Erectile dysfunction (ED)
About Erectile dysfunction (ED)
When a man has trouble getting or keeping an erection. Erectile dysfunction (ED) is also called impotence. Occasional ED is not a cause for concern but when the problem is more consistent it could be a sign of a more serious disease and medical help should be sought. ED has many causes including psychological stress, heart disease, diabetes, previous pelvic surgery, obesity, high blood pressure, certain neurological diseases, hormonal imbalances, tobacco use, alcoholism, and medication side effects.Symptoms
Symptoms include trouble getting an erection, problems keeping an erection, and decreased sexual drive.Tests & Diagnostics
A history and physical exam will be done. The provider will look for causes of the ED and ensure it is not a sign of a more serious treatable disease.Common tests: Complete blood count (CBC), Comprehensive metabolic panel (CMP), EKG, Prostatic specific antigen, Urinalysis (UA).
Prescription medications
Conventional treatment summary
The provider will treat known causes of ED such as changing the patient's medications or correcting a hormonal imbalance. Medications that can be used include sildenafil (Viagra), tadalafil (Cialis) and vardenafil (Levitra). They all work the same way by increasing blood flow to the penis. They can be dangerous if taken along with medications called nitrates. Medications such as alprostadil can also be injected into the penis or inserted as a suppository. Some patients will benefit from psychological counseling as well. On occasion, surgical procedures can be helpful.Medical specialties
Internal Medicine · Urology · Family Practice
This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Erectile dysfunction (ED).