The Condition - Cilatil

WHAT IS ERECTILE DYSFUNCTION (ED)?

If you have problems getting or maintaining an erection, you may be experiencing what is known as erectile dysfunction (ED). This is a very common issue, affecting about 1 in every 3 New Zealand men between the ages 40-70.¹ It is not exclusively a middle-age issue, and can affect men at any age.²

As men get older, it becomes more likely that they will encounter erection issues.³ It can be distressing. However, it is not an uncommon occurrence and there are possible solutions. Research shows that when men can maintain an erection, the frequency of sex increases. Also, both the man and his partner enjoy the sex more.⁴ Contact your GP to discuss what is available to get you and your partner back to the more satisfying sex life that you both deserve.

WHAT CAUSES ED?

Erection difficulties can be caused by a number of different factors. It may be psychological, where your thoughts and emotions hamper your ability to get erect; physical, caused by issues going on outside the brain, but still inside the body: your nerves, blood vessels, hormones, or the anatomical structure of the penis; or even a combination of both. Pre-existing health issues such as heart disease and high blood pressure may also increase the chances that you’ll experience erection difficulties. If you’ve had surgery for prostate or bladder cancer, this too may cause erection issues as it often involves removing sensitive tissue around the affected area. Prescription medications, such as antidepressants and some heart medications, can contribute to erection difficulties as well.³

It is best to have a chat with your GP about what factors may be getting in the way of you and your partner regaining control of your sex life.

A major barrier to overcome is the stigma associated with erection problems, highlighted by the fact that only 1 in 20 men with erection issues seek a solution.³ You should not feel embarrassed or ashamed, as up to 1 in every 3 men aged 40 or over might face similar difficulties.¹

Erection difficulties could potentially cause anxiety and depression. It can be a vicious cycle, as medicines such as antidepressants can be a cause of ED problems in the first place (antidepressant-associated ED).⁵ Other medications, including those for blood pressure or prescription opioids may increase the chances of erectile dysfunction.³ Talk with your doctor about any medications you’re taking and they will work with you to understand how those medications impact on your ED problems so a solution can be customised.

Your quality of life can be affected if you don’t feel confident about getting an erection sufficient enough to have satisfactory sex with your partner.⁶ There are ways to assess the effect that these issues may be having on your self-esteem and quality of life.⁷ Your doctor can help you understand what factors might be restricting you and your partner from enjoying a satisfying sex life that you both deserve, and provide advice on any available treatments that might help.