Posted on Apr 19, 2022
Erectile dysfunction is a disorder in which a person is not able to have an erection sufficient enough for intercourse. This term is synonymous with impotence. A common myth is that a person with erectile dysfunction cannot have children. This belief prevents many people from getting married. The fact is that the ability to have children depends on the quality of semen and the sperm count in it. Erection is the mechanism by which semen is deposited in the vagina. A person with erectile dysfunction can easily have children if he is not having any other disease.
Most of the studies have shown that the incidence of erectile dysfunction is around 20 %. And most of the cases are treatable. Majority of the patients are devoid of treatment because they don’t seek medical assistance. People are either shy or they think that they cannot be treated, there are a cluster of people who consider this as degenerative process and accept this as a part of their ageing.
Whom shall I approach?
This problem can only be handled if patients seek medical assistance or open up enough to talk about it. The best person to talk about this is a Urologist. In absence of Urologist your primary care provider or your family doctor can guide you.
What are the organic causes of erectile dysfunction?
Most of the time erectile dysfunction is psychogenic, which means the cause is due to excessive stress, performance related anxiety or lack of self-confidence. This can be easily treated. Other times there may be an underlying disease (Organic).
Erectile dysfunction can be due to disease of arteries, veins , or nerves. Other times hormonal abnormalities play an important role in disease process. Diabetes, hypertension, heart diseases, trauma, smoking, physical inactivity and various medications are important precipitating factors.
What are the tests required?
Your urologist will first take a detailed sexual, medical and psychosocial history and this will include interviewing your partner.
What are the ways in which erectile dysfunction is treated?
Recent studies have reported that erectile dysfunction can be an early marker for cardiovascular diseases, this is because any systemic disease which will affect blood vessel of heart tend to also affect the blood vessel supplying penis. Hence all erectile dysfunction patients must be evaluated lest an underlying cardiovascular disease might be missed.