Erectile Dysfunction, also called ED or impotence,
is the inability to get an erection or keep it long enough for
activity. Occasional difficulty achieving an erection happens
to nearly all men and is not considered a problem. When difficulty
occurs in 50-70% or more attempts, there is cause for concern
and reason to discuss the issue with a doctor.
Risk factors for ED include medical conditions
that can interfere with blood flow to the penis. These include
atherosclerosis (hardening of the arteries), heart disease, diabetes
and others. ED can also result from injury to the penis or psychological
problems such as stress, depression or anxiety. Your urologist
can determine if your problem is physical or psychological.
If the cause is physical, several medications
are available. Other treatments include injections and surgery.
For non-physical causes, sex therapy is recommended.