Erectile dysfunction
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Erectile dysfunction (ED) is a common condition characterized by the inability to consistently achieve and maintain an erection. While it is prevalent in men over the age of 40, with over half likely to experience some degree of ED, it's also reported among younger men in their 20s and 30s. According to , most cases of erectile dysfunction are organic in nature, predominantly caused by blood flow issues rather than hormonal imbalances—less than 10% of ED cases are due to endocrine disorders.
Some common causes of ED include high blood pressure, diabetes, atherosclerosis, and obesity, as they all can impair blood flow to the end organs. It's noteworthy that ED can serve as an early marker for other more serious vascular conditions 1. Lifestyle factors such as nicotine use, which is a vasoconstrictor, can also negatively impact erectile function. Pelvic floor dysfunction has been identified as a possible cause of ED in younger men who may be relatively healthy but experience chronic stress or prolonged sitting 2.
In terms of treatment, medications like Cialis (Tadalafil) or Viagra are effective for a large percentage of men with vascular-related ED, offering relief for about 60% to 70% of users. It's important to note that their effectiveness can be influenced by various factors, including incorrect usage, dosage adjustments needed, and the individual's mental state, since stress and anxiety also play roles in achieving erections 3.
In cases where ED is thought to be linked to hormones, medical professionals may employ questionnaires or detailed interviews to assess libido, athletic performance, and motivation, but there is often a discrepancy between questionnaire results and subjective patient reports. Labs are typically ordered to rule out hormonal deficiencies 4.
For comprehensive assessment and treatment of ED, especially if it's a persistent problem, consulting a medical professional for evaluation and potential lab work is recommended.
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