Causes of ED: Psychological
by Admin
Posted on 29-03-2023 01:37 PM
Male sexual arousal is a complicated process that involves the brain, emotions, hormones, blood vessels, nerves, and muscles. Issues with any of these can cause erectile dysfunction. Problems with a person’s blood flow, nervous system, or hormone levels can all impair erectile function.
An individual may also develop erectile dysfunction due to psychological factors, for example, anxiety about sexual performance. One of such factors or a combination of them can cause erectile dysfunction. That is why it is critical to collaborate with your doctor for them to rule out or treat any underlying medical problems. Several prescription drugs cause erectile dysfunction (ed) as a side effect.
In some cases, ed results from a combination of physical and psychological issues. These may include fear of failure, religious beliefs, and sexual trauma. Ed can lead to additional mental health issues, including emotional distress and lower self-esteem, which can further worsen ed. Therapy may help address these issues to improve ed. According to research from 2021 , psychological interventions like cognitive behavioral therapy (cbt) were especially effective when paired with ed medications. Mental health interventions may also be effective, but more research is needed. A small 2018 study involving 4 weeks of mindfulness-focused group therapy indicated that this type of therapy may help improve ed and sexual satisfaction. https://www.vigrxofficialstore.com/
Erectile dysfunction (ed) is likely the most difficult and sensitive topic a male patient will have to discuss with their doctor, especially for a patient in their 20s and 30s. The overall societal stigma and awkwardness placed on this condition can lower one’s self esteem and become a barrier to starting this conversation. Many young men with ed may feel it is impossible for someone their age to have these symptoms. However, approximately 20% of men in their 20s and 30% of men in the 30s suffer from at least mild to moderate symptoms of ed. Fortunately, as primary care physicians, we are fully prepared to have this discussion with our male patients and thoroughly investigate all medical/physical and psychological/emotional causes. https://www.vigrxofficialstore.com/mens-health-products/
Diagnosing ED: Physical Exam
If you have priapism, it is important to get medical care immediately.
Tell your doctor:
how long you have had the erection. How long your erection usually lasts. If you have used any medication or drugs, legal or illegal. Be honest with your doctor—drug use is especially of interest, since both marijuana and cocaine have been linked to priapism. Whether or not the priapism happened after trauma to that area of the body. Your doctor will review your medical history and perform a physical examination to help determine the cause of priapism. After the physical exam is complete, the doctor will take a blood gas measurement of the blood from the penis.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8451697/
Men with peyronie’s disease are usually referred to a urologist—a doctor who specializes in sexual and urinary problems . A urologist diagnoses peyronie’s disease based on your medical and family history and a physical exam. Imaging tests are usually not necessary to diagnose peyronie’s disease but may be used to gather additional information about the plaque. https://pubmed.ncbi.nlm.nih.gov/29633089/
Only a urologist can provide an official diagnosis and what the possible reasons for a patient’s erectile dysfunction could be. After reviewing their medical history, performing a physical examination, and testing blood and urine samples, cleveland urology associates can determine any underlying physical causes that are linked to a man’s ed. Additional tests might be needed as well if these initial evaluations prove inconclusive. Different types of medical conditions that may result in symptoms of ed include: diabetes sedentary lifestyle kidney or thyroid disease there can also be hormonal problems exacerbating the problem. Once the underlying condition is diagnosed, proper treatment can begin to improve or correct the symptoms of erectile dysfunction.
Diagnosing ED: Lab Tests
“in many cases, losing weight and exercising regularly can improve blood flow and erectile dysfunction,” dr. Newton says. Dr. Newton says men can get rid of erectile dysfunction tied to obesity or stress. However, erectile dysfunction related to nerve damage from diabetes or vascular disease typically is not reversible and often progressively gets worse. What tests will help determine erectile dysfunction? there are several tests available for further evaluation of erectile dysfunction, such as the noninvasive penile doppler ultrasound. But, dr. Newton says many providers don’t use this test because it’s expensive, and the treatment strategy is typically the same regardless of the results.
Old age -as men age there is a natural slowing down of many bodily functions. From a sexual viewpoint, this may occur as decreased firmness of erections, shorter lasting erections or a longer "recovery time" in between erections these changes may be caused by a decreased production of testosterone, decreased blood flow or other diseases that are more common in men as they age. Most commonly, the sexual changes associated with old age are due to a combination of the factors discussed in more detail below. Decreased bloodflow - a decrease in the blood flow to the penis will affect the quality of erections.
Erectile dysfunction is often a symptom of a health condition a person is dealing with. It affects about 30 million men in the u. S. Treating the underlying problem causing it often restores the man's ability to get and keep erections. Erectile dysfunction can be caused by physical and physiological problems like: heart disease the first step towards properly treating erectile dysfunction is to diagnose the health issue that is causing it. A doctor might perform a physical evaluation to determine how the nerves in the penis respond to stimuli. The doctor might also use blood tests and urine tests to determine if the patient's condition is being caused by an issue like diabetes, low testosterone or high cholesterol.
The treatment depends on the cause and severity of the disease. Lifestyle changes, medication adjustment and psychotherapy/behavior modification should be utilized, along with standard medical therapy. Oral medications using phosphodiesterase inhibitors (e. G. , viagra, levitra, cialis, and stendra) are first-line therapy for management of ed. These medications have to be taken a few minutes to an hour prior to sexual activity and require sexual stimulation to be effective. They work by increasing the blood flow by enhancing the effects of nitric oxide, a chemical that relaxes smooth muscles in the penis. None of these pde inhibitors should be used more than once a day.