MANILA, Philippines – What is erectile dysfunction (ED), a condition that affects millions of men worldwide?
While intimacy is often in focus on Valentine’s Day, ED and its societal stigma can make it difficult for men to fully engage in special moments with their partners. More than just a bedroom issue, ED can also be a sign of underlying health conditions that should not be ignored.
What is erectile dysfunction?
ED is defined as the difficulty in getting or keeping an erection that’s enough for penetration and complete sexual intercourse, despite the desire to engage in sexual activity. Dr. Hermenegildo Jose Zialcita, section head of urology at the Makati Medical Center (MakatiMed), said that while ED is more common among older men, it can happen to anyone.
“It is not normal to have persistent erection issues,” Zialcita said as quoted in a MakatiMed press statement. “If ED has reached a point where it affects your self-esteem and your relationship, it is best to seek medical advice.”
A physical exam along with a detailed medical and psychological history is typically all that’s needed for a doctor to diagnose ED and recommend treatment.
Common yet often ignored condition: What are the causes?
According to Johns Hopkins Medicine, ED is projected to affect approximately 322 million men worldwide by 2025. However, over 75% of men experiencing ED do not seek medical treatment due to embarrassment, shame, or the misconception that it is an inevitable part of aging. However, MakatiMed stresses that ED should not be dismissed, as it can indicate serious health concerns.
ED can be linked to several underlying health issues, primarily involving blood circulation, nerve function, and hormonal imbalances. According to Pulse Clinic Manila, common medical conditions that might cause ED are diabetes, obesity, low testosterone, andropause, cardiovascular disease, Peyronie’s Disease, high cholesterol, prostate inflammation, prostate cancer, alcohol abuse, and drug abuse.
Conditions like atherosclerosis, or blocked arteries, can impact overall blood flow, which results in erection issues. Hypertension and high cholesterol levels can contribute to poor circulation, making it difficult to achieve and maintain an erection.
Psychological causes may include depression, anxiety, stress, and relationship problems.
Neurological disorders can interfere with the brain’s ability to communicate with the reproductive system, leading to ED. Strokes, spinal and brain tumors, Alzheimer’s disease, Parkinson’s disease, and multiple sclerosis can all contribute to erectile dysfunction, Dr. Zialcita said.
Not a life sentence
ED doesn’t mean the end of your sex life. There are plenty of treatment options available, depending on the cause. Medications to manage blood pressure, cholesterol, or blood sugar can help, as well as hormone therapy to balance testosterone or thyroid levels.
If ED is a side effect of certain medications, adjusting them might make a difference. Counseling can also help, especially if stress, anxiety, or depression are contributing to the performance anxiety. Oral medications that improve blood flow to the penis are also recommended as solutions.
Lifestyle changes can also make a big impact — medical professionals often recommend patients to maintain a healthy weight and begin regular exercise, like aerobic activities such as walking, jogging, or swimming, to improve circulation and overall health.
Most importantly, there’s no shame in asking for help. Treating ED isn’t just about sex — it’s about improving your overall health and quality of life. – with reports from Zach Dayrit/Rappler.com
Zach Dayrit is a Rappler intern studying BS Psychology at Ateneo De Manila University.