Erectile dysfunction (ED) means you can’t get or keep an erection firm enough for sex. Several factors contribute. Underlying health conditions, such as diabetes, heart disease, and high blood pressure, frequently play a role. Hormonal imbalances, particularly low testosterone, are another common cause. Lifestyle choices also matter; obesity, smoking, and excessive alcohol consumption increase ED risk. Nerve damage from injuries or certain medical treatments can also impact erectile function. Psychological factors like stress, anxiety, and depression should be considered.
Recognizing the Symptoms
Symptoms aren’t always consistent, but difficulty achieving or maintaining an erection is the primary indicator. Other symptoms may include decreased libido, difficulty reaching orgasm, and reduced ejaculate volume. The frequency and severity of these symptoms vary widely. If you notice these issues, seeking medical attention is advisable.
Getting a Diagnosis
Diagnosis begins with a thorough medical history and physical examination. Your doctor will assess your overall health, review your medications, and discuss your lifestyle. Blood tests may measure testosterone levels and check for other health problems. A neurological exam can assess nerve function. Sometimes, further testing, such as ultrasound or nocturnal penile tumescence testing (measuring erections during sleep), might be necessary. Your doctor will help determine the appropriate diagnostic approach for your individual situation. Early diagnosis allows for timely intervention and management of underlying causes.
