Introduction
Many men experience changes in sexual performance as they get older. But there is an important distinction
between an occasional difficulty and persistent erectile dysfunction (ED). ED is the ongoing inability to achieve
or maintain an erection sufficient for satisfactory sexual activity.
Persistent ED should not simply be dismissed as “I’m getting older.”
What causes erectile dysfunction?
An erection depends on healthy blood flow, nerves, hormones, psychological factors and overall health. ED can
therefore have multiple causes, including diabetes, high blood pressure, obesity, smoking, cardiovascular disease, certain medications, hormonal problems, nerve disorders, stress or anxiety, and relationship or psychological factors.
Why shouldn’t you ignore ED?
ED can sometimes be a sign of another health problem. Problems affecting blood flow may become noticeable
through erectile difficulties. That doesn’t mean every case of ED indicates heart disease, but persistent ED deserves proper medical assessment rather than self-treatment.
Is occasional erectile difficulty normal?
It can happen. Stress, tiredness, alcohol and other temporary factors can affect sexual performance. The concern is when the problem becomes persistent, recurrent or distressing.
Does ED mean you have low testosterone?
Not necessarily. Testosterone can influence sexual desire and sexual function, but ED has many possible causes.
A doctor may recommend hormone testing when the symptoms and medical history suggest it is appropriate. Treatment should be based on evaluation rather than taking testosterone or supplements without medical advice.
Can erectile dysfunction be treated?
Yes. Treatment depends on the underlying cause and may include lifestyle changes, management of associated medical conditions, medications, counselling or other treatment options. A urologist can help determine which approach is appropriate.
When should you consult a urologist?
Consider an evaluation if ED keeps happening, your sexual desire has changed significantly, you have other
urinary symptoms, you have diabetes or high blood pressure, you take medications that may affect sexual function, or the problem is affecting your confidence or relationship.
ED is a medical problem, and medical problems deserve medical care.
Don’t assume that persistent erectile difficulties are simply a consequence of ageing. Understanding the cause is
the first step toward choosing the right treatment.
Dr. Yogesh Kaje, MCh – Urology, provides confidential urological and andrological consultations at
Ashirwad Hospital, Kharadi, Pune.
