Erectile dysfunction: Difference between revisions
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{{Infobox medical condition | |||
| name = Erectile dysfunction | |||
| image = [[File:Common_causes_of_erectile_dysfunction.jpg|250px]] | |||
| caption = Common causes of erectile dysfunction | |||
| field = [[Urology]] | |||
| synonyms = Impotence | |||
| symptoms = Trouble getting or keeping an erection | |||
| complications = [[Stress (biology)|Stress]], [[relationship problems]], [[low self-esteem]] | |||
| onset = Gradual or sudden | |||
| duration = Can be short-term or long-term | |||
| causes = [[Cardiovascular disease]], [[diabetes]], [[neurological problems]], [[hormonal insufficiencies]], [[drug side effects]] | |||
| risks = [[Ageing]], [[smoking]], [[obesity]], [[sedentary lifestyle]] | |||
| diagnosis = [[Medical history]], [[physical examination]], [[blood tests]], [[urinalysis]], [[ultrasound]] | |||
| differential = [[Hypogonadism]], [[depression (mood)|depression]], [[anxiety disorder]] | |||
| treatment = [[Lifestyle changes]], [[phosphodiesterase type 5 inhibitors]], [[hormone therapy]], [[vacuum erection devices]], [[penile implants]] | |||
| medication = [[Sildenafil]], [[tadalafil]], [[vardenafil]], [[avanafil]] | |||
| frequency = Common, especially in older men | |||
| deaths = Not directly fatal | |||
}} | |||
'''Erectile dysfunction''' (ED), also known as '''impotence''', is a type of [[sexual dysfunction]] characterized by the inability to develop or maintain an [[erection]] of the [[penis]] during [[sexual activity]]. | '''Erectile dysfunction''' (ED), also known as '''impotence''', is a type of [[sexual dysfunction]] characterized by the inability to develop or maintain an [[erection]] of the [[penis]] during [[sexual activity]]. | ||
==Causes== | ==Causes== | ||
ED can have psychological consequences as it can be tied to relationship difficulties and [[self-image]]. A physical cause can be identified in about 80% of cases. These include cardiovascular disease, diabetes mellitus, neurological problems such as following prostatectomy, hypogonadism, and drug side effects. | ED can have psychological consequences as it can be tied to relationship difficulties and [[self-image]]. A physical cause can be identified in about 80% of cases. These include cardiovascular disease, diabetes mellitus, neurological problems such as following prostatectomy, hypogonadism, and drug side effects. | ||
==Diagnosis== | ==Diagnosis== | ||
Psychological impotence is where erection or penetration fails due to thoughts or feelings; this is somewhat less frequent, on the order of about 10% of cases. In psychological impotence, there is a strong response to [[placebo treatment]]. | Psychological impotence is where erection or penetration fails due to thoughts or feelings; this is somewhat less frequent, on the order of about 10% of cases. In psychological impotence, there is a strong response to [[placebo treatment]]. | ||
==Treatment== | ==Treatment== | ||
Besides treating the underlying causes such as potassium deficiency or arsenic contamination of drinking water, the first line treatment of erectile dysfunction consists of a trial of [[PDE5 inhibitor]] (such as sildenafil). In some cases, treatment can involve prostaglandin tablets in the urethra, injections into the penis, a penile prosthesis, a penis pump or vascular reconstructive surgery. | Besides treating the underlying causes such as potassium deficiency or arsenic contamination of drinking water, the first line treatment of erectile dysfunction consists of a trial of [[PDE5 inhibitor]] (such as sildenafil). In some cases, treatment can involve prostaglandin tablets in the urethra, injections into the penis, a penile prosthesis, a penis pump or vascular reconstructive surgery. | ||
==See also== | ==See also== | ||
* [[Sexual dysfunction]] | * [[Sexual dysfunction]] | ||
| Line 16: | Line 32: | ||
* [[PDE5 inhibitor]] | * [[PDE5 inhibitor]] | ||
* [[Prostatectomy]] | * [[Prostatectomy]] | ||
==External links== | ==External links== | ||
* [https://www.wikimd.com/wiki/Erectile_dysfunction Erectile dysfunction] at WikiMD | * [https://www.wikimd.com/wiki/Erectile_dysfunction Erectile dysfunction] at WikiMD | ||
Latest revision as of 02:02, 6 April 2025
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD's medical weight loss NYC, sleep center NYC
Philadelphia medical weight loss and Philadelphia sleep clinics
| Erectile dysfunction | |
|---|---|
| |
| Synonyms | Impotence |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Trouble getting or keeping an erection |
| Complications | Stress, relationship problems, low self-esteem |
| Onset | Gradual or sudden |
| Duration | Can be short-term or long-term |
| Types | N/A |
| Causes | Cardiovascular disease, diabetes, neurological problems, hormonal insufficiencies, drug side effects |
| Risks | Ageing, smoking, obesity, sedentary lifestyle |
| Diagnosis | Medical history, physical examination, blood tests, urinalysis, ultrasound |
| Differential diagnosis | Hypogonadism, depression, anxiety disorder |
| Prevention | N/A |
| Treatment | Lifestyle changes, phosphodiesterase type 5 inhibitors, hormone therapy, vacuum erection devices, penile implants |
| Medication | Sildenafil, tadalafil, vardenafil, avanafil |
| Prognosis | N/A |
| Frequency | Common, especially in older men |
| Deaths | Not directly fatal |
Erectile dysfunction (ED), also known as impotence, is a type of sexual dysfunction characterized by the inability to develop or maintain an erection of the penis during sexual activity.
Causes[edit]
ED can have psychological consequences as it can be tied to relationship difficulties and self-image. A physical cause can be identified in about 80% of cases. These include cardiovascular disease, diabetes mellitus, neurological problems such as following prostatectomy, hypogonadism, and drug side effects.
Diagnosis[edit]
Psychological impotence is where erection or penetration fails due to thoughts or feelings; this is somewhat less frequent, on the order of about 10% of cases. In psychological impotence, there is a strong response to placebo treatment.
Treatment[edit]
Besides treating the underlying causes such as potassium deficiency or arsenic contamination of drinking water, the first line treatment of erectile dysfunction consists of a trial of PDE5 inhibitor (such as sildenafil). In some cases, treatment can involve prostaglandin tablets in the urethra, injections into the penis, a penile prosthesis, a penis pump or vascular reconstructive surgery.
See also[edit]
External links[edit]
- Erectile dysfunction at WikiMD
