sex with ed

Understanding Erectile Dysfunction (ED): 6 Common Sexual Problems Men Face

Many men will have some male arousal problems throughout their lifetime, but not many are willing to discuss them with their partners or doctors. This is because they may not have an understanding of ED or the other conditions that may be hindering their sexual wellness. While Erectile Dysfunction is one of the most common sexual problems men face today, it is important to note, that there are various other factors that can affect a man’s overall sexual health.

Recognizing that there are other conditions beyond erectile dysfunction will open the doors to more discussion surrounding this subject that often gets dismissed due to the feelings of shame and embarrassment, and other stigmas men have in association.

These conditions can co-occur at the same time, which they often do. For example, difficulties like premature ejaculation can cause Erectile Dysfunction (ED). This often makes it hard to diagnose these dysfunctions, which is why it is imperative that men and their loved ones have a clear understanding of ED and other common sexual problems men face. 

What is Erectile Dysfunction (ED)?

Erectile dysfunction (ED) is difficulty getting or sustaining an erection. And although it does get a lot of attention, many men still suffer from equally troubling sexual difficulties. 

Men may have found they have erectile dysfunction by identifying they typically find it difficult to get or retain a firm enough erection to have sex with ed. Most men have rarely encountered difficulty with their penis getting hard or staying firm. 

Erectile dysfunction is only possible if sexual performances have been underwhelming on several occasions for a while.

Understanding ED

Men with sexual performance issues are usually reluctant to talk with their doctor about it, believing it’s an embarrassing issue. Nevertheless, erectile dysfunction is now well known, and hormone optimization can treat this issue.

Basic Facts on Erectile Dysfunction Include:

  • Erectile dysfunction is defined as tenacious difficulty attaining and sustaining an erection sufficient enough to have sex.
  • Causes can be both medical and psychological.
  • Organic causes come from underlying medical conditions that affect the nerves or blood vessels supplying the penis.
  • Various recreational and prescription drugs, alcohol, and smoking all contribute to erectile dysfunction.

Common Male Arousal Problems and Solutions

Erectile Dysfunction (ED)

If you have trouble obtaining or sustaining an erection firm enough to have sex, you could have erectile dysfunction, which happens when the penis doesn’t get enough blood flow to sustain an erection. This can be caused by physical illnesses like diabetes, vascular disease, hypertension, thyroid imbalances, or psychological conditions like depression, anxiety, and stress. At any age, erectile dysfunction can happen, but it is more common amongst men over the age of 50.

Solution: There are many effective treatments like oral erectile dysfunction medications.

Premature Ejaculation

If you ejaculate previous to or immediately after initiating sex, you may have premature ejaculation. Although it was more common with younger men who are only beginning to explore sex, it still happens to men of any age at about the same rate. It can also serve as a warning sign for an underlying anxiety disorder or erectile dysfunction among older men.

Solution: Most men learn to control their premature ejaculation without medications or medical help. Meeting with a sex therapist can also help clarify the method.

Delayed Ejaculation

Delayed ejaculation happens when there’s trouble climaxing during sex or after extended sexual stimulation. This can be the result of thyroid disease or nerve damage.

Solution: A sex therapist can usually help resolve this difficulty while making sex more enjoyable.

Peyronie’s Disease

For those with a penis with a curvature that causes pain during an erection, you may have a rare condition known as Peyronie’s disease. Usually, you’ll notice a bump or lump on the bottom or top of your penis.

Solution: A medical specialist can inject medication to dissolve the bumps.

Low Testosterone

Testosterone levels in men peak at 18 and decline as you get older. Even with natural testosterone levels declining over time, most men produce enough testosterone during their lives to avoid sexual difficulties. Luckily if you’re experiencing ED, a lack of sexual desire, feeling depressed, and worry about your testosterone levels, a blood test will show the testosterone numbers you’re body’s producing.

Solution: Prescription testosterone replacement therapy.

Low Desire

While most men refuse to discuss low sexual desire, it is a very common concern. The avoidance probably stems from anxiety, fear, or stress-related to sexual issues, relationship troubles, or other psychological issues. Medical conditions like Parkinson’s disease, kidney disease, diabetes, depression, and medications to treat them, can also cause interference with sexual desire.  

Solution: Supplementing the hormone can help if low testosterone is causing disinterest in sex.

Sex is crucial to one’s health and well-being, and not just men, but women also. Anyone who is suffering from sexual challenges, chances are, your partner is also struggling. Additionally, understand that sexual challenges can signify concealing other serious conditions like diabetes, depression, heart disease, high blood pressure.

Causes of Erectile Dysfunction

There are various causes of erectile dysfunction, which results in symptoms that vary and affect everyone differently. That is why it is important to research and understand the causes of ED, for more accurate diagnosis and treatment. Natural erectile function can be caused by a few different problems, which include:

  • Blood flow
  • Hormones
  • Nerve supply

Physical Causes of ED

Erectile dysfunction can be embarrassing, but it is important to consult a physician about persistent erectile dysfunction in order to understand sometimes, what a serious medical condition could cause. Whether the cause is serious or simple, a proper diagnosis will help address all underlying conditions and resolve sexual complications.

Some common organic or physical causes of erectile dysfunction include:

  • Diabetes
  • Heart disease and blood vessels narrowing
  • High blood pressure
  • High cholesterol
  • Multiple sclerosis
  • Obesity and metabolic syndrome
  • Parkinson’s disease
  • Radiation therapy to the pelvis
  • Smoking and substance abuse
  • Spinal cord or pelvic area injuries
  • Structural penis disorder 
  • Surgical complications
  • Testosterone deficiency
  • Treatments for prostate disease

Another common cause of blood flow problems is Atherosclerosis, which causes a clogging or narrowing of arteries in the penis, preventing the required blood flow to create an erection. Many prescription medications can also create erectile dysfunction issues.

Some of those medications include:

  • Anticholinergics
  • Antidepressants
  • Anxiety medications
  • Chemotherapeutic agents
  • Diuretics
  • Heart medications 
  • High blood pressure control drugs
  • Hormone medications
  • Opioids
  • Peptic ulcer medications 
  • Prostate treatment medications
  • Sleeping pills and amphetamines

Physical causes of erectile dysfunction account for 90 percent of cases, with psychological causes being extremely uncommon. Understanding these ED signs and symptoms below will help your doctor and yourself have a better idea of what may be causing your sexual dysfunction. 

Psychological Causes of ED

Seldom, a man may have always had erectile dysfunction and, in even rarer instances, had never have obtained an erection. This is known as primary erectile dysfunction, and the cause is primarily psychological if there isn’t an obvious physiological issue or anatomical deformity. Some psychological factors include:

  • Depression
  • Fear of intimacy
  • Guilt
  • Severe anxiety

A majority of erectile dysfunction cases are ‘trivial,’ meaning that erectile function has been natural and problematic. The causes of a unique and persistent dilemma are normally physical.

Less often, psychological factors create or contribute to erectile dysfunction, like people with mental health illnesses or emotional states that many will also experience.

It is crucial to understand that medical and psychosocial causes may overlap. For example, for obese men, physical causes like blood flow changes can affect maintaining an erection. However, he might suffer from psychosocial causes by having low self-esteem, which also impacts erectile function.

Prostate Disease and Erectile Dysfunction

Prostate cancer will not cause erectile dysfunction, but radiation therapy and surgery to remove prostate cancer can cause erectile dysfunction. Non-cancerous, benign prostate disease treatment may also cause ED issues.

Treatments for ED

Luckily, there are many erectile dysfunction treatments, and most men will find a formula that works best for them and their needs. Understanding one’s ED diagnosis is the key to achieving optimal sexual health and wellness. 

Luckily, since the discovery of medications like Cialis and Viagra, most people know that erectile dysfunction is a treatable medical condition, but they still struggle in understanding ED. Common treatments for Erectile Dysfunction include:


A common ED medication men take called PDE-5 (phosphodiesterase-5) inhibitors. A majority of these pills are taken an hour or less before sex and are best identified by their blue-colored pill sildenafil (Viagra). 

Other common ED medications include:

  • Avanafil (Stendra)
  • Tadalafil (Cialis)
  • Vardenafil (Levitra)

PDE-5 inhibitors can only be obtained through a prescription. A doctor or specialist must first check for heart conditions and ask about any medications being taken before deciding to prescribe them. Most men prefer to take a pill, but these locally acting medications tend to be made for men who can’t take oral ED medication.

Dietary Supplements and Alternative Treatments

Do alternative treatments and dietary supplements work for ED? The short answer, “no.” There aren’t any guidelines followed by doctors or specialists, nor any physical evidence showing the use of dietary supplements, such as herbal pills, to help with male arousal problems. 

The FDA has also warned of hidden risks of ED treatments sold online, along with the fact there’s zero physical evidence showing non-prescription alternatives for ED work.

Symptoms of ED

Men might not always have the ability to achieve an erection successfully, and if the male arousal problems are rare, it won’t be considered a medical issue. However, men’s sex problems don’t only refer to the complete inability to produce an erect penis. 

Symptoms may also include striving to sustain an erection for enough time to have sex or the inability to ejaculate. There are also emotional symptoms like shame, embarrassment, anxiety, and a decreased interest in sex. A man is considered to have male arousal problems when these symptoms happen frequently.

Erectile Dysfunction Tests

The numerous potential causes of erectile dysfunction require the doctor or specialist to ask many questions and arrange for blood work to be drawn. These tests can check for diabetes, heart problems, and low testosterone, amongst other panels. The doctor or specialist will also perform a physical examination, including an inspection of the genitals.

Before considering an ED diagnosis that will require treatment, the doctor will look for male arousal problem symptoms that have persisted for at least 90 days. This will help them get an understanding of how ED has affected an individual’s overall sexual wellness. After medical history has been verified, the doctor will begin a further investigation with a simple test, known as the ‘postage stamp test,’ which determines if physical or psychological reasons cause the ED.

Usually, men will have 3 to 5 erections every night. This test will check for any erections that transpire at night by detecting if postage stamps encompassing the penis before sleep had snapped off throughout the night. Other nocturnal erection tests include the Snap-Gauge test and the Poten test. These methods present insufficient information but can help with the doctor’s choice of further testing.

Get Help For Erectile Dysfunction Today

If you or a loved one has male arousal problems, know that there is help and treatment is available. Here at Revive, we understand that sexual dysfunction is a sensitive subject to talk about, one that requires privacy and accuracy. However, our specialists have years of experience in helping men in understanding ED, along with treating it. 

You are not alone! Sexual dysfunction affects millions of men worldwide. Don’t hesitate any longer; contact us today and allow our team to help you understand that ED is nothing to be embarrassed about. We can help treat any male arousal problems including Erectile Dysfunction and restore your sexual health back to normal.


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