Men experience depression, embarrassment, and a diminished sense of masculinity when they are unable to achieve or maintain an erection. I often say, you men cannot fake it, women can. Only about 20% of men with erectile dysfunction problems ever seek professional help which is just plain sad. Seeing someone for help usually involves a great deal of courage and desperation. Human sexuality studies teach us that most men wish to be the world’s greatest lover.

The vast majority of men with persistent erection problems have a physical basis for their problems. The physical changes that account for true erection problems are almost too subtle to detect during a routine physical exam and often require sophisticated tests to confirm ED. There is an at home test you can do. Put a strip of stamps around your flaccid penis when you go to sleep. If you awaken and the stamps ripped, you had erection(s) during your sleep. This is not the most comprehensive test but it does help you know if you are still having erections.

Here is the mechanism of action of ED: the blood vessels of the penis are not working properly, either by not supplying enough blood to the chambers in the penis or by letting the blood leave before it should (hence, the inability to maintain an erection). Diabetes Mellitus causes damaged blood vessels. Men who have experienced a prostatectomy (removal of prostate) or an orchiectomy (removal of testicles) are unable to achieve an erection. Often this is because there has been nerve damage (even with the nerve sparing prostatectomy surgical procedure). Nerves tell the penile muscles to relax so the dorsal vein of the penis can engorge with blood and become erect. With nerve damage these signals get crossed.

Some other causes of ED include psychogenic impotence, over the counter and prescription medications, a Testosterone deficiency which decreases desire and an increased Prolactin level.

If Viagra and/or Testosterone replacement doesn’t help, THERE IS A SOLUTION. Please read the section on penile injections because if you have a penis, I can help you get an erection. I realize I am a woman, but I realize the importance of sexuality for your health. Your good health affects the health of all those dear to you. So this is important.

Entered May 21, 2011 by Dr. Roberta Foss-Morgan