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Erectile Dysfuction (ED) is defined as the inability to achieve and/or maintain an erection for intercourse. The National Institutes of Health (NIH) estimates that 15 to 30 million American men suffer from erectile dysfunction (also known as impotence).
There are multiple causes of erectile dysfunction, including diseases such as diabetes, kidney disease, multiple sclerosis, atherosclerosis, vascular disease, and neurologic disease. Smoking, obesity and chronic alcoholism are other potential causes of vascular disease and resulting ED. Surgery in and around the nerves that control erections can also play a role in decreased erectile function. Radical prostatectomy and some types of bladder and pelvic surgery have this potential. Radiation therapy and cryotherapy of the prostate can also cause ED. Common medications used for blood pressure, depression, allergies, and gastroesophogeal reflux disease may contribute to ED.
Diagnosis
Erectile Dysfunction is often diagnosed after taking a thorough history. Other signs or causes of ED may also be found on physical examination, laboratory blood work and, in some cases, by ultrasound of penile bloodflow. Psychosocial factors may also be contribute or cause ED and may require further testing or referral.
Erectile Dysfunction Treatment
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