Erectile Dysfunction

Only by joy and sorrow does a person know anything about themselves and their destiny. They learn what to do and what to avoid.
Johann Wolfgang von Goethe

Erectile dysfunction is the inability to get and keep an erection firm enough for sex.

Having occasional difficulty getting or keeping an erection is not often a cause for concern but more likely a sign of stress or fatigue. But having this problem repeatedly can in turn cause its own stress, affect self-confidence and contribute to relationship concerns. Also, of importance, is that erectile dysfunction can be a sign of an underlying health issue that needs investigation and possibly treatment in itself.

Sometimes simple measures like weight loss and exercise or a reduction in stress/anxiety are all that is needed to improve a man’s erections. If these measures are not effective, you may be offered oral medications (Viagra, Levitra and Cialis), a vacuum device, penile injection therapy or a penile prosthesis to improve the erections.

There is also a new technique offered at the Men’s Health Institute using Low Intensity Shock Wave Therapy to improve the blood flow to the penis for men with erectile dysfunction. Speak with your doctors about all of these options.

Erectile dysfunction symptoms might include persistent:

  • trouble getting an erection
  • trouble keeping an erection
  • reduced sexual desire

Other sexual problems include:

  • premature or delayed ejaculation
  • arousal dysfunction

The activity of arousal is very complex and involves many systems in the body and so sexual dysfunction can arise from a multitude of physical, mental, and emotional concerns. Ignoring any of these concerns can worsen the dysfunction. Sometimes a combination of issues or circumstances can start a minor change in sexual response but the anxiety about the change can worsen it.