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Is erectile dysfunction a normal part of aging?
Erectile dysfunction isn’t necessarily a normal part of aging. Fix erectile dysfunction at 50 by making lifestyle changes, getting psychological help, getting medical or mechanical treatment, or considering surgery.
The way that you treat erectile dysfunction (ED) at any age ultimately depends on the cause. Each cause will have its own treatment.
Luckily, there are medical and mechanical steps that you can take on a case-by-case basis to achieve an erection when you want it. These treatments will work as long-term solutions if you can’t find or treat a distinct underlying cause.
Erectile dysfunction isn’t necessarily a normal part of aging — so don’t let this condition get in the way of having a happy and healthy sex life.
Even though ED isn’t, strictly speaking, a normal part of aging, your odds of developing ED do increase as you get older. By 50 years old, there’s at least a 50% chance that you’ve experienced some bouts of ED. In fact, more than 50% of all males between the ages of 40 and 70 years report some level of erectile dysfunction.
There are a few reasons for this. First, it’s normal for testosterone levels to decrease with age. This natural process begins when you’re 30, and levels will continue to decrease — at a rate of about 1% a year — for the rest of your life. This hormone is an important part of your sex drive.
Your odds of getting a disease that causes ED as a side effect also increase as you age. This means that if you’re experiencing ED at 50, you should talk to your doctor as soon as possible — you may need to be treated for a severe underlying condition.
Keep in mind that some men are capable of healthy sex lives — without any sustained ED — well into their eighties. You don’t need to simply accept this condition as a new part of your life — seek medical help.
Erectile dysfunction causes
Erectile dysfunction has both physical and psychological causes. Physical causes can include medical conditions, the use of certain prescriptions, and lifestyle choices.
Psychological causes can develop at any time. They can be related to a number of problems, including:
- Depression
- Anxiety
- Stress from work
- Stress from your home life
- Guilt
- Fear of intimacy
- Performance anxiety
- Low self-esteem
Medical conditions that can cause ED include:
- Atherosclerosis — where your blood vessels harden and become blocked
- Type 2 Diabetes
- Heart disease
- Chronic kidney disease
- Cancer treatments near your genitals — including surgery and radiation for prostate, colorectal, and bladder cancer
- Multiple sclerosis
- Peyronie’s disease
- Injury to your genitals or nearby body parts
Sometimes, a medication that you need to treat a different condition will lead to ED. If this is the case with one of your prescriptions, your doctor should have already discussed this side effect with you.
Some medications that can cause ED include:
- Antiandrogens — used to treat prostate cancer
- High blood pressure medications
- Antidepressants
- Sedatives — anything that’s meant to make you calm and sleepy
- Ulcer medication
- Appetite suppressants
Your ED could also be due to an unhealthy lifestyle. Certain activities and physical states put you at an increased risk of developing ED.
These include:
- Smoking
- Using certain drugs — these can be both recreational and prescription
- Heavy alcohol use
- Being obese
- Not getting enough exercise
A healthy lifestyle will make it easiest for you to get an erection. Eat a well-balanced diet and exercise regularly. Also limit any unhealthy activities like smoking, drinking, and drug use.
Simple changes like these could be enough to cure your ED, especially if it’s not due to a much more serious condition.
When should you get psychological help for your ED?
Therapy and counseling services can be great treatments for many of the psychological causes of ED. Talking to someone about your worries and stress is a proven way to manage these concerns. It’s sometimes enough to get your sex life back on track. You can go to sessions by yourself or with your partner.
Talking to a therapist can even be helpful if your ED has a physical cause. There are many emotions — like frustration— that are increasingly associated with this condition. Therapy can help you process these new realities.
What are medical treatments for erectile dysfunction?
There are both orally taken and self-injected medications that you can use to get an erection. You should administer either shortly before you want to engage in sexual activity.
You’ll usually be prescribed the oral option first. These are phosphodiester inhibitors that are meant to modify your smooth muscles. They’re effective in 65% to 70% of people with ED and include:
- Sildenafil
- Vardenafil
- Avanafil
- Tadalafil
If these don’t work you can also try alprostadil. Before sex, you either insert this drug into your urethra or administer an intracavernous injection into your penis.
Make sure you seek medical help if you notice any negative side effects from these medications (for example, if you experience an erection that lasts longer than four hours).
What are mechanical treatments for erectile dysfunction?
There are also mechanical solutions that are safe at any age. These include devices that you use every time you want an erection.
Vacuum devices use suction to pull blood into your penis. These are best when you have trouble getting erect. Flexible, elastic rings are also useful for maintaining an erection. They fit onto the base of your erection and keep blood from prematurely leaving your penis.
When do you need surgery for erectile dysfunction?
Surgery could be the right solution to your ED when other treatment methods are unsuccessful. Unlike mechanical and medical solutions, this treatment is permanent.
The surgery will implant a penile prosthesis so you no longer need to rely on your own biological systems to get an erection. The prosthetics are usually semi-rigid silicone rods or an inflatable device with multiple chambers that fill up with saline when you need them.
There’s less than a 5% chance of infection or malfunction after the surgery. Additionally — of the couples that have tried this solution — over 95% of them report success and satisfaction. The average recovery time is eight weeks.
What are natural remedies for erectile dysfunction?
There are a wide variety of products that are marketed as natural cures for erectile dysfunction. To date, none of these are approved by the FDA. Some scientific studies have been conducted on a handful of substances — but all of the data is preliminary and few are very encouraging.
Ginseng is the only substance that has shown some efficacy in a meta-analysis of scientific trials. The same analysis found no conclusive proof for the effects of both saffron or T. terrestris.
Talk to your doctor before trying any natural remedies — some can cause adverse reactions when combined with other medications. The FDA has also issued consumer warnings and alerts about “natural” concoctions with unregulated amounts of tested medications — specifically the active ingredients in regulated products like Viagra.
When should you see your doctor for erectile dysfunction?
It’s best to get your erectile problems checked out by a doctor whenever they become frequent. Some causes of ED are also life-threatening when left untreated.
Keep in mind that you deserve a healthy sex life at any age. Get medical help whenever you and your partner begin to experience a decreased quality of life from your bouts of erectile dysfunction.
Can Erectile Dysfunction Become Permanent?
What causes erectile dysfunction?
Erectile dysfunction (ED) is the medical term for impotence. Treatments for erectile dysfunction include lifestyle changes, psychotherapy, medications, devices, and surgery.
Erectile dysfunction (ED) is the medical term for impotence. The term is used when a man can’t get an erection or keep his penis erect for sexual activity. It is not considered a disease but a symptom of other physical or psychological problems.
Sometimes, you may get erectile dysfunction if you drink too much alcohol or experience anxiety, stress, or tiredness. Don’t worry if you experience occasional erectile dysfunction at times like these because this is normal. However, if ED continues for a long time, you may need to visit your doctor.
Can erectile dysfunction be cured? Or is it permanent? Here’s everything you need to know about erectile dysfunction symptoms, causes, treatment, and more.
You are more likely to have erectile dysfunction as you age. It can occur because of hormonal changes, psychological problems, certain health conditions, and other factors. These factors can reduce the blood flow to your penis and prevent it from becoming fully erect.
Erectile dysfunction causes include the following.
1. Health conditions
Certain health conditions can increase your risk of developing erectile dysfunction. Type 2 diabetes can affect your nerves and blood flow, leading to erectile dysfunction. Also, heart and artery problems can cause erectile dysfunction. High blood pressure and atherosclerosis, or buildup of cholesterol in arteries, can affect your ability to get an erection.
Apart from this, the following conditions can cause erectile dysfunction.
- Kidney problems like chronic kidney disease
- Multiple sclerosis
- Peyronie’s disease, in which scar tissue makes the penis curve
- Priapism or swelling in the penis
- Hormonal problems such as low testosterone or thyroid hormone
2. Injury
Injury to the penis, spinal cord, prostate gland, urinary bladder, or abdomen can cause erectile dysfunction. Suppose you undergo prostate cancer treatment, prostate surgery, or bladder cancer surgery. In that case, you may be at a higher risk of erectile dysfunction.
3. Medicines
Erectile dysfunction can be a side effect of certain medicines. They include blood pressure, prostate cancer, and ulcer medications. Appetite suppressants, which reduce hunger, can also lead to erection problems. Medicines like antidepressants, tranquilizers or sedatives, and eye drops for an eye condition called glaucoma can also cause erectile dysfunction.
4. Psychological or emotional problems
Psychological or emotional problems can cause erectile dysfunction. They include:
- Fear of sexual failure or sexual performance anxiety
- General anxiety
- Depression
- Stress
- Low self-esteem
- Feeling guilty about sexual performance or activities
5. Lifestyle factors
Lifestyle factors like drinking too much alcohol, smoking, or doing illegal drugs can lead to erectile dysfunction. If you’re overweight and physically inactive, you may be more likely to experience erectile dysfunction. Sleep problems like lack of sleep or insomnia can also cause erection problems. Excessive steroid use is also a risk factor:
6. Other causes
Other causes of erectile dysfunction include poor sexual knowledge, improper sexual techniques, and poor interpersonal relationships.
Erectile dysfunction symptoms include:
- Getting an erection sometimes, but not each time you want to have sex
- Getting an erection but not being able to keep it for long
- Not getting an erection at all
How is erectile dysfunction diagnosed?
If you have erectile dysfunction, you’ll need to visit a doctor like a urologist. You may feel embarrassed to talk to your doctor about erectile dysfunction. But your doctor needs to understand your condition to help you get better.
Your doctor will check your medical history to find any underlying conditions or injuries. They’ll also check your sexual history to diagnose problems with erection, sexual activity, desire, or climax. They’ll then conduct a physical exam to check your blood pressure, underlying conditions, and penis abnormalities.
Erectile dysfunction diagnosis involves using mental health tests to check for mental or emotional problems. Your doctor may order blood tests. They help detect erectile dysfunction causes such as diabetes, hormonal issues, atherosclerosis, or chronic kidney disease.
Your doctor may use imaging tests like Doppler ultrasound to measure the blood flow in your penis. They may also use the nocturnal or nighttime erection test to monitor the strength, duration, and number of erections you get. They may use an injection test, too. The doctor will inject a medicine into your penis to induce an erection and check its strength and duration.
Can erectile dysfunction be cured?
Erectile dysfunction is a symptom caused by physical, emotional, or lifestyle factors. It is temporary and can easily be cured. Your doctor will diagnose its cause and treat it.
Erectile dysfunction treatment includes the following:
Lifestyle changes
Your doctor will ask you to:
- Quit smoking
- Reduce or stop drinking alcohol
- Do some physical activity
- Lose weight or maintain a healthy body weight
- Stop using illegal drugs
These are also ways to prevent erectile dysfunction. If you’re unable to make these lifestyle changes, consult your doctor to help you with it.
Psychotherapy or counseling
If you have erectile dysfunction due to psychological or emotional problems, a counselor can help you manage them. The counselor may ask you to bring your partner to the sessions to understand the issue.
Change the medicines that cause erectile dysfunction
If a medication you’re taking causes erectile dysfunction, your doctor may change the dose or suggest alternate choices. Don’t stop taking a medicine unless your doctor tells you to.
Oral medicines
Oral medicines like sildenafil (Viagra), vardenafil (Levitra), tadalafil (Cialis), or avanafil (Stendra) help treat erectile dysfunction. They increase the blood flow to your penis and help you get and keep an erection.
Testosterone replacement therapy
Your doctor may prescribe testosterone replacement therapy if you have low levels. However, it has side effects like increased red blood cell count and problems while peeing.
Injections or suppositories
For more robust erections, doctors prescribe alprostadil injections. They are directly injected into the penis to increase the blood flow. Some people insert alprostadil suppositories into the penis. A suppository is a medicine pellet that is inserted into the body, where it dissolves and acts immediately.
Vacuum device
Some doctors prescribe a vacuum device. It causes an erection by pulling blood into the penis using a pump.
Surgery
Doctors use surgery as a last resort. They may use surgery to implant a device to make your penis erect. They may also surgically reconstruct arteries to improve blood flow in the penis. Consult your doctor to know if you need surgery.
Other considerations
Erectile dysfunction treatment, like oral medicines, can have side effects, especially if you’re on other medications. If you use erectile dysfunction medicines with alpha-blockers used to treat prostate enlargement, you may have a sudden drop in blood pressure. Also, taking testosterone therapy with other medicines may cause severe side effects.
Consult with your doctor and inform them about your medical history before getting erectile dysfunction treatment.
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