- What is ED or Erectile Dysfunction?
A. Erectile Dysfunction (impotence) involves trouble getting an erection or trouble keeping an erection firm enough for sex as well as reduced sexual desire that when on an ongoing basis, may affect your self-confidence and cause stress and relationship problems, ultimately becoming an issue with your partner.
- How does an erection occur?
A. Physical and/or mental stimulation cause nerves in the brain to send chemical messages to nerves in the penis telling the penile blood vessels to relax so that blood can flow freely into the penis. Once in the penis, high pressure traps the blood within the muscles inside the shaft of the penis causing the penis to expand and sustain an erection. An erection is reversed when the inflow of blood is stopped and opening outflow channels open, allowing the penis to become soft.
- What are most common causes of ED
A.In most cases, erectile dysfunction is caused by something physical including diabetes, the most common factor. Specific causes other than diabetes are:
* Metabolic syndrome (increased blood pressure + high insulin levels + body fat around the waist + high cholesterol)
* Tobacco Use; Alcoholism and other forms of substance abuse
* Low testosterone
* Peyronie’s disease (development of scar tissue inside the penis)
* Heart disease; Clogged blood vessels (atherosclerosis); High blood pressure * Parkinson’s disease, Multiple Sclerosis (MS)
* Medications: antidepressants, antihistamines, and medications to treat high blood pressure, pain or prostate cancer
* Emotional or psychological causes: Depression, anxiety, stress due to finances, stress or poor communication
- How is ED related to Diabetes?
A. Erectile dysfunction is significantly common in diabetic men. Elevated glucose levels in their blood are believed to give rise to changes in the small blood vessels. The incidence of ED is greater in men with increasing age, duration of diabetes and deteriorating metabolic control. ED is also more likely to occur in individuals with type 2 diabetes rather than those with type 1. Diabetic men with ED are often reluctant to come forward with their symptoms and consequently lose a great opportunity to correct their ED and improve their quality of life.
- How is ED diagnosed?
A.For many men, a medical history and a physical exam are all that needs to be done before a doctor is ready to recommend a treatment. Common tests for possible underlying problems may include blood tests, urine tests, penis ultrasound and overnight erection test.
- What are the different approaches for the treatment of ED?
A. Getting the right treatment for any health problem that can be causing or worsening your erectile dysfunction condition should be your first step. Treatments that have typically been available are either medical/drugs or surgical.
Medical and Surgical Treatments:
- Nitric Oxide Enhancers –Viagra, Cialis, or Levitra
- Alprostadil self-injected or penis suppository
- penis pumps or a vacuum device; penile implants
Alternative Medicine Treatments:
- Korean red ginseng (Panax ginseng)
- Psychological counseling: If your erectile dysfunction is caused by stress, anxiety or depression.
What are WellnessPlus’s different approaches for treating ED?
A. Choosing the right approach for each patient’s personal and individual needs is the key to a successful treatment
Are there any recommendations?
A. Whether the cause is physical, psychological or a combination of both, erectile dysfunction can become a source of mental and emotional stress for you and your partner.
- Call WellnessPlus for a courtesy consultation. Communicate with our physicians openly and honestly about your condition.
- Request information and educate yourself on our different treatment modalities and alternatives.
- If indicated, lose weight, get regular exercise, quit smoking, and get treatment for alcohol abuse
- Fight fatigue. Get 8 hours of sleep per night.
- Work through relationship issues. Improve communication with your partner