Erectile Dysfunction (ED)
Erectile dysfunction is the persistent inability to achieve or maintain an erection sufficient for satisfactory sexual performance. It is common and treatable, especially when the underlying cause is identified.
Common Causes
1. Medical conditions
Hypertension (high blood pressure)
Diabetes mellitus
Heart and blood vessel diseases
Hormonal imbalance (low testosterone)
Prostate disorders
2. Lifestyle factors
Smoking
Excessive alcohol intake
Drug abuse
Obesity and physical inactivity
3. Psychological causes
Stress
Anxiety
Depression
Relationship problems
4. Medications
Some blood pressure drugs
Antidepressants
Hormonal medications
Symptoms
Difficulty getting an erection
Difficulty maintaining an erection
Reduced sexual desire
Poor sexual satisfaction
Diagnosis
Evaluation usually includes:
Medical history and physical examination
Blood pressure and blood sugar checks
Hormonal tests
Other relevant laboratory investigations
Treatment Options
Lifestyle modification: exercise, weight control, stopping smoking and alcohol
Medical treatment: oral medications prescribed by a doctor
Treatment of underlying diseases: diabetes, hypertension, hormonal imbalance
Psychological counseling when stress or anxiety is involved
Self-medication is not advised. Proper medical evaluation is essential.
When to See a Doctor
If ED persists for more than 3 months
If associated with diabetes, hypertension, or heart disease
If it affects emotional wellbeing or relationships
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