Erectile dysfunction (ED), also known as impotence, is a type of sexual dysfunction characterized by the inability to develop or maintain an erection of the penis during sexual activity. Erectile dysfunction can have psychological consequences as it can be tied to relationship difficulties and self-image.
The most important organic causes of impotence are cardiovascular disease and diabetes, neurological problems (for example, trauma from prostatectomy surgery), hormonal insufficiencies (hypogonadism) and drug side effects. Psychological impotence is where erection or penetration fails due to thoughts or feelings (psychological reasons) rather than physical impossibility; this is somewhat less frequent but can often be helped. In psychological impotence, there is a strong response to placebo treatment.
• Medications (antidepressants, such as SSRIs, and nicotine are most common)
• Neurogenic disorders
• Cavernosal disorders (Peyronie's disease)
• Psychological causes: performance anxiety, stress, and mental disorders
• Aging. It is four times more common in men aged in their 60s than those in their 40s.
• Diseases such as diabetes mellitus and multiple sclerosis(MS). While these two causes have not been proven they are likely suspects as they cause issues with both the blood flow and nervous systems.
• Lifestyle: smoking is a key cause of erectile dysfunction.Smoking causes impotence because it promotes arterial narrowing.
Alpine Urology offers a multitude of treatment options for ED. Once you have been diagnoses your doctor can discuss with you some of the treatment options we offer, such as: Soma Therapy, AMS, MUSE, Vacuum Erection Therapy and Penile Self Injection.