Materiały źródłowe

• #1 Erectile dysfunction (impotence)

  https://www.nhs.uk/conditions/erection-problems-erectile-dysfunction/

  Erectile dysfunction (impotence) is very common, particularly in men over 40. It’s usually nothing to worry about, but see a GP if it keeps happening. […] Erectile dysfunction is when you are either: unable to get an erection or unable to keep an erection for long enough to have sex. […] If erectile dysfunction happens often, it may be caused by a condition such as: high blood pressure or high cholesterol, diabetes, depression or anxiety, hormone problems. […] erection problems keep happening. […] Treatment can usually help improve erectile dysfunction. […] The main treatments are medicines that increase the blood flow to your penis, called PDE-5 inhibitors. […] Vacuum pumps encourage blood to flow to the penis, causing an erection. […] There are also treatments for some of the causes of erectile dysfunction.

• #2 Erectile Dysfunction – StatPearls – NCBI BookshelfTwitterFacebookLinkedInGitHubNCBI Insights BlogTwitterFacebookYoutube

  https://www.ncbi.nlm.nih.gov/books/NBK562253/

  Erectile dysfunction (ED) is a prevalent and multifaceted condition that predominantly afflicts males beyond 40 years, with its prevalence escalating globally. This condition is characterized by the consistent or recurrent inability to attain and maintain an erection sufficient for satisfactory sexual performance. […] ED can be a symptom of a wide range of underlying pathologies and is an essential but underutilized cardiovascular risk factor. […] Any disease process that affects penile arteries, nerves, hormone levels, smooth muscle tissue, corporal endothelium, or tunica albuginea can cause erectile dysfunction. This condition is closely related to cardiovascular disease, diabetes mellitus, hyperlipidemia, and hypertension, among other disorders. […] While the vast majority of patients with ED will have organic disease, some may have a primary psychological issue, particularly younger men.

• #3 Erectile Dysfunction | Conditions | UCSF Health

  https://www.ucsfhealth.org/conditions/erectile-dysfunction

  Erectile Dysfunction, or ED, is difficulty or inability to attain and maintain an erection sufficient for satisfactory sexual activity. ED is a relatively common problem, affecting up to 30 million men of all ages in the United States and more than 150 million worldwide. […] A variety of factors frequently in combination can cause ED. These factors include neurological, hormonal and vascular disorders, as well as the natural aging process and certain chronic diseases. […] The single biggest factor associated with ED is aging. Men are at higher risk as they get older. […] Aging causes a progressive decline in sexual function even in healthy patients. Studies show that as men age, erections become less turgid (stiff) and the force and volume of ejaculation decrease. […] ED is the most common side effect of both surgical and radiation treatments for prostate cancer.

• #4

  https://www.menshealth.com/health/a19546336/early-signs-of-erectile-dysfunction/

  ERECTILE DYSFUNCTION (ED) symptoms can throw a wrench into more than just your sex life. Your satisfaction may plummet, but it can also take a toll on your relationship with your partner (not to mention the toll it can take on your confidence). […] In fact, a little over half of men will experience ED symptoms at some point throughout their lives. […] According to a 2017 study in Translational Andrology and Urology, almost 8 percent of men ages 20 to 29, and 11 percent of men ages 30 to 39, experience ED symptoms. […] Regardless of the mechanism, struggling to get hard and stay hard can be embarrassing and cause issues in your relationship. […] ED and its symptoms generally do not pop up out of the blue. In many cases, ED symptoms are the body’s way of telling you there is something else going on that may need to be addressed, explains S. Adam Ramin, M.D., medical director of Urology Cancer Specialists in Los Angeles.

• #5 Understanding Erectile Dysfunction Symptoms: Signs, Causes, and Management | Dr SW Clinics

  https://www.drswclinics.com/news/understanding-erectile-dysfunction-symptoms-signs-causes-and-management/

  Erectile dysfunction is very common, with 4.7 million men in the UK experiencing it at some point or another. […] When it comes to mens intimate health, identifying the telltale signs of ED is key to effectively addressing the issue. Setbacks in the bedroom arent unusual for anyone, but if you find yourself having difficulty achieving and sustaining an erection, that needs attention. […] The signs of ED include: The inability to achieve or retain an erection firm enough for satisfying sexual intercourse is the hallmark symptom of ED. […] A decrease in sexual desire or a lack of interest in intimacy could be also signify ED. […] If youre experiencing frequent or occasional difficulties achieving erections, especially during intimate moments, it suggests an underlying issue. […] Premature or delayed ejaculation can also sometimes be associated with ED.

• #6 Erectile Dysfunction Guide: Symptoms, Causes, Treatment

  https://www.trted.org/articles/erectile-dysfunction-the-complete-guide

  Erectile dysfunction is a common condition in men, with its prevalence steadily increasing by 10% per decade after the age of 40. […] Erectile dysfunction, formerly known as impotence, is defined as the inability to achieve or maintain a rigid penile erection suitable for satisfactory sexual intercourse. […] If this happens persistently, then erectile dysfunction may be the culprit, and you should visit your healthcare professional to help identify the potential causes of your symptoms. […] It’s estimated that approximately 40% of men in their 40s experience some form of erectile dysfunction, with the prevalence believed to increase by around 10% per decade thereafter. […] Across all studies, a consistent observation is that the likelihood of erectile dysfunction increases with age.

• #7 Erectile dysfunction: what is it, symptoms and treatment | Top Doctors

  https://www.topdoctors.co.uk/medical-dictionary/erectile-dysfunction

  Erectile dysfunction is more common as people age. It’s been found that approximately 40 per cent of men are affected at age 40 and nearly 70 per cent of men are affected in their seventies. […] Erectile dysfunction is a common condition, which may be caused by either physical or psychological reasons. The good news is that it’s completely treatable! […] Erectile dysfunction (ED) is a common condition affecting men of all ages, particularly as they get older. It can significantly impact quality of life and self-esteem.

• #8 Erectile Dysfunction | Symptoms, Causes, & Treatments | CLS Health

  https://cls.health/conditions/erectile-dysfunction-ed

  If you consistently have difficulty getting or keeping an erection, consider consulting a urologist. […] No, ED is not necessarily permanent. Many cases can be managed with medications, as well as lifestyle changes such as maintaining a healthy weight, exercising regularly, and reducing alcohol consumption. Various therapies are also available, depending on the underlying cause of the ED. […] ED can occur at any age, but it is more common in men older than 50. In fact, research shows that by age 50, around 50% of men report experiencing episodes of mild to moderate ED. Early signs may start as mild difficulty with erections which gradually become more challenging and frequent with time. […] Yes, it is possible for high blood pressure to impair blood flow to the penis, potentially causing erectile dysfunction. It can also damage blood vessels over time, limiting their ability to supply sufficient blood for maintaining an erection. Moreover, some medications for high blood pressure might contribute to ED. […] Absolutely. Stress affects the body in many ways and can lead to psychological ED by disrupting the signals between the brain and the penis that initiate an erection.

• #9 Erectile dysfunction | NHS inform

  https://www.nhsinform.scot/illnesses-and-conditions/sexual-and-reproductive/erectile-dysfunction-impotence/

  Erectile dysfunction (ED), also known as impotence, is the inability to get and maintain an erection. […] The main symptom of erectile dysfunction (ED) is the inability to get and maintain an erection for satisfactory intercourse. […] Sometimes ED only occurs in certain situations. For example, you may be able to get an erection during masturbation, or you may find that you sometimes wake up with an erection but you are unable to get an erection with your sexual partner. […] In these circumstances, it is likely that the underlying cause of ED is primarily psychological (stress related). However, if you are unable to get an erection under any circumstances, it is likely that the underlying cause is primarily physical. […] Erectile dysfunction can often have both physical and psychological causes. For example, if you have diabetes, it may be difficult for you to get an erection, which may cause you to become anxious about the situation. The combination of diabetes and anxiety may lead to an episode of erectile dysfunction. […] Erectile dysfunction that happens all the time may suggest an underlying physical cause. […] Erectile dysfunction that only occurs when you are attempting to have sex may suggest an underlying psychological (mental) cause.

• #10 Erectile Dysfunction: Causes, Symptoms & Treatment Options

  https://familydoctor.org/condition/erectile-dysfunction/

  Erectile dysfunction (ED) is when a man cannot get or keep an erection. The condition prevents the man from having sex or finishing sex. This condition used to be called impotence. ED can occur at any age, but it is more common in men older than 75 years of age. […] The primary symptom of ED is not being able to get or keep an erection for sex.

• #11 Erectile and Sexual Dysfunction Symptoms | Northwestern Medicine

  https://www.nm.org/conditions-and-care-areas/urology/erectile-dysfunction/symptoms

  The symptoms and severity of erectile dysfunction can vary greatly from one patient to another. An occasional issue with erections is usually not something to be concerned about. When symptoms are frequent and ongoing, its important to talk to your physician about diagnosis and treatment. Those symptoms may include: […] Inability to achieve an erection […] Inability to maintain an erection long enough for intercourse […] Dissatisfaction with the size or hardness of an erection […] Premature ejaculation […] Delayed ejaculation […] Reduced libido […] Erectile Dysfunction (ED) can happen to any man at any age. But health problems that can lead to ED become more common as a man ages.

• #12 Symptoms & Causes of Erectile Dysfunction – NIDDK

  https://www.niddk.nih.gov/health-information/urologic-diseases/erectile-dysfunction/symptoms-causes

  Symptoms of erectile dysfunction (ED) include getting an erection sometimes, but not every time you want to have sex […] getting an erection, but it doesn’t last long enough for sex […] being unable to get an erection at any time. […] ED may be a symptom of another health problem.

• #13 Erectile dysfunction | The signs, symptoms, and treatments

  https://www.nuffieldhealth.com/article/erectile-dysfunction-signs-symptoms-treatments

  Erectile dysfunction (ED) is characterised by an inability or difficulty achieving or maintaining an erection thats firm enough for sex. […] Erectile dysfunction can present a range of symptoms that come and go at different times. […] Some of the most common symptoms of ED are: Difficulty getting an erection, Difficulty maintaining an erection, Reduced firmness of erections, Premature ejaculation, Delayed ejaculation, Reduced sexual desire or libido. […] Its estimated that around 80% of ED cases are caused by a physical ailment or symptom. […] Psychological issues can also cause or contribute to ED. […] You may find that your ED arises during a particularly difficult time at home or at work because of higher levels of stress or anxiety. […] Thankfully, erectile dysfunction is a highly treatable condition. […] The latest treatment for erectile dysfunction involves treating the underlying symptoms that may be causing you to have difficulty getting or maintaining an erection.

• #14 Erectile Dysfunction (Impotence)

  https://www.webmd.com/erectile-dysfunction/understanding-erectile-dysfunction-basics

  Erectile dysfunction (ED), also known as impotence, happens when you can’t get or keep an erection of the penis that’s adequate for the sexual satisfaction of both partners. While almost all men and people assigned male at birth (AMAB) have ED once in a while, at least 30 million American men have it regularly. Nearly all those who seek treatment for ED find some relief. […] The symptoms of erectile dysfunction can vary from person to person. If you have ED, you might: Be unable to get an erection at all, Get an erection sometimes, Have trouble keeping an erection long enough for sex, Lack desire for sex. […] Erections mainly involve blood vessels. And the most common causes of ED in older men are conditions that block blood flow to the penis. These include hardening of the arteries (atherosclerosis) and diabetes. Another cause may be a faulty vein that lets blood drain too quickly from the penis. Other disorders, as well as hormonal imbalances and certain operations, may also cause ED.

• #15 Physical and Psychological Symptoms of Erectile Dysfunction

  https://www.verywellhealth.com/erectile-dysfunction-signs-symptoms-and-complications-4160525

  Erectile dysfunction (ED) is characterized by the inability to achieve or maintain an erection sufficient for sexual intercourse. This may be accompanied by other symptoms, such as the inability to reach climax, climaxing too soon, or the loss of libido and sexual interest. […] ED is characterized by two main symptoms: The inability to achieve an erection firm enough for sex and the inability to sustain an erection once you achieved one. […] ED is considered chronic if the problem persists for three months or more. At this stage, ED treatment in one form or another is generally needed. […] In addition to the inability to achieve and maintain an erection, psychogenic ED will often manifest with symptoms like a loss of libido (sex drive), a lack of sexual interest, low self-esteem and confidence, sexual performance anxiety, and depression.

• #16 Understanding Erectile Dysfunction: Causes, Treatments, and More | Saint Joseph Health System

  https://www.sjmed.com/newsroom/blog-articles/understanding-ED

  Erectile dysfunction (ED) is a prevalent condition that affects millions of men worldwide. If you’re suffering from infrequent, unreliable or unsatisfactory erections, understand that you’re not alone. […] The obvious symptom of ED is difficulty achieving or maintaining an erection. Other symptoms may include reduced sexual desire or libido. […] Chronic ED, however, is diagnosed when the problem persists over a significant period, typically for more than three months, and affects the man’s ability to engage in satisfactory sexual activity consistently. […] Many times, chronic ED can also be explained by worrying about sexual performance which can create a cycle of ongoing erectile issues. […] High blood pressure can damage blood vessels, including those that supply blood to the penis. Over time, this damage can result in reduced blood flow, making it difficult to achieve or maintain an erection.

• #17 Erectile Dysfunction (ED): Symptoms, Causes, and Treatment

  https://patient.info/mens-health/erectile-dysfunction-impotence

  Erectile dysfunction (ED) means that you cannot get and/or maintain an erection. In some cases the penis becomes partly erect but not hard enough to have sex properly. In other cases, there is no swelling or fullness of the penis at all. Both can have a significant effect on your sex life. Erectile dysfunction is sometimes called impotence. […] Erectile dysfunction is a symptom. This can mean: Being unable to get an erection at all. Being able to get an erection sometimes, but not every time you want to have sex. Getting an erection, but losing it too quickly (before being able to have sex or masturbate). Getting a partial erection, which isn’t hard enough to have sex or masturbate. […] Some men have long-standing, or recurring ED problems, and this can cause them lots of distress. […] About 8 in 10 cases of erectile dysfunction are due to a physical cause.

• #18 Erectile Dysfunction (ED): Symptoms, Causes, and Treatment

  https://patient.info/mens-health/erectile-dysfunction-impotence

  A psychological cause of erectile dysfunction is more likely if you are able to get an erection at some times, but not at others: for example, if you still get morning erections, and can get an erection when masturbating, but can’t get an erection for sex. […] ED is more common as you get older. About 50% of men between the ages of 40 and 70 have erectile dysfunction and about 70% of men aged 70 and above have erectile dysfunction. […] In recent years, erectile dysfunction seems to be becoming more common amongst younger men. […] The severity of erectile dysfunction is measured on the basis of several factors: How you rate your confidence that you can get and keep an erection. How often your erections are hard enough for you to penetrate your partner following sexual stimulation. How often you can keep your erection after penetrating your partner. How hard it is for you to maintain your erection to complete sex. How often sexual activity is satisfactory for you. […] Erectile dysfunction treatment is often very effective. Sometimes, though, treatment doesn’t have the desired effect. Some men might not want treatment.

• #19 Erectile Dysfunction (ED): Symptoms, Causes, and Treatment

  https://patient.info/mens-health/erectile-dysfunction-impotence

  Reduced blood flow to the penis is, by far, the most common cause of erectile dysfunction in men over the age of 40. […] In most cases of ED due to physical causes (apart from injury or after surgery), the erectile dysfunction tends to develop slowly. So, you may have intermittent or partial ED for a while, which may gradually become worse. […] Physical causes of erectile dysfunction usually cause erectile problems that are present all of the time, meaning that it’s difficult to get an erection when masturbating or at any other times, such as first thing in the morning. […] Erectile dysfunction can also be caused by psychological issues. […] Usually – although not always – the erectile dysfunction develops quite suddenly if it is a symptom of a mental health problem. The erectile dysfunction may resolve when your mental state improves – for example, if your anxiety or depression eases.

• #20 Erectile Dysfunction: Signs and Symptoms | Psych Central

  https://psychcentral.com/disorders/erectile-disorder-symptoms

  Erectile dysfunction (ED) involves the persistent or recurrent inability to get or maintain an adequate erection for the duration of sexual activity. […] ED symptoms may involve the following: not being able to get an erection every time you want to have sex; being able to get an erection but not having it last long enough; not being able to get an erection at any time. […] Though ED can happen suddenly, symptoms typically progress over time. […] The earliest signs of ED might include slowly losing your ability to get or maintain an erection. […] You also might experience a loss of sensitivity and require more and more stimulation to achieve or maintain an erection. […] Reduced desire for sex is not uncommon, particularly in individuals with a hormonal imbalance or an emotional problem underlying the ED.

• #21

  https://www.menshealth.com/health/a19546336/early-signs-of-erectile-dysfunction/

  High total cholesterol is anything 240 milligrams per deciliter (mg/dL) or higher, and blood pressure should be 120/80 millimeters of mercury (mm Hg) or below. […] Both high cholesterol and high blood pressure can damage your blood vessels, causing them to lose their elasticity. […] You don’t get as hard as you used to or you have trouble staying that way. […] Its usually a slow, progressive problem, Dr. Ramin says. Initially, a patient might notice that his erections are not as firm, or that he isn’t able to maintain his erections for as long as before. […] If risk factors are identified, these visits can be life-changing ultimately ensuring patients are optimizing their sexual function while promoting their overall health.

• #22 The Early Warning Signs of Erectile Dysfunction – COREWAVE™ Therapy

  https://corewavetherapy.com/2019/04/09/the-early-warning-signs-of-erectile-dysfunction/

  Reduced sexual desire is not uncommon for men that have ED. This can be caused by biological or emotional issues. An imbalance of hormones in the body, like testosterone, may lower the ability of your erections functioning properly. […] One of the lesser-known aspects of ED is a loss of sensitivity in the penis. Many men, as they grow older, may notice it takes more stimulation to obtain an erection. […] Trouble maintaining or getting an erection, loss of sensitivity in the penis, and lowered sex drive are all signs of this issue developing.

• #23

  https://www.menshealth.com/health/a19546336/early-signs-of-erectile-dysfunction/

  Trouble getting or maintaining an erection. […] If you start noticing that you’re waking up with an erection less often than usual, that could mean that those blood vessels aren’t working as well as they should making it harder for blood to flow into your penis to become erect, Dr. Ramin says. […] If the stuff that usually gets you going just isn’t working anymore, there’s a good chance that your testosterone levels are lower than normal. […] A man experiencing ED may also have a decrease in libido due to an uncomfortable experience in the bedroom, but if the low libido is associated with ED and other symptoms are present like decreased energy, decreased motivation, difficulty gaining muscle and putting on weight, then it is important to seek out an expert evaluation to rule out a testosterone deficiency, he says.

• #24 What Are The Early Signs of Erectile Dysfunction? – Choice Men’s Health

  https://www.choicemenshealth.com/what-are-the-early-signs-of-erectile-dysfunction/

  Erectile Dysfunction (ED) is one of the most common sexual disorders men will experience. […] ED is typically a progressive process and occurs slowly over time. […] Erectile dysfunction usually isnt a reason to worry unless it becomes an ongoing issue. […] Erectile dysfunction is sometimes an indication of an underlying health condition that shouldnt be ignored, like diabetes or heart disease. […] Having occasional ED is a common condition. […] However, when ED regularly affects your sex life, it can signify health problems that need treatment. […] If you consistently have trouble maintaining an erection even when engaging in sexual activity, you might be in the early stages of developing ED. […] The decrease in the urge for sex is often paired with erectile dysfunction symptoms and continued ignorance of these symptoms results in low libido. […] If your urge for sex has reduced drastically, its a warning sign that should be taken seriously. […] If you notice that you dont have frequent morning erections anymore, this could be a sign of erectile dysfunction.

• #25 Erectile Dysfunction (ED) – Men’s Health Issues – Merck Manual Consumer Version

  https://www.merckmanuals.com/home/men-s-health-issues/sexual-function-and-dysfunction-in-men/erectile-dysfunction-ed

  Erectile dysfunction (ED) is the inability to attain or sustain an erection satisfactory for sexual intercourse. […] ED occurs when a man […] Never achieves an erection […] Repeatedly achieves erection briefly but not long enough for intercourse […] Achieves effective erection inconsistently. […] ED is called primary if the man has never been able to attain or sustain an erection. […] ED is called secondary if it is acquired later in life by a man who was previously able to attain erections. […] In the United States, ED is very common and increases in prevalence with age, with the majority of men over the age of 50 being affected. However, ED can be successfully treated at any age. […] Most cases of ED are caused by abnormalities of the blood vessels or nerves of the penis.

• #26 Erectile Dysfunction – StatPearls – NCBI BookshelfTwitterFacebookLinkedInGitHubNCBI Insights BlogTwitterFacebookYoutube

  https://www.ncbi.nlm.nih.gov/books/NBK562253/

  Even when the underlying cause is organic, there are almost always psychological consequences to ED regarding marital and relationship issues, cultural norms and expectations, loss of self-esteem, shame, anxiety, and depression, among others. […] ED can cause considerable emotional damage to the patient and their partner, as well as have a significant impact on their quality of life. […] The cause of ED is often multifactorial. Distinguish whether the condition has an underlying psychological cause or an organic etiology. […] Aging is an essential factor contributing to ED. […] As patients age, cardiovascular diseases, hypertension, and other co-morbidities play an increasingly significant role in this condition. […] Diabetes mellitus and metabolic syndrome can affect several organ systems, resulting in the accelerated deterioration of erectile function, and can disrupt the mechanisms underpinning erections on a molecular level.

• #27 What Is Erectile Dysfunction (ED)? Symptoms, Causes, Diagnosis, Treatment, and Prevention

  https://www.everydayhealth.com/erectile-dysfunction/guide/

  Erectile dysfunction (ED) is the inability to get and keep an erection during sex. Some men have occasional trouble getting or keeping an erection, which can be normal. But when the problem becomes frequent or continues for an extended time, you should see a doctor. […] If you have ED, you might experience: Trouble getting an erection, Trouble keeping an erection for a long enough period of time, Reduced sex drive, Feelings of embarrassment or guilt, Low self-esteem. […] Some men experience symptoms only occasionally. For others, the symptoms are constant and interfere with their sexual relationships. […] ED is a complex condition that can be caused by a variety of factors. Often, there’s more than one issue that’s responsible for ED. […] Symptoms of ED can occur when this process is disrupted.

• #28 What does erectile dysfunction feel like? Symptoms and more

  https://www.medicalnewstoday.com/articles/what-does-erectile-dysfunction-feel-like

  Erectile dysfunction (ED) occurs when a man cannot get an erection or maintain an erection firm enough for sex. The individual may still be interested in sex, but the penis cannot stay erect long enough to complete intercourse. […] Many males have occasional trouble getting an erection, but ED occurs when the problem happens regularly or prevents a fulfilling sex life. […] Males with ED may feel the penis returning to a flaccid state before they have ejaculated or can complete intercourse with a partner. […] A person with ED may also: be unable to achieve an erection at any time; be able to achieve an erection that does not last long enough for sex. […] Psychologically, ED can make a person feel embarrassed, ashamed, and frustrated. It may lead to depression, anxiety, and self-esteem problems if it goes untreated.

• #29 What does erectile dysfunction feel like? Symptoms and more

  https://www.medicalnewstoday.com/articles/what-does-erectile-dysfunction-feel-like

  ED can profoundly affect mental health. […] One 2021 study found that the most common first reaction to ED was a feeling of emasculation. This can magnify any existing difficulties and take a significant toll on personal feelings and relationships. […] Many men feel isolated when dealing with ED, leading to further distress. Once a single episode of ED has occurred, performance anxiety can exacerbate the issue, as stress is a known cause of ED. […] A man with ED may emotionally feel arousal, but the penis may be unable to maintain an erection. This may lead to frustration, feelings of inadequacy, emasculation, and shame. A person may fear being unable to fulfill the sexual needs of their partner. […] Erectile dysfunction occurs when a male cannot get an erection that is firm enough for sex. It is a common condition, particularly as males age, but it is not a normal part of aging and should be treated at any age. […] Most causes of ED are treatable, with good outcomes.

• #30 Erectile dysfunction symptoms | Cure ED symptoms here | Mojo

  https://mojo.so/blog/erectile-dysfunction-symptoms

  Our bodies are pretty complicated, so sometimes it can be hard to know whats actually going on with them. […] So when you feel that something about your erection is off, it can help to know what the common signs and symptoms of erectile dysfunction (ED) are. […] But if youre starting to notice these symptoms more frequently, you could be struggling with ED: not being able to get hard, not getting hard enough to have the sex you want, not staying hard enough, or losing your erection before you finish no matter if its solo (masturbation) or with your partner. […] When ED strikes, it can also have a negative impact on both our body and our mental health. […] Thats why many men start to notice the following secondary signs and symptoms, which could be red flags for an erection issue: Lack of sexual desire, Your erections are generally softer than they used to be, Loss of sensation in the penis, Avoiding sex and intimacy, Feelings of guilt, shame or depression.

• #31 Erectile Dysfunction (Impotence) – Symptoms, Diagnosis, And Treatment | 24-7Medcare

  https://24-7medcare.com.au/sexual-health/erectile-dysfunction-impotence/

  Impotence (also known as erectile dysfunction) describes the inability or difficulty maintaining an erection during sexual activities. Many biological men with erectile dysfunction find it embarrassing to discuss these problems with their doctor. According to the Royal Australian College of General Practitioners, around 61% of men over 45 experience impotence. Over time, men develop an increased chance of developing erectile dysfunction. Having occasional impotence is common for many men. However, impotence becomes more troublesome if it regularly impacts your sex life. The symptoms of impotence (erectile dysfunction) are generally consistent. Those who experience this problem include: Difficulty getting an erection during sexual activities, Difficulty keeping an erection during sexual activities, Unable to achieve an erection, Reduced sex drive. Problems with erection performance are the cause of impotence. There are many reasons for impotence. Erectile dysfunction can cause tension between the affected individual and their partner. Over time, this can create emotional and sexual strain within the relationship. It can also impact the psychological and mental well-being of the affected person. Additionally, chronic conditions associated with impotence, such as diabetes and high blood pressure, can affect the long-term health of the affected person. Speaking to your GP about erectile dysfunction is essential for seeking early treatment and avoiding long-term complications. […] Recovery from impotence will vary depending on your age, health and the underlying cause of your condition. Multiple treatments can help improve your erection quality during sex, including counselling and medication.

• #32 Physical and Psychological Symptoms of Erectile Dysfunction

  https://www.verywellhealth.com/erectile-dysfunction-signs-symptoms-and-complications-4160525

  Erectile dysfunction is often called the „couples’ disease” as it is one of the few conditions that can affect both a man and his partner. […] Erectile dysfunction is the inability to get or keep an erection suitable for sex. Depending on the cause, a person might also experience delayed ejaculation or premature ejaculation. ED can also cause emotional and psychological symptoms, such as anxiety, depression, a loss of sex drive, and low self-esteem that can bleed over into relationships and lead to conflict.

• #33 Erectile Dysfunction (Impotence): Symptoms & Causes – Bangkok Hospital Pattaya

  https://bangkokpattayahospital.com/health-articles-urology-en/erectile-dysfunction-overview/?srsltid=AfmBOorJ-dKmWhNYGrArci3fSp1jtp7SfpWoID7-9aUAgtO9-2-5bFQA

  A number of things can interfere with sexual feelings and cause or worsen erectile dysfunction. These include: Depression, anxiety or other mental health conditions, Stress, Relationship problems due to stress, poor communication or other concerns. […] Various risk factors contribute to erectile dysfunction, including: Medical conditions, especially diabetes or heart conditions, Tobacco use, Being overweight, especially obesity, Certain medical treatments, such as prostate surgery or radiation for cancer, Injuries, particularly those affecting nerves or arteries controlling erections, Medications, including antidepressants, antihistamines, and drugs for high blood pressure, pain, or prostate conditions, Psychological conditions, such as stress, anxiety, or depression, Drug and alcohol use, particularly in long-term users or heavy drinkers. […] Complications resulting from erectile dysfunction may include: Unsatisfactory sex life, Stress or anxiety, Embarrassment or low self-esteem, Relationship problems, Difficulty achieving pregnancy with a partner.

• #34 When To Call a Doctor for Erectile Dysfunction, Impotence or Erection Problems

  https://www.webmd.com/erectile-dysfunction/understanding-erectile-dysfunction-symptoms

  Can’t get or keep an erection so you can have sex? That’s what doctors call erectile dysfunction, or ED. […] If it slowly but consistently gets worse, there’s probably a physical cause. This is generally what happens with chronic impotence. […] If the problem doesn’t go away, it could be an early warning sign of a more serious, larger condition. For example, the penile artery can get narrower because of coronary artery disease or diabetes.

• #35 Managing Your Erectile Dysfunction – Symptoms & Treatment | Carle.org

  https://carle.org/conditions/erectile-dysfunction

  Erectile dysfunction (ED), or male impotence, is a mans inability to get or keep an erection long enough to finish sexual activity. ED causes great distress and problems with relationships. […] The main symptom is inability to get or keep an erection until the end of sexual activity. […] If the cause is psychological, men may have associated anxiety, mood swings, depression, insomnia, and concerns about sexual performance. […] If the cause is physical, symptoms of medical illness may include poor circulation in the legs, chest pains, or shortness of breath with exercise (possible heart disease). Diabetes is frequently associated with ED.

• #36 Erectile dysfunction: Causes, symptoms, and treatments

  https://www.medicalnewstoday.com/articles/5702

  Erectile dysfunction makes it difficult to regularly attain or keep a firm enough erection to have sex. This can interfere with both sexual activity and quality of life, but medications and other treatments are available. […] People may sometimes refer to ED as impotence. […] ED may affect up to 20 million people in the U.S. The conditions prevalence is over 50% in those over 50 years old and increases with a persons age. […] A person should consult a medical professional if they experience persistent erection problems, as an underlying medical condition could be causing the issue. […] Physical causes account for 90% of ED cases, with psychological causes much less common. […] Psychological factors can cause or contribute to ED, with factors ranging from treatable mental health conditions to everyday emotional states that most people experience at some time.

• #37 Impotence (Erectile Dysfunction) – Harvard Health

  https://www.health.harvard.edu/a_to_z/impotence-erectile-dysfunction-a-to-z

  Impotence means that a man’s penis doesn’t get hard enough to have sexual intercourse. The man cannot get or maintain an erection. The medical term is erectile dysfunction (ED). […] A man with impotence has either a problem getting an erection or difficulty maintaining one. This usually interferes with sexual activity. […] Impotence can happen suddenly or gradually. Some men slowly lose the firmness of their erections or how long the erections last. […] In other men, especially those whose impotence is largely caused by psychological factors, the problem may occur unpredictably. It can improve at any time. […] Men with impotence may continue to have normal orgasm and ejaculation without a full erection. […] How long your impotence lasts depends upon what causes it and how quickly your treatment starts to work. Impotence is treatable in all age groups.

• #38 Sudden Erectile Dysfunction: Causes and When to Worry

  https://www.verywellhealth.com/sudden-ed-5203072

  Erectile dysfunction (ED), also known as impotence, is the inability to achieve or maintain an erection. It is the most common of all male sexual disorders, affecting 10% of men ages 40 to 70. […] Although the condition is not usually an emergent health concern, it may signify an underlying health issue, especially if it comes on suddenly. […] Sudden erectile dysfunction results in the same inability to have or maintain an erection. However, it is different because it comes on suddenly or seemingly out of nowhere, instead of slowly over time. […] Erectile dysfunction that occurs suddenly usually stems from medication or a psychological issue. […] Sudden erectile dysfunction typically suggests a psychological problem or medication is causing the issue. Sudden ED is also known as sudden impotence. […] Erectile dysfunction is the inability to achieve or maintain an erection long enough for satisfying sexual intercourse. It usually develops over the course of time, but it can come on suddenly. Reasons for this may include underlying conditions, certain medications, or psychological issues.

• #39 Erectile dysfunction | NHS inform

  https://www.nhsinform.scot/illnesses-and-conditions/sexual-and-reproductive/erectile-dysfunction-impotence

  Erectile dysfunction is also thought to occur in up to 15-25% of people who experience a severe head injury. […] Erectile dysfunction is strongly associated with cardiovascular disease. For this reason, it may be one of the first causes your GP considers when making a diagnosis and planning your treatment. […] Erectile dysfunction that happens all the time may suggest an underlying physical cause. […] Erectile dysfunction that only occurs when you are attempting to have sex may suggest an underlying psychological (mental) cause. […] If your erectile dysfunction is caused by an underlying health condition, such as heart disease or diabetes, that condition may need to be treated first. In some cases, treating the underlying cause may also resolve the problem. […] Erectile dysfunction can often be improved by making changes to your lifestyle, such as losing weight if you are overweight, giving up smoking, cutting back your alcohol consumption, not taking illegal drugs, exercising regularly, and reducing stress.

• #40 Sudden Erectile Dysfunction: When to Worry | Urological Associates

  https://cvilleurology.com/sudden-erectile-dysfunction-when-to-worry/

  Erectile dysfunction (ED) can be distressing, but what if it happens suddenly and without warning? […] Sudden ED refers to an unexpected and abrupt inability to achieve or maintain an erection, differing from chronic or gradual ED that develops over time. […] This sudden onset can sometimes point to a serious underlying condition that should get immediate attention, such as cardiovascular issues, hormone imbalances, or mental health concerns. […] If sudden ED occurs alongside other symptoms, it may be a sign of a condition that requires prompt medical care. Symptoms to watch for include: chest pain or heart issues, pain or discomfort in the pelvic area, sudden changes in urination, unusual swelling or lumps in the genital area. […] Understanding the cause of your sudden ED is essential because the underlying cause helps our team better understand your health needs and the best treatment. […] If you are experiencing sudden ED, dont hesitate to seek professional help.

• #41 Erectile Dysfunction – StatPearls – NCBI BookshelfTwitterFacebookLinkedInGitHubNCBI Insights BlogTwitterFacebookYoutube

  https://www.ncbi.nlm.nih.gov/books/NBK562253/

  Cardiovascular disease is a very significant risk factor for ED. […] Almost 50% of men with known coronary artery disease proven by cardiac catheterization have significant ED. […] Patients will often demonstrate subclinical atherosclerosis long before any overt ED by as much as 10 years. […] Younger men who present with unexplained ED appear to have a very significant increase, up to 50-fold, of their cardiovascular risk in later life compared to an age-matched control group. […] Inform patients that ED is a significant indicator of underlying heart disease and refer them for further cardiovascular risk screening and treatment. […] The prognosis of ED is dependent on the cause. Psychosexual causes generally have a good response to counseling, and most other causes of ED respond favorably to oral PDE-5 inhibitors.

• #42 Understanding Erectile Dysfunction | University of Utah Health

  https://healthcare.utah.edu/the-scope/health-library/all/2024/03/understanding-erectile-dysfunction

  Erectile dysfunction (ED) impacts an estimated 18 million men in the U.S. alone, yet it is rarely discussed openly. […] In fact, according to a Reuters study recently, as about as many as 18.4% of men in the U.S. have experienced erectile dysfunction at some time or another in their lives. That’s 18 million men in this country. […] The definition of erectile dysfunction is the inability to obtain or maintain an erection adequate for sexual function. […] Commonly, it can be due to vascular problems, or neurologic issues. […] Long term, obviously, you’re going to have a decreased quality of erection. You’re going to have a decreased satisfaction with sexual function. Long term, those are the things that you’re going to see most commonly with erectile dysfunction. […] Diabetes is a big one. Diabetic men tend to have erectile dysfunction at an earlier onset and on a more frequent basis than men who don’t have diabetes.

• #43

  https://www.singhealth.com.sg/patient-care/conditions-treatments/erectile-dysfunction

  Psychological causes of ED encompass depression, stress, performance anxiety, and traumatic experiences. These psychological factors can significantly impact sexual function and contribute to the development or exacerbation of erectile dysfunction. […] Chronic illnesses such as diabetes, high blood pressure, nerve disease or damage, multiple sclerosis, atherosclerosis, and heart disease can damage the nerves and arteries to the penis, resulting in ED. […] Poor lifestyle choices such as smoking, excessive alcohol intake, being overweight, and lack of exercise can also contribute to erectile dysfunction. […] The prevalence of ED may increase with age as well. As men age, the likelihood of ED rises due to natural declines in testosterone levels and the increased incidence of underlying health conditions. […] These diverse factors can contribute to the development of erectile dysfunction, highlighting the multifaceted nature of this condition.

• #44 Understanding Erectile Dysfunction | University of Utah Health

  https://healthcare.utah.edu/the-scope/health-library/all/2024/03/understanding-erectile-dysfunction

  People who suffer from mental health conditions like depression and anxiety, sometimes it’s very overwhelming for them, and they have a decreased libido, and decreased ability to have really enjoyable sexual function. […] If you do have hormonal issues, replacing testosterone or even weight loss and exercise to help your body be more healthy and be able to have a more normal testosterone level can also be appropriate. […] There’s no time frame where, „You should wait three months to see if your erection comes back,” or anything like that. I would say when you feel like it’s affecting you sexually, affecting you personally, where you’re concerned about it would be the time to come in and have that conversation. […] Believe it or not, erectile dysfunction can be a symptom of diabetes. In fact, half of men diagnosed with diabetes experience erectile dysfunction within 10 years of their diagnosis. […] Conditions like vascular disease, surgery, diabetes, and medications are some of the top causes of erectile dysfunction.

• #45 Erectile Dysfunction (ED) – Men’s Health Issues – Merck Manual Consumer Version

  https://www.merckmanuals.com/home/men-s-health-issues/sexual-function-and-dysfunction-in-men/erectile-dysfunction-ed

  A disorder of any of these systems may lead to erectile dysfunction (ED). […] Often several factors contribute to ED. […] Sometimes blood leaks out of the veins in the penis too quickly, decreasing blood pressure in the penis and thus interfering with achieving or maintaining an erection (called veno-occlusive dysfunction or venous leak). […] If the nerves sending messages to the penis are damaged, ED can occur. […] In addition to causing atherosclerosis, diabetes can also affect the nerves that supply the penis. […] Hormonal disturbances (such as abnormally low levels of testosterone) tend to decrease sex drive but can also result in ED. […] Erectile dysfunction may be situational, involving a particular place, time, or partner. […] An occasional episode of erectile dysfunction (ED) is not uncommon, but men who are consistently unable to achieve or maintain an erection should see their doctor because ED may be a sign of a serious health problem, such as atherosclerosis or a nerve disorder.

• #46 Management of Erectile Dysfunction | AAFP

  https://www.aafp.org/pubs/afp/issues/2010/0201/p305.html

  The prevalence of hypogonadism (defined as a morning serum total testosterone level less than 300 ng per dL) in men with ED is estimated to be 5 to 10 percent. […] Alprostadil (Caverject) is a viable second-line therapeutic option for the treatment of ED. […] When there is no obvious medical etiology for ED, psychosocial factors should be explored. […] Men with ED should be considered for cardiovascular risk screening. ED rates differ significantly in patients with established coronary artery disease (CAD). On average, ED symptoms present three years earlier than CAD symptoms.

• #47 Bedroom Signs That Your Man Might Have Health Troubles > News > Yale Medicine

  https://www.yalemedicine.org/news/bedroom-signs-man-might-have-health-troubles

  It’s estimated that 50 percent of men ages 40 to 70 have problems with erections. […] ED means a man is unable to achieve or sustain an erection firm enough for sex more than half of the time. […] If erectile issues are happening frequently, see a urologist (who is like a gynecologist for the penis, testes and prostate). […] ED issues can motivate a person to see a doctor for a checkup. […] Erectile dysfunction, fatigue, muscle weakness and loss of body hair, which can be signs of hormone imbalance in men. […] Approximately 2 out of 100 men have a hormonal androgen deficiency called low testosterone or low T (hypogonadism). […] Testosterone therapy is considered safe and effective when properly prescribed by a doctor who has ruled out other causes of low T, such as pituitary gland problems or sleep apnea.

• #48 Quick Facts:Erectile Dysfunction (ED) – Merck Manual Consumer Version

  https://www.merckmanuals.com/home/quick-facts-men-s-health-issues/sexual-dysfunction-in-men/erectile-dysfunction-ed

  Erectile dysfunction (ED) is when a man often has problems getting or keeping an erection (getting hard). Your penis may not get erect at all or only once in a while. Or you may get erections, but they don’t last long enough. […] Its normal for men to have problems getting an erection once in a while doctors dont consider it ED unless it happens often. […] ED is common in men older than 40. […] Sometimes ED is a sign of more serious health problems. […] Numbness plus ED could be a sign of a problem with your spinal cord. […] Most of the time, ED is caused by problems with blood flow to your penis or problems with the nerves to your penis. […] Common causes of ED are: Hardening of the arteries in your body (atherosclerosis), Diabetes, Side effects from prostate surgery, Taking certain medicine (especially medicines for high blood pressure or depression).

• #49 Impotence (Erectile Dysfunction) – Harvard Health

  https://www.health.harvard.edu/a_to_z/impotence-erectile-dysfunction-a-to-z

  Speak to your doctor if you have trouble getting or keeping an erection over three months or more. […] Impotence caused by psychological factors may get better on its own. But treatment is needed if the problem is caused by a physical factor. […] In general, the outlook for most men with erectile dysfunction is positive.

• #50 Erectile dysfunction – Wikipedia

  https://en.wikipedia.org/wiki/Erectile_dysfunction

  Erectile dysfunction (ED), also referred to as impotence, is a form of sexual dysfunction in males characterized by the persistent or recurring inability to achieve or maintain a penile erection with sufficient rigidity and duration for satisfactory sexual activity. […] ED is characterized by the persistent or recurring inability to achieve or maintain an erection of the penis with sufficient rigidity and duration for satisfactory sexual activity. It is defined as the „persistent or recurrent inability to achieve and maintain a penile erection of sufficient rigidity to permit satisfactory sexual activity for at least 3 months.” […] ED is reported in 18% of males aged 50 to 59 years, and 37% in males aged 70 to 75. […] The majority of ED cases are attributed to physical risk factors and predictive factors. These factors can be categorized as vascular, neurological, local penile, hormonal, and drug-induced. Notable predictors of ED include aging, cardiovascular disease, diabetes mellitus, high blood pressure, obesity, abnormal lipid levels in the blood, hypogonadism, smoking, depression, and medication use. Approximately 10% of cases are linked to psychosocial factors, encompassing conditions such as depression, stress, and problems within relationships.

• #51 Erectile Dysfunction Symptoms and When to See a Doctor | Advanced Urology

  https://www.advancedurology.com/blog/erectile-dysfunction-symptoms-and-when-to-see-a-doctor

  Erectile dysfunction (ED) is a common condition that can impact men of all ages, affecting confidence and quality of life. […] Erectile Dysfunction (ED) refers to the inability to achieve or maintain an erection firm enough for sexual activity. While occasional difficulties may occur for many men, persistent issues could indicate a more significant underlying concern. […] Common signs include: Trouble Getting an Erection: Struggling to achieve an erection even during sexual arousal. […] Difficulty Maintaining an Erection: Being unable to sustain an erection long enough for sexual activity. […] Reduced Sexual Desire: A noticeable decline in interest or enthusiasm for sexual activity. […] If these symptoms persist, consulting a doctor can help determine the cause and explore treatment options. […] If you’re experiencing any of the following, it’s time to consult a specialist: Persistent difficulty achieving or maintaining an erection. […] Emotional distress, including frustration or anxiety tied to ED. […] Ineffectiveness of over-the-counter medications or treatments.

• #52 Erectile Dysfunction and Impotence | Temple Health

  https://www.templehealth.org/services/conditions/erectile-dysfunction-impotence

  Erectile dysfunction, or impotence, is a condition in which a man cannot get an erection firm enough to have sex. Occasional erectile dysfunction is common and usually not a cause for concern. However, if you have ongoing issues getting and keeping an erection, it is important to talk to your doctor. […] Erectile dysfunction can lead to stress, lower self-confidence or relationship issues. It can also be a sign of an underlying health condition. […] The symptoms of erectile dysfunction include: Decreased sexual desire and arousal, Difficulty getting an erection, Difficulty keeping an erection. […] You should also talk to your doctor if you have erectile dysfunction accompanied by: Delayed or premature ejaculation, Diabetes, Heart disease.

• #53 Erectile Dysfunction | Conditions | UCSF Health

  https://www.ucsfhealth.org/conditions/erectile-dysfunction

  Erectile Dysfunction, or ED, is difficulty or inability to attain and maintain an erection sufficient for satisfactory sexual activity. ED is a relatively common problem, affecting up to 30 million men of all ages in the United States and more than 150 million worldwide. […] A variety of factors frequently in combination can cause ED. These factors include neurological, hormonal and vascular disorders, as well as the natural aging process and certain chronic diseases. […] The single biggest factor associated with ED is aging. Men are at higher risk as they get older. […] Aging causes a progressive decline in sexual function even in healthy patients. Studies show that as men age, erections become less turgid (stiff) and the force and volume of ejaculation decrease. […] ED is the most common side effect of both surgical and radiation treatments for prostate cancer.

• #54 Erectile Dysfunction Symptoms Philadelphia | Impotence | ED

  https://www.progressivemenshealth.com/erectile-dysfunction-symptoms/

  Erectile Dysfunction (ED) is the inability to achieve or maintain an erection sufficient for satisfactory sexual intercourse. ED, or impotence, is a common problem for men of all ages. […] The prevalence of erectile dysfunction increases with age. […] While 39% of men at the age of 40 are affected by ED, 67% of men at the age of 70 are affected. […] Difficulty achieving or maintaining an erection (occurs at least 1 in 4 times of attempting intercourse, or persists for a month.) […] Maintaining an erection becoming a conscious effort or becoming more and more difficult. […] If you suffer from persistent erectile dysfunction (one month or more), then you should definitely call a doctor. The physical symptoms of ED can be early warning signs for other health problems such as artery disease or diabetes.

• #55 ED Specialist in Covington, LA | Louisiana Healthcare Urology

  https://www.sttammanyurology.com/coloplast/what-is-erectile-dysfunction/

  Millions of men in the United States experience erectile dysfunction at some point in their lives. […] Generally, all symptoms of erectile dysfunction will contribute to an inability to develop or sustain an erection. A lowered libido can also be a common sign of ED. […] Erectile Dysfunction is the consistent inability to sustain an erection sufficient for sexual intercourse. […] ED can be caused by physical disorders such as: An injury (i.e. brain or spinal cord), A disease (i.e. diabetes, high blood pressure, or high cholesterol), An operation (i.e. prostate gland removal), Substance use (i.e. tobacco, drugs, alcohol or medications). […] Approximately 30 million American men suffer from erectile dysfunction. […] Most men with erectile dysfunction still have the ability to have an orgasm and father a child, but often have difficulty doing these things because they can’t get or sustain an erection. […] Erectile dysfunction is not normal and is by no means an inevitable consequence of aging. […] In most cases, erectile dysfunction can be overcome.

• #56 What Is Erectile Dysfunction (ED)? Symptoms, Causes, Diagnosis, Treatment, and Prevention

  https://www.everydayhealth.com/erectile-dysfunction/guide/

  The prognosis for men with ED is generally favorable. […] While many cases of ED are caused by medical conditions that can’t be cured, various treatment options can help restore sexual function. […] The duration of ED depends on what causes it and how you respond to your treatment. Many men notice an immediate improvement when they start on medication or another form of treatment. […] Frequent occurrence of this symptom might point to underlying health issues, like depression, anxiety, heart disease, or diabetes.

• #57 Erectile Dysfunction – StatPearls – NCBI BookshelfTwitterFacebookLinkedInGitHubNCBI Insights BlogTwitterFacebookYoutube

  https://www.ncbi.nlm.nih.gov/books/NBK562253/

  If not, there are multiple other options for treatment, including external vacuum devices, intraurethral prostaglandin pellets, intracavernosal injections, and combined therapy. […] Patients rarely fail all of these non-surgical options; there is still penile prosthesis implantation surgery, which remains highly successful. […] Almost every patient with ED can be treated successfully with the currently available therapies.

• #58 Erectile Dysfunction (Impotence)

  https://www.webmd.com/erectile-dysfunction/understanding-erectile-dysfunction-basics

  In younger men, psychological problems are the most likely reason for ED. Poor communication with your partner, or differences in sexual preferences, can lead to tension and anxiety. The problem may also be linked to: Depression, Fatigue, Stress, Feeling that you’re not good enough, Sexual fears, Rejection by your parents or peers, Childhood sexual abuse. […] Having an alcoholic beverage can make you feel more relaxed, which helps some people get in the mood to have sex. However, alcohol is a sedative, so heavy drinking can make you too sleepy to perform. Drinking a lot of alcohol can also slow the flow of messages from the brain down the spinal cord. […] The treatment for your ED will depend on what’s causing it, as well as what you and your partner think will work best. Your doctor can help you decide. Treatments include: Medications, Lifestyle changes, Counseling, Vacuum device, Surgery. […] You’re more likely to develop ED if you have heart disease, high blood pressure, diabetes, and certain chronic diseases. Taking steps to avoid or manage these conditions effectively may help prevent ED.

• #59 Management of Erectile Dysfunction | AAFP

  https://www.aafp.org/pubs/afp/issues/2010/0201/p305.html

  ED may result from organic causes (e.g., vascular, neurogenic, hormonal, anatomic, drug-induced), psychological causes, or a combination of both. […] The American Urological Association (AUA) recommends that the initial evaluation of ED include a complete medical, sexual, and psychosocial history. […] The physical examination should assess blood pressure and heart rate; body habitus, for central obesity; and cardiovascular, neurologic, and genitourinary systems, including penile, testicular, and digital rectal examinations. […] First-line therapy for ED is aimed at lifestyle changes and modifying pharmacotherapy that may contribute to ED. […] Phosphodiesterase type 5 (PDE5) inhibitors are the most effective oral drugs in the treatment of ED, and should be considered first-line therapy.

• #60 Erectile Dysfunction (ED) – Men’s Health Issues – Merck Manual Consumer Version

  https://www.merckmanuals.com/home/men-s-health-issues/sexual-function-and-dysfunction-in-men/erectile-dysfunction-ed

  In men with ED, certain symptoms and characteristics are cause for concern. […] ED may be a symptom of a serious medical disorder. […] Most causes of ED are treatable. […] ED commonly results from psychological, nervous system, or blood vessel disorders, from injury, or from the side effects of some medications or surgery. […] Testosterone therapy may help restore erectile function in men with low serum testosterone levels and ED, but a low testosterone level is not a common cause of ED. […] Most men with ED may be successfully treated with an oral phosphodiesterase inhibitor such as sildenafil, vardenafil, avanafil, or tadalafil. […] Vacuum erection devices and penile prosthesis surgery are effective treatments for men with severe ED.

• #61 Erectile dysfunction | NHS inform

  https://www.nhsinform.scot/illnesses-and-conditions/sexual-and-reproductive/erectile-dysfunction-impotence

  PDE-5 inhibitors are one of the most widely used and effective types of medication for treating erectile dysfunction. […] If your erectile dysfunction doesn’t respond to treatment, or you are unable or unwilling to use PDE-5 inhibitors or a vacuum pump, you may be given a medicine called alprostadil. […] If a hormonal condition is causing erectile dysfunction, you may be referred to an endocrinologist (who specialises in the treatment of hormonal conditions). […] If your erectile dysfunction has an underlying psychological cause then you may benefit from a type of treatment called sensate focus.

• #62 Erectile dysfunction | NHS inform

  https://www.nhsinform.scot/illnesses-and-conditions/sexual-and-reproductive/erectile-dysfunction-impotence

  Erectile dysfunction is also thought to occur in up to 15-25% of people who experience a severe head injury. […] Erectile dysfunction is strongly associated with cardiovascular disease. For this reason, it may be one of the first causes your GP considers when making a diagnosis and planning your treatment. […] Erectile dysfunction that happens all the time may suggest an underlying physical cause. […] Erectile dysfunction that only occurs when you are attempting to have sex may suggest an underlying psychological (mental) cause. […] If your erectile dysfunction is caused by an underlying health condition, such as heart disease or diabetes, that condition may need to be treated first. In some cases, treating the underlying cause may also resolve the problem. […] Erectile dysfunction can often be improved by making changes to your lifestyle, such as losing weight if you are overweight, giving up smoking, cutting back your alcohol consumption, not taking illegal drugs, exercising regularly, and reducing stress.

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