Dr. S.K Jain Burlington Clinic Pvt Ltd
What Are Erection Problems?
(Prof.) Dr. Saransh Jain
When men become sexually aroused, hormones, muscles, nerves, and blood vessels all work with one another to create an erection. Nerve signals, sent from the brain to the penis, stimulate muscles to relax. This, in turn, allows blood to flow to the tissue in the penis.
Once the blood fills the penis and an erection is achieved, the blood vessels to the penis close off so that the erection is maintained. Following sexual arousal, the blood vessels to the penis open up again, allowing the blood to leave.
At some point in a man’s life, he may have difficulty achieving or maintaining an erection. Erection problems occur when you can’t achieve or maintain an erection that’s firm enough to have sexual intercourse. Erection problems are also known as:
For most men, these problems occur occasionally and aren’t a serious issue. According to the Cleveland Clinic, there’s no cause for concern if erection problems occur up to 20 percent of the time.
However, if you’re unable to achieve an erection at least 50 percent of the time, you may have a health problem that requires medical attention.
The causes of ED can be physical, psychological, or a combination of the two.
Physical causes
Physical causes of erection problems are more common in older men. They occur because of disorders that can affect the nerves and blood vessels responsible for causing an erection.
Physical causes include medical conditions such as:
- heart disease
- atherosclerosis, or hardening of the arteries
- high blood pressure
- high cholesterol
- diabetes
- obesity
- Parkinson’s disease
- multiple sclerosis (MS)
- liver or kidney disease
- alcoholism
- Peyronie’s disease, or penile scarring that results in a curved penis
Other physical causes include:
- certain medications, including beta-blockers, diuretics, muscle relaxers, or antidepressants
- substance abuse
- long-term use of tobacco
- trauma or injury to the spinal cord or genital region
- congenital genitalia problems
- treatment for prostate problems
Psychological causes
Emotional issues can distract a man of any age from becoming aroused, and include:
- worry over not being able to achieve or maintain an erection
- prolonged emotional distress related to economic, professional, or social issues
- relationship conflicts
- depression
Men ages 20 to 30 years old may experience ED as well. The numbers suggest that ED in young men occurs more often than previously reported.
In 2013, The Journal of Sexual Medicine reported that 26 percent of men ages 17 to 40 years old experience trouble having an erection. These cases range from moderate to severe.
Research says erection problems in young men have more to do with their lifestyle and mental health than with any physical problems. Younger men were found to use more tobacco, alcohol, and drugs than older men.
Some studies suggest that erection problems in young men most often stem from anxiety or depression.
Tests that your doctor may order to determine the cause of your erection problems include a:
- complete blood count (CBC), which is a set of tests that checks for low red blood cell (RBC) count
- hormone profile, which measures the levels of the male sex hormones testosterone and prolactin
- nocturnal penile tumescence (NPT), which determines whether your erection functions during sleep
- duplex ultrasound, which uses high-frequency sound waves to take pictures of the body’s tissues
- urinalysis, which measure protein and testosterone levels in the urine
Once your doctor determines the cause of your erection problem, they’ll provide appropriate treatment.
Lifestyle changes
Many of the physical causes of erection problems are related to lifestyle choices. You may want to consider the following lifestyle changes:
- stopping tobacco use
- drinking less alcohol
- getting plenty of rest
- eating a healthy diet
- exercising regularly
- talking with your partner about sexual issues
If lifestyle changes don’t reduce your symptoms, contact your doctor to determine the root cause of your erection problems.
Your doctor will examine your penis, rectum, and prostate as well as the function of your nervous system. They’ll also ask you when your symptoms began and whether you have any current health problems.
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