Erectile Dysfunction (ED)

With, erectile dysfunction (ED), a male can’t get or keep an erection firm enough for sex in 25% or more attempts. Sometimes, ED is called impotence. Impotence can be ED, but can also mean a lack of sexual desire and problems with orgasm.

Signs & Symptoms

• Not being able to get an erection at all.

• An erection is too brief, weak, or painful for satisfying sex.

• An erection loses strength with penetration.

Causes

Blood vessel diseases, diabetes, and other physical problems are the usual cause of ED. Other causes are smoking and a side effect of some medicines, such as beta-blockers and water pills. Only 10% to 20% of ED cases are due to emotional factors, such as stress and fear of not being able to perform. Suspect this cause if erections occur during sleep or when waking up.

Treatment

• Treatment for conditions that cause ED.

• Medication.

• A vacuum erection device.

• Self-injection therapy or a penile implant.

• Take medicine for ED as prescribed.

• Check with your doctor before you take herbs, etc. sold for ED. These include Actra-Rx, ginko biloba, yohimbe, Siberian ginseng, and Yilishen.

• If you have diabetes, follow your treatment plan.

• Don’t smoke. Don’t use street drugs.

• Don’t have more than 2 alcoholic drinks a day.

• Relax. Manage stress. Get plenty of rest.

• Share your fears, needs, etc. with your partner.

• Don’t focus just on performance. Find pleasure when you hug, kiss, and caress your partner.