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The main symptom of ed is not being able to get or keep an
erection
. This is temporary in most cases. But ed can have a negative effect on your sex life if you’re unable to maintain an erection long enough to continue sexual intercourse. Psychological symptoms may occur if you think you’re not satisfying your partner.
You may feel low self-esteem or depression. These can make the symptoms of ed more disruptive. In some cases, an underlying medical condition like diabetes or high blood pressure can cause ed. The symptoms of that condition may be present along with those of ed.
Medically reviewed by kristin hall, fnp written by our editorial team last updated 11/04/2020 dealing with erectile dysfunction can be a stressful experience, especially if you’re a young, fit and healthy person. Erections are, to put it simply, complicated. Getting hard involves more than just being aroused — it’s a complex, multi-step process that requires your brain, hormones, circulatory system and numerous other parts of your body to work in unison. Despite its reputation as something that mostly affects older men, erectile dysfunction (ed) can and often does affect younger men. If you’re in your 20s and sometimes find it difficult to get an erection, you aren’t alone — in fact, there are many other men out there in the same situation.
Male sexual arousal may seem simple, but it depends on a precise, complex sequence of events inside the body. The brain activates nerves in the penis to relax muscles in the spongy tissues that run the length of the penis. When these muscles relax, blood can flow in from arteries to fill open spaces in the spongy tissue. Increased blood pressure expands the penis. Membranes around the spongy tissue sustain the erection. Anything interrupting this sequence can result in the inability to have or keep an erection long enough for sexual intercourse.
That’s cold comfort to people like me, because i would have to — if i were to be honest — raise my own hand. I didn’t have to wait until i was 60, though, to join the club. I got in about 35 years ago as a side effect of cancer surgery. Picture me then, sitting on a cold examination table at memorial sloan kettering cancer center in new york, in a hospital gown that didn’t cover my backside. Having just confirmed my testicular cancer diagnosis, the oncologist went on to tell me about a common side effect called “ retrograde, or dry, ejaculation ,” in which things don’t flow where they should during sex — instead of exiting my body, semen would flow into my bladder.
Erectile dysfunction is primarily treated by tackling the cause of the problem, whether this is physical or psychological. The narrowing of the arteries (called atherosclerosis) is one of the most common causes of ed. In these cases your gp may suggest lifestyle changes, such as losing weight, to try to reduce your risk of cardiovascular disease. This may help to relieve your symptoms as well as improving your general health. You may also be given medication to treat atherosclerosis, such as cholesterol-lowering statins and drugs to reduce your blood pressure. A number of treatments have been successful in the treatment of erectile dysfunction.
For men with severe ed, for which other treatments such as lifestyle changes and medications have not worked, a penis implant may be a good option to restore sexual function.