Erectile dysfunction may be caused by numerous factors and can be diagnosed using three methods.
All about erectile dysfunction (ED)
Erectile dysfunction (ED) is the inability to achieve or sustain an erection sufficient for sexual activity such as intercourse. Also known as impotence, it can be an embarrassing problem that male sufferers have to grapple with behind closed doors.
In Singapore, ED is quite common. SGH’s Centre for Assisted Reproduction (CARE), for instance, sees an average of one to two cases of ED every week at its fertility clinic.
“However, the problem may be under-reported as men are reluctant to seek help for such a sensitive issue,” observes Dr Hemashree Rajesh, Consultant at the Department of Obstetrics & Gynaecology, Singapore General Hospital (SGH), a member of the SingHealth group. “Or, they may be unsure as to whom to seek help from.”
As the male sexual arousal is a complex process, ED can be caused by a variety of physical and psychological factors.
One of the major causes of ED is ageing. “Whilst the condition affects 1 in 20 men in their 40s, it can be as many as 1 in 5 men in their late 60s,” says Dr Rajesh.
Other physical causes include:
With the brain performing a key role in male arousal, psychological factors like depression, stress and relationship problems also play a part.
“Performance anxiety is one of the most common causes of erectile dysfunction,” says Dr Rajesh. “Often, such cases of ED are sudden in onset. The man may have erections at night, yet is unable to perform during sex.”
ED can disrupt the sexual intimacy between a man and his partner. Left untreated, it can lead to sexual frustration for both, and cause marital stress, especially if the partner takes it personally. It can also prevent a couple from naturally conceiving a child.
That’s why it is so important for men with ED to seek medical help. First, the doctor will ask questions to obtain a detailed medical history. He or she may also ask about cardiovascular or neurological symptoms that may point to the cause. Later, a physical examination of the penis and testicles may be necessary.
Most men only need a consultation and physical exam to get a diagnosis of ED, says Dr Rajesh. But at times, further tests may be necessary. These additional tests include:
Read on to learn about treatments and nutritional supplements for erectile dysfunction.
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