Erectile Dysfunction (ED)

This is the consistent inability to initiate and / or maintain an erection sufficient for sexual fulfilment for at least 3-4 months. it is very common, is age related and affects at least 40% of patients above 40 years.

Symptoms

  • Trouble getting an erection.
  • Trouble keeping an erection.
  • Reduced sexual desire.

Ed self test

You can have a self-test by using the IIEF self-test questionnaire before consulting your Doctor. Click Here for the test

Causes

There are two main causes of ED, physical or organic causes which are usually the majority and psychogenic or psychological causes.

Physical/Organic causes

  1. Hypertension.
  2. High Cholesterol.
  3. Diabetes Mellitus.
  4. Atheroscelosis.
  5.  Certain prescription drugs.
  6. Some types of surgery.

Psychogenic causes

  1. Anxiety and depression.
  2. Stress.
  3. Relationship problems.

Risk factors

  1. Age >=40 yrs.
  2. Tobacco use.
  3. Being overweight.
  4. Medical conditions especially Hypertension, Diabetes Mellitus and Heart condition.
  5. Certain types of physical Injuries.
  6. Prescription drugs e.g. antidepressants and some antihypertensives.
  7. Psychological conditions-stress, anxiety, depression.

Prevention

Make healthy lifestyle choices and manage existing health conditions through:

  • Regular exercise.
  • Stop smoking, limit or avoid alcohol, do not use illegal drugs.
  • Regular check-up and medical screening.
  • Reduce stress.
  • Optimally manage chronic health conditions with your doctor.
  • Weight loss.

Management

  1. Oral prescription drugs.
  2. Alternative prescription medications.
  3. Psychological counselling.
  4. Pumps and Implants.
  5. Surgery*
  6. Lifestyle modification.

Videos

Erectile Dysfunction (ED) is Treatable

Erectile Dysfunction is more common than you think