The inability to have or to maintain an erection is a characteristic sign of impotence. This problem may manifest in different ways:
1. If appears only occasionally, is probably not a serious problem, all men may experience impotence at some point.
2. If occurs gradually and persist, there is probably a physical cause, this is happening generally in chronic erectile dysfunction.
3. If happens suddenly, but you continue to have morning erections and erections in masturbation, the problem is probably due to psychological causes.
You should see a doctor in the following cases:
• If erectile dysfunction is related to anxiety and threatens the sexual relationship. A doctor can at least clarify the problems due to misinformation, which often exacerbates sexual problems.
• If erectile dysfunction tends to persist. Physical causes of impotence can be indications of more general problems, potentially more harmful, for example, narrowing of the penile artery might indicate a coronary heart disease (atherosclerosis). For impotence itself, it is possible that your doctor may suggest a method to improve the problem or, if you cannot be cured, can advise you to use a mechanical device.
Erectile Dysfunction Medical Advice
For people who are at risk developing erectile dysfunction due to unhealthy habits (alcohol abuse, too much smoking) certain steps can be taken to prevent this affection. However, some organic causes of erectile dysfunction cannot be prevented. Since an erection is essentially a vascular process it is not surprising that the most common causes for ED are disorders that block the blood flow to the penis, such as atherosclerosis or diabetes. Another cause may be a vascular faulty vein, which makes the blood to drain too quickly from the penis. Other physical disorders, hormonal imbalances and certain surgeries may also cause impotence.
Vascular processes that cause an erection are controlled by the nervous system, and certain drugs given by the doctor may have side effects that interfere with nerve signals. Among the possible culprits are various stimulants, sedatives, diuretics, antihistamines and medications for the treatment of hypertension, cancer or depression. Furthermore, alcohol, tobacco and drugs, such as marijuana may contribute to impotence.
If you suspect a problem is best to seek medical advice. Your doctor may do a variety of tests to identify the cause of the problem and guide you to a specialist. Once the cause is identified, many treatments can be taken into account. Medical specialty that treats erectile dysfunction depends on the cause. Usually endocrinologists do not take into account treatment of erectile dysfunction in men with diabetes. Therefore, you should see an urologist.
There are many ways to treat erectile dysfunction among which, oral medications, sex therapy, penile injections, vacuum pumps or surgery. Each treatment has advantages and disadvantages. A specialist can show you the best treatment for you.