Erectile dysfunction

What is erectile dysfunction?

Erectile dysfunction (ED), sometimes called impotence, is the inability to get and keep an erection firm enough for sexual intercourse. ED is a common condition that affects many men to some degree as they age.

Some key facts about ED:

• It is very common, affecting up to 30 million men in the United States alone


• It has many potential causes, both physical and psychological


• It is treatable for most men


• Treatments include medications, devices, counseling, and lifestyle changes

Causes of ED

There are many potential causes for ED, including:

• Cardiovascular disease - clogged arteries impact blood flow critical for erections


• Diabetes - nerve and artery damage from high blood sugar impacts erections


• Medications - blood pressure drugs, antidepressants


• Hormone imbalance - low testosterone and thyroid disorders


• Lifestyle factors - obesity, smoking, alcohol abuse, lack of exercise


• Psychological issues - stress, depression, anxiety

Pinpointing the specific cause is key to finding the right treatment approach.

Treatments for ED

Today ED is very treatable with various options now available:

• Oral medications - drugs like Viagra and Cialis improve response to sexual stimulation


• Injections - direct injections relax penile muscles


• Vacuum devices - use vacuum pressure to induce erections


• Implants - surgically inserted devices activate erections mechanically


• Lifestyle changes - improved diet, more exercise, limiting alcohol


• Counseling - therapy helps manage contributing psychological factors

The good news is most men can find an approach that works for their situation. Consulting a doctor is important to identify causes and map the best path forward. With today's expanding treatment options, men have more ability than ever to overcome ED.