surgical options, such as penile implants and vascular repair, are usually limited to those who have not responded to other treatments.

Lifestyle changes that may be helpful:
Men who smoke have been shown to have an increased incidence of ED.

Nutritional supplements that may be helpful:
Low blood levels of the hormone dehydroepiandrosterone (DHEA) have been reported in some men with ED.

   
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