Erectile dysfunction, also called impotence, is the inability to attain or maintain an erection of the penis that is firm enough for penetration during sexual intercourse.
To initiate and maintain an erection, the penis must fill with blood. Nerve signals stimulate this engorgement. They prompt the blood vessels in the penis to expand so blood can fill it. Meanwhile, other blood vessels constrict, trapping blood inside.
The following factors can cause erectile dysfunction:
If the blood vessels (veins), which normally are compressed by the blood filling the penis during an erection, are not fully compressed, an erection may not be attainable, or may not last long. This can be caused by injury or diseases which prevent the full expansion of the vessels (arteries) which normally expand with blood.
Erection cannot be attained if nerve signals do not prompt blood vessels to do their job or if blood flow to the penis is reduced.
Nerve dysfunction can also diminish feeling in the penis, resulting in impotence.
Many medications can cause erectile dysfunction by impairing either vascular or nerve function.
Medical conditions that can lead to neurovascular dysfunction include:
Psychological factors account for 10%-15% of erectile dysfunction cases. The brain initiates many of the nerve signals required for a successful erection. Problems in your relationship, feelings of guilt associated with sex,
, and stress can all lead to erectile dysfunction
Recent estimates suggest that roughly 20 million US men have erectile dysfunction. Erectile dysfunction increases with age, from about 5% at age 40, to 15%-25% at age 65 and older.
Guay AT, Spark RF, Bansal S, et al. American Association of Clinical Endocrinologists medical guidelines for clinical practice for the evaluation and treatment of male sexual dysfunction: a couple’s problem. 2003 update.
Please be aware that this information is provided to supplement the care
provided by your physician. It is neither intended nor implied to be a
substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER
IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the
advice of your physician or other qualified health provider prior to
starting any new treatment or with any questions you may have regarding a