Erectile Dysfunction (ED, Impotence)
Melissa Conrad Stöppler, MD
Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
- Erectile dysfunction (impotence) facts
- What is erectile dysfunction (ED)?
- What is normal penis anatomy?
- How common is erectile dysfunction?
- How does erection occur?
- How is erection sustained?
- What causes erectile dysfunction?
- What are erectile dysfunction risk factors?
- What are erectile dysfunction symptoms and signs?
- How do health-care professionals diagnose erectile dysfunction?
- What drugs treat erectile dysfunction?
- What is the treatment for erectile dysfunction?
- What are erectile dysfunction treatments for men with cardiovascular disease?
- Oral phosphodiesterase type 5 (PDE5) inhibitors
- Sildenafil (Viagra)
- Vardenafil (Levitra)
- Tadalafil (Cialis)
- Avanafil (Stendra)
- What are intracavernosal injections?
- What are intraurethral suppositories?
- What is the role of testosterone therapy in the treatment of erectile dysfunction?
- Can a penis pump (vacuum device) help erectile dysfunction?
- What about psychological therapy for erectile dysfunction?
- Surgery for erectile dysfunction
- Can over-the-counter (OTC) and/or natural or home remedies treat erectile dysfunction?
- Is it possible to prevent erectile dysfunction?
- What is the prognosis for erectile dysfunction?
- What research is being done for erectile dysfunction?
- Impotence (Erectile Dysfunction, ED) FAQs
- Find a local Urologist in your town
Erectile dysfunction (impotence) facts
- Erectile dysfunction (ED), also known as impotence, is the inability to have a hard erection initially and/or to have a hard erection that lasts long enough for sexual activity.
- Symptoms of erectile dysfunction include lack of an erection hard enough for penetration and/or lasting long enough for completion of sexual activity.
- ED may occur with or without other sexual dysfunction, including decreased libido (decreased interest in sexual activity), orgasmic dysfunction (troubles achieving an orgasm/climax), and ejaculatory dysfunction (problems with the fluid released during sex, including lack of ejaculation, small volume ejaculate, and pain with ejaculation).
- Erectile dysfunction is common, and the risk of developing ED increases with age. Experts have estimated that erectile dysfunction affects 30 million men in the United States.
- The causes of erectile dysfunction include aging, high blood pressure, diabetes mellitus, cigarette smoking, atherosclerosis (hardening of the arteries), depression, nerve or spinal cord damage, medication side effects, alcoholism or other substance (drug) abuse, pelvic surgery including radical prostatectomy, pelvic radiation, penile/perineal/pelvic trauma such as pelvic fracture, Peyronie's disease (a disorder that causes curvature of the penis and sometimes painful erections), and low testosterone levels.
- Erectile dysfunction is treatable in all age groups.
- Treatments include psychotherapy, adopting a healthy lifestyle, oral PDE5 inhibitors (Viagra, Levitra, Cialis, Stendra, and Staxyn), intraurethral prostaglandin E1 (MUSE), intracavernosal injections (prostaglandin E1 [Caverject, Edex], Bimix and Trimix), vacuum devices, surgery, and (in some cases) changes in medications when appropriate.
- Before using over-the-counter products and/or supplements, a discussion with a doctor is strongly recommended.
- New research is ongoing in the field of erectile dysfunction to find improved and effective therapies.
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