What is erectile dysfunction?

Erectile dysfunction, also known as impotence, occurs when one is unable to achieve or maintain an erection sufficient for the s*xual satisfaction of both partners. While nearly all men and people assigned male at birth experience ED from time to time, at least 30 million Americans experience it regularly. Almost everyone who seeks help for ED finds relief.

What are the symptoms of erectile dysfunction?
Symptoms of erectile dysfunction include:

• Getting an erection only sometimes before intercourse.
• Getting an erection before intercourse but not maintaining it during intercourse.
• Completely inability to achieve an erection.
• Requiring significant stimulation to maintain an erection.

What causes erectile dysfunction?
There are many causes of ED, including those affecting:

The circulatory system.

Your circulatory system includes the blood vessels that carry blood throughout your body. Your p*nis needs adequate blood flow to become and maintain an erection. It also uses a series of valves that close when it fills with blood. In some cases, these valves stop working properly.

Nervous system.

Your nervous system includes your brain, spinal cord, and nerves. They work together to send electrical impulses that allow your body to move and feel sensations, including your p*nis.

Endocrine system.

Your endocrine system includes the glands that produce and release hormones. Hormones help your body perform certain functions. Testosterone can help dilate your blood vessels, which promotes blood flow to your p*nis.

Tips for Talking to Your Doctor About Erectile Dysfunction

Many men feel uncomfortable discussing their sexual health with their primary care physician, but it's important to remember that doctors have seen it all; the health issues you're discussing are unlikely to be something they've never encountered before. If you can't discuss your symptoms with your primary care physician, ask for a referral to a urologist, a specialist trained in male reproductive health.

The hardest part is often starting the conversation. Prepare your approach in advance to feel confident. Some find it helpful to simply tell their doctor, "I think I'm suffering from erectile dysfunction." Your doctor may then ask you diagnostic questions to assess your symptoms. It's important to be open and honest during this discussion to ensure you get an accurate diagnosis and receive the treatment you need.

5 Reasons to Talk to Your Doctor About Erectile Dysfunction

Most men will experience erectile dysfunction (ED) at some point in their lives. However, this doesn't mean you should ignore its symptoms. Recurrent ED can affect your mental health and put you at risk for other health problems.

While it's not an easy topic to address, Dr. Ali Dabaja, a urologist and reproductive medicine and sexual health expert at Henry Ford Health, shares some key reasons to talk to your doctor about ED.

1. Improve Your Sex Life
As we age, our s*xual health and our relationship with s*x change. It's common to encounter challenges along the way. However, facing them doesn't mean permanently losing sexual pleasure with your partner. Recent studies have shown that a healthy s*x life can improve both mental and physical health. It's important to discuss the problem with a doctor to identify the cause and find a solution.

2. Control Diabetes
Diabetes can damage blood vessels essential for s*xual health. This increases the risk of high blood pressure if erectile dysfunction is left untreated. The symptoms of erectile dysfunction can also complicate diabetes management. Dr. Dabaja recommends talking to your doctor about steps you can take to effectively manage your diabetes, including lifestyle changes and treatment.

3. Improve Your Mental Health
Erectile dysfunction can be related to stress, anxiety, and depression, and the symptoms of these disorders can affect your sex life. However, in some cases, erectile dysfunction can be a cause of depression, as it can lead to low self-esteem, sadness, or frustration. Talking to your doctor about how to address erectile dysfunction can alleviate negative thoughts and help improve self-esteem.

4. Consult a Urologist
A specialist can provide more information about specific urological conditions. Erectile dysfunction can predict future cardiovascular problems as accurately as smoking, a family history of heart attacks, and high cholesterol. By discussing your erectile dysfunction issues with your doctor, you can better manage your risk of heart disease and seek preventative treatments, explains Dr. Dabaja.

5. Let's end the stigma of erectile dysfunction
While erectile dysfunction is more common in older men, it also affects younger men, who may feel uncomfortable discussing it with their doctor. By following this process, you can provide helpful advice to those who feel too embarrassed to talk to their doctor about their sexual health.

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