Erectile dysfunction (ED) is defined as the inability to get and sustain an erection firm enough to be sufficient for sex. Men can usually self-diagnose, and medical tests are usually not needed.
Causes
There are several risk factors that can cause or contribute to the development of ED:
- Diabetes
- Heart Disease
- High blood pressure
- High blood cholesterol blocking the arteries
- Obesity
- Prostate enlargement or cancer treatment
- Alcohol or drug problems
- Tobacco
- Low testosterone (male hormone)
- Surgery of the pelvis or back
- Sleep disorder
- Anxiety
- Relationship difficulties
- Depression
Prevention
Thankfully there are a lot of lifestyle changes and interventions that can prevent and even reverse ED:
- Eat a healthful diet with lots of plant-based foods, low-fat dairy, lean or no meat.
- Keep weight within normal limits.
- Have blood pressure checked at least yearly and treat if needed.
- Avoid smoking, and drink in moderation if at all.
- Get help for emotional or relationship problems
Medications
- Viagra (sildenafil citrate) is taken by mouth, usually 25-100 mg about an hour before any anticipated sexual activity.
- Cialis (taldalafil) is taken by mouth, usually at a dose of 10 mg once a day, at the same time of day regardless of the time of sexual intercourse.
- Levitra (vardenafil), 10 mg, is taken by mouth one hour before it is needed.
- Stendra (avanafil) is taken by mouth at a dose of 100 mg, 30 minutes before sexual activity.