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Erectile Dysfunction

WHAT YOU NEED TO KNOW:

What is erectile dysfunction?

Erectile dysfunction (ED), or impotence, is when you cannot get or keep an erection for sexual activity.

What causes ED?

  • Conditions that lead to nerve problems, such as a spinal cord injury, diabetes, or stroke
  • Hormone imbalances, such as low testosterone, high prolactin, or a thyroid disorder
  • Medical conditions that decrease blood flow, such as high blood pressure and arteriosclerosis
  • Multiple sclerosis or Parkinson disease
  • Medicines, such as those used to treat depression and high blood pressure
  • Injury to the testicles from radiation therapy to the testicles

What increases my risk for ED?

  • Obesity
  • Diabetes that is not controlled
  • Smoking, or drug or alcohol abuse
  • An enlarged prostate
  • Increasing age
  • Spine or groin surgeries
  • Stress, depression, relationship problems, and anxiety

How is ED diagnosed?

Your healthcare provider will ask questions about your symptoms. He will also ask about any medical conditions you have and medicines you take. Your healthcare provider will examine your abdomen, penis, and testicles. A rectal exam may also be done to check for an enlarged prostate. Blood and urine tests are done to check for medical conditions that may have caused your ED. You may also need tests to check your blood flow and nerve function.

How is ED treated?

Treatment depends on the cause of your ED. You may need any of the following:

  • ED medicines help you have an erection. These medicines are taken before you have sex. Follow your healthcare provider's instructions on how to use these medicines. You may have a life-threatening reaction if you mix ED medicines with medicines that contain nitrates. Medicines with nitrates include nitroglycerin and other heart medicines.
  • Testosterone may be given to increase the levels in your blood and improve your ED. You may need to use a skin cream or wear a patch.
  • Penis injections may be done to help improve your blood flow.
  • A vacuum device is a tube that is placed over the penis. A hand pump is connected to the tube and acts as a vacuum. This may help increase blood flow to the penis.
  • Therapy may be needed to treat emotional or relationship problems that may be causing your ED.
  • Surgery may be recommended if other treatments do not work. Surgery includes a penile implant or prosthesis. Surgery may also be done to improve blood flow. Ask for more information about surgeries for ED.

How can I decrease my risk for ED?

  • Do not smoke. Smoking can cause ED. Nicotine and other chemicals in cigarettes and cigars can also cause lung damage. Ask your healthcare provider for information if you currently smoke and need help to quit. E-cigarettes or smokeless tobacco still contain nicotine. Talk to your healthcare provider before you use these products.
  • Control your blood sugar levels if you have diabetes. Over time, high blood sugar levels can cause ED.
  • Limit alcohol. Men should limit alcohol to 2 drinks a day. A drink of alcohol is 12 ounces of beer, 5 ounces of wine, or 1½ ounces of liquor.
  • Do not use illegal drugs. They increase your risk of ED.
  • Manage your medical conditions. Eat a variety of healthy foods and stay physically active. Take your medicines as directed. They can help control conditions that may cause ED.
  • Manage stress. Learn ways to relax, such as deep breathing, meditation, and listening to music.

When should I seek immediate care?

  • You have chest pain, dizziness, or nausea after you take ED medicines or during or after sex.
  • You have an erection for more than 4 hours after you take your ED medicine.
  • You see blood in your urine.

When should I contact my healthcare provider?

  • You have changes in your vision, headaches, or back pain after you take your ED medicine.
  • You have a painful erection.
  • You have questions or concerns about your condition or care.

Care Agreement

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment. The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

© 2016 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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