Erectile Dysfunction or Impotence
in Middle Aged Men

Erectile dysfunction was in the past known as impotence.
But in these enlightened days, the less judgmental term is used.

What is Erectile dysfunction
ED is a consistent inability to have, and sustain, an erection firm enough for sexual intercourse.

While all middle aged men experience occasional difficulty getting or maintaining an erection.

Its only if you have difficulty more than 25% of the time, that it's considered a problem.

Also. In most men, erection difficulties do not affect their sex drive.

Getting an erection requires the interaction of your brain, nerves, hormones, and blood vessels.

"The primary physiological mechanism that brings about erection is the autonomic dilation of arteries supplying blood to the penis.

Which allows more blood to fill the three spongy erectile tissue chambers in the penis, causing it to lengthen and stiffen.

The now-engorged erectile tissue presses against and constricts the veins that carry blood away from the penis.

More blood enters than leaves the penis until an equilibrium is reached where an equal volume of blood flows into the dilated arteries and out of the constricted veins.

A constant erectile size is achieved at this equilibrium."

Source Wickipedia

Anything that interferes with the normal process can lead to a problem.

Many of the causes of Erectile Dysfunction in middle aged men are related to the health issues which commonly occur at mid life, such as...

Problems with blood supply, caused by
Heart disease,
Enlarged prostate

Stress can be a large contributor to ED
can help to reduce stress

Drugs, such as alcohol, nicotine, narcotics, stimulants, antihypertensives (medicines that lower blood pressure) antihistamines.

Some Anti-depressants, which include fluoxetine (Prozac), sertraline (Zoloft), and paroxetine, (Paxil) are well known for reducing libido in both men and women.
For more information on US licensed drugs
For more information on UK licensed drugs

Lower levels of circulating testosterone (Andropause) also have an effect on sexual desire and performance.

"So it really aint no surprise that ED is relatively common in guys at midlife."

How do I know if I have erectile Dysfunction...

There is a questionare that doctors use to define and quantify ED. It's called the International Index of Erectile Function Questionare
Check it out, it will give you a good idea of whether you need to be worried or not.

The best thing to do if your having erection problems is go see your doctor, and don't be embarrassed.
I bet he see's three or four guys with erection problems every week.

He will discuss with you the type and frequency of your erection problems, smoking and drinking habits, medications, and any other health conditions.

He will probably do a physical exam and laboratory tests such as check your blood glucose, and hormone levels, to help pinpoint causes of your problem

Also he may ask you if you are depressed, or have recently experienced upsetting changes in your life.

He may ask you to do a test at home that checks for erections that occur while you sleep.
This can help to tell if your ED is physical or psychological.

Most physical causes of ED can be treated relatively easily.

But if you are worried...

Go to

Treatment for Erectile Dysfunction

Leave Erectile Dysfunction and return to Sexual Issues

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