Sometimes called impotence, refers to a man's consistent
inability to get or maintain an erection sufficient to have
satisfactory sex. It does not mean a lack of sexual interest
or desire or the occasional difficulty achieving or
maintaining an erection that affects all men at some time in
Normally, an erection occurs when your
imagination or one or more senses (vision, hearing, touch,
smell, taste) are stimulated and you become aroused. Your
central nervous system sends nerve impulses that increase
blood flow to your penis. Four requirements for a normal
A properly functioning nervous system that sends
the necessary signals to the penis.
An intact system of blood vessels to allow blood to
flow into and out of the penis.
Normal smooth muscle in the penis, which must relax
so the penis can fill with blood and enlarge.
The ability to trap the blood in the penis so that
it stays firm.
Erectile dysfunction can occur at any age but is more
common in older men, who often have additional health problems or
who may be taking medications that may interfere with normal
erectile function. Treatment of erection problems in older men can
be as effective as in younger men.
Doctors prefer to use the term erectile dysfunction
instead of impotence. A man's sexual function involves more than an
erection, and the term impotence often carries negative
implications. For ease of reading, this topic uses the term erection
problems to refer to erectile dysfunction.
Erection problems can affect your sexual life and
your relationship. Discussing the issue with your partner and
exploring other forms of intimacy can help improve your relationship
and the erection problem.
What causes erection problems?
The cause of erection problems may be physical (such
as injury to nerves or loss of blood supply to the penis or
psychological (such as anxiety or depression. Medications you are
taking for other conditions, alcohol consumption, smoking, or
illegal drug use also can cause erection problems.
are the symptoms?
are erection problems diagnosed?
A health professional can diagnose an erection
problem using a medical and sexual history and a physical
examination. Your health professional will want to know whether the
erection problem occurs all the time or occasionally. The initial
exam, laboratory tests, and possibly psychological tests can help
determine whether the problem is physical, psychological, or a
combination of the two.
prevent erection problems?
To reduce your risk of developing an erection
problem, avoid smoking, drinking too much alcohol, and using illegal
drugs. Because erection difficulties are most often caused by a
physical problem, maintaining good health through diet and exercise
is very important. A relaxed approach to lovemaking and good
communication with your partner can help prevent erection problems
caused by psychological factors.
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