THE TRUTH ABOUT ERECTILE DYSFUNCTION
For many men, erectile dysfunction (ED) is difficult to discuss—even with a physician—despite the pervasive advertising for ED medications. However, ED can be a symptom or a cause of other medical and psychological disorders, so it’s important to know the truth about ED.
The Facts
According to Jason Gilleran, MD, assistant professor in Ohio State’s Division of Urology, "ED is defined as the inability to attain or sustain an erection of sufficient strength for sexual intercourse. It doesn’t mean a lack of desire for sex, although over time ED can lead to depression, relationship issues and a loss of desire for sex because of the problem."
It’s important to reassure men that every man will occasionally have trouble getting or maintaining an erection. However, chronic ED can be a symptom of other serious diseases.
"The blood vessels in the penis are quite small, so ED may be an early indicator of a vascular problem like atherosclerosis—hardening of the arteries," says Dr. Gilleran. "ED can also be caused or exacerbated by diabetes, high blood pressure, neurological disorders and depression, as well as lifestyle choices like smoking, excessive alcohol consumption and lack of exercise."
ED can be an early indicator of heart disease, especially in men in their 40s and those with diabetes. "Approximately 25 percent of men with ED have coronary artery disease," says Richard Gumina, MD, PhD, cardiovascular medicine specialist. "ED can occur three to four years before symptoms of cardiovascular disease, so if you have ED, getting screened early may reduce the risk of heart attacks and strokes."
Getting the Right Treatment
"If ED recurs for a month, it’s time to see your primary care physician, especially if you haven’t had a comprehensive physical in a while," says Fred Miser, MD, family medicine specialist at the OSU Rardin Family Practice. "With a few questions, a physical exam and some lab tests, we can determine if it’s a simple problem or something more serious."
Fortunately, ED medications such as Viagra® are effective for many men, but addressing the underlying cause of ED is also important. "We don’t just write a prescription and let them go," says Dr. Miser. "We want to look at the whole picture of a man’s health." |