ED often occurs because of a diminished blood flow and PDE5 inhibitor drugs taken orally can help restore the supply for some men. But if the blood vessels surrounding the penis are narrowed, its likely other blood vessels are too- a problem with the penis can sometimes be an indicator of an underlying cardiovascular problem. ED can also result from diabetes, prostate problems or be the side effect of other prescribed drugs such as antidepressants.
Testosterone deficiency (TD) may have a part to play in ED too. Just as women’s hormones change in middle age, causing low libido, so too can testosterone decline in men, with much the same results. Testosterone replacement therapy can help improve men’s erections in those men that are testosterone deficient, especially when combined with other treatments.
It’s not just medical interventions that can help. Diet may be a factor too. 79% of older adults are overweight. Overweight men are more likely to suffer from ED and losing weight can make a difference. Taking 30 minutes of exercise a day, stopping smoking and drinking moderately all are good initial measures, as well as adding elements of the Mediterranean diet to your meals. Basically, anything that is good for the heart is good for the penis- So the addition of foods such as olive oil, fish and nuts can be helpful.
In up to 20% of cases, ED stems from a psychological or emotional problem, which means that counselling can help. Psychological causes of ED can lead to a decrease in confidence and self-esteem and a subsequent worsening of symptoms. Performance anxiety is something many men suffer from. Porn also has an impact. Lots of young men have learned how to be sexual through porn rather than through an intimate sensual relationship. They have learned to have an unhealthy fixation on the end result — the orgasm — rather than on the sensual pleasure. Talk Therapy can help deal with any psychological issues at play and can positively impact over time on how they feel about their relationships and their intimacy levels.
There is a range of medical treatments for erectile dysfunction: