Signs of Erectile Dysfunction

Description

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

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.

Standard Workup

CBC
Chem 12
EKG
Prostatic specific antigen
UA

Treatment

The provider will treat known causes of ED such as changing the patients medications or correcting a hormonal imbalance. Medications that can be used include sildenafil (Viagra), tadalafil (Cialis) and vardenafil (Levitra). They are work the same way by increasing blood flow to the penis. They can be dangerous if taken along with other medications such as nitrates. Medications such as alprostadil can also be injected into the penis or inserted as a suppository. Surgery is also available for more difficult to treat cases or after major surgery in the pelvis. Some patients will benefit from psychological counseling as well.