Erectile dysfunction

Erectile dysfunction (ED) is the most prevalent sexual disorder in men. It is estimated that about 1 in every 10 men suffers from erection problems at some point in their lives. An even shocking estimate is that only 33 out of 100 men suffering from erectile dysfunction seek treatment. The promising news, however, is that erectile dysfunction can be treated with timely medical intervention. Currently phosphodiesterase type-5 (PDE-5) inhibitor drugs have been used widely to treat impotence.

What are the signs and symptoms of erectile dysfunction?

ED can be one of two types: primary or secondary. In primary impotence, a man cannot get an erection when he is sexually stimulated. Failure to get an erection makes any subsequent sexual activity impossible. Secondary impotence is characterised by a lack of erection hardness during penetrative sexual acts. Some men get the necessary hardness but fail to maintain it until the completion of sexual activities. Some men can only get a semi-rigid erection sex, which makes sex less pleasurable for both partners.

Among the clinical signs, diabetes mellitus can lead to erectile dysfunction. It is estimated that about 35-75% of men suffering from type-2 diabetes are at risk of developing erection problems later in their lives.

What causes erectile dysfunction?

Impotence is caused by several factors ranging from atherosclerosis to post-surgical complications. Psychological factors too play a major role in causing erectile dysfunction. Spinal cord and brain injuries can lead to erection problems as well. Given below are some of the common causes of erectile dysfunction:

1. Peyronie’s disease
2. Kidney problems
3. Multiple sclerosis
4. Type-2 diabetes
5. Liver ailments

1. Performance anxiety
2. Depression
3. Guilt feelings
4. Stress
5. Extreme Fatigue

1. Excessive smoking
2. Alcohol consumption

The latest studies suggest that the use of non-steroidal anti-inflammatory drugs (NSAIDs) three times a day for three months increases the risk of erectile dysfunction by 22%. The link between the use of NSAIDs and impotence exists regardless of pathological, psychological or lifestyle factors.

How is erectile dysfunction diagnosed?

Experiencing erection problems infrequently should not be a cause for concern. However, a medical diagnosis is required when more than half of the total number of attempts at having sex end in a failure. The available diagnostic tools include duplex ultrasound test, penile biothesiometry, dynamic infusion cavernosometry, magnetic resonance angiography, corpus cavernosometry, and penile nerves function test.

Erectile dysfunction should not be self-diagnosed. Only a qualified healthcare professional, preferably an urologist, can diagnose the problem accurately and suggest the right treatment. Self-diagnosis can be risky as different men suffer from erectile dysfunction because of different factors. A foolproof health check-up by a specialist doctor can minimise the risk of wrong diagnosis.

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