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what is your complaint?

Erectile dysfunction (ED), also known as impotence, is the inability to get and maintain an erection.

What causes erectile dysfunction

?

• narrowing of the blood vessels going to the penis – commonly associated with high blood pressure (hypertension), high cholesterol or diabetes

• hormonal problems
• surgery or injury
• Psychological causes of ED include:
• anxiety
• depression
• relationship problems

how to differentiate between physical or psychological causes ?

Sometimes erectile dysfunction only occurs in certain situations. For example, you may be able to get an erection during masturbation, or you may find that you sometimes wake up with an erection but you are unable to get an erection with your sexual partner. If this is the case, it is likely the underlying cause of erectile dysfunction is psychological (stress related).
If you are unable to get an erection under any circumstances, it is likely that the underlying cause is physical.
Erectile dysfunction can also be a side-effect of using certain medicines.

Diagnosis

• physical examination

• complete blood count
• blood pressure measurement
• random blood suger levels
• ultrasound to the pelvic organs
• examining the testes and the prostate
• hormonal tests

How is erectile dysfunction treated?

• Erectile dysfunction is primarily treated by tackling the cause of the problem, whether this is physical or psychological.
• The narrowing of the arteries (called atherosclerosis) is one of the most common causes of ED. In these cases I may suggest lifestyle changes, such as losing weight, to try to reduce your risk of cardiovascular disease. This may help to relieve your symptoms as well as improving your general health.
• You may also be given medication to treat atherosclerosis, such as cholesterol-lowering statins and drugs to reduce your blood pressure.
• A number of treatments have been successful in the treatment of erectile dysfunction. Medication, such as sildenafil (sold as Viagra), can be used to manage it in at least two-thirds of cases. Vacuum pumps that encourage blood to flow to the penis and cause an erection are also successful in 90% of cases.
• Psychological treatments include cognitive behavioural therapy (CBT) and sex therapy.

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