Nothing except the more modern politically correct term is erectile
dysfunction, especially in the US. The rest of the world, especially Europe
and Asia still use the term impotence to describe this condition.
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No, it is usually more of a symptom or side effect of something else. That
"something else" can be quite serious, even life threatening in some cases,
so the cause of impotence needs to be determined and corrected if possible.
This obviously means you should let your family doctor know if you are one
experiencing erectile problems. So even if you have tried some initial
treatments without success, talk to your doctor about other treatment
possibilities. This is often a good time for referral to an ED specialist,
usually a urologist.
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Yes, often the underlying cause can be determined with a few simple tests
and in some cases corrected. Even if the cause is not correctable (i.e. high
blood pressure, prostate cancer, atherosclerosis, diabetes, etc) nearly
every man can have his erectile dysfunction treated and satisfactory
erections restored.
Treatments vary depending on the type of ED encountered. For patients with
psychological impotence (10-15% of total) the most common and successful
treatment is sexual or psychological counselling. This is especially effective
if the patient has a cooperative partner willing to attend counselling with him.
In men with physical or medical impotence(85-90%), the most common and
successful treatment in order of popularity are oral drugs, penile injection,
vacuum devices and penile implants.
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Unfortunately, very common. A recent study done in Massachusetts showed that
52% of men between ages 40-70 had some degree of erectile difficulty. It is
estimated that between 20 and 30 million men in the US have erectile
dysfunction, only a small percentage of them have yet to seek or receive
treatment.
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Impotence or erectile dysfunction is not just a man's problem. It's a
"couple's disorder." Involving your partner and discussing how this is
affecting both of you is very important and often leads to better
communication and understanding between couples and certainly to easier
solutions.
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Not really. While it is true that problems with erections can cause great
psychological stress for the man and the partner of the man who has it, the
underlying cause of the problem in up to 90% of cases is a physical or
medical one, like diabetes, heart disease or high blood pressure.
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Things like hypertension or high blood pressure, coronary artery or heart
disease, "hardening of the arteries" (arteriosclerosis), hyperlipidemia,
elevated cholesterol levels, diabetes, stroke, neurologic problems like
multiple sclerosis, Parkinson's disease and spinal cord injury, are the most
common causes. Surgery or radiation to correct cancer on the pelvic area
(colon, bladder, prostate) can cause impotence. Also many medications,
especially blood pressure medications and anti-psychotic drugs, can cause
erectile dysfunction or impotence as a side effect.
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Talk to your family doctor or specialist about your problem. You can also
access valuable information on this website by emailing your questions to
our ED expert- just follow the prompts. You can also set up a telephone
appointment with our physician (urologist) who is a well-known specialist in
the field of erectile dysfunction by the following the prompts. He would be
glad to discuss your problem with you and help you find a satisfactory
solution.
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That depends on the severity of the cause of your ED. In situations where
the underlying medical problem is relatively minor, a few successes often
lead to added sexual confidence and sometimes to return of "normal function"
with no further treatment being necessary.
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You are certainly are having erectile difficulties but unless you have one
or more of the previously mentioned underlying medical conditions, your
erectile difficulties are probably psychological and only temporary. Many
men experience erectile failure on a temporary basis from time to time
(often due to stress, monetary concerns, excessive alcohol intake, etc.) but
these failures usually resolve themselves with a little time and patience.
Having an understanding, non-demanding partner with whom you can talk
frankly is a big help. If you continue to experience failure on a consistent
basis, you should see your physician for a complete medical exam.
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I am a 51 yr old diabetic and take insulin, can my ED be treated?
Yes, nearly all diabetics can be successfuly treated for ED.
Treatment is easier and more successful if you watch you diet, exercise
and keep your blood sugar under control. Many (57%) diabetics can be
successfuly treated with oral medications. Others can be treated with
vacuum therapy and some with penile injections. Penile implant surgery
is also a choice for the diabetic and his partner.