Dr. Gott: Causes, treatments for ED vary

DEAR DR. GOTT: I am a 54-year-old male. I’ve had ED problems for about 10 years, resolved through the use of Viagra. But why? I do have low testosterone levels, for which I take injections, but for the most part I am healthy, fit, not overweight, a nonsmoker, a nonalcoholic-beverage drinker and, per my physician, do not suffer from any other cardiovascular problems. So why do I have blood-flow problems in this one department?

DEAR READER: The causes for erectile dysfunction fall into three broad categories – an inadequate flow of blood, a nervous system dysfunction and hormonal abnormalities. Medical conditions that may contribute to the condition include arteriosclerosis in the lower portion of the body, prostate cancer, stress, anxiety, depression, diabetes, hypertension, liver disease, alcoholism and kidney failure. A great number of medications also have impotence as a side effect. Our bodies change as we age, and what was taken successfully in the past might not be so successful today.

Treatment options are varied. If you suspect a medication might be to blame, speak with your physician to determine if he or she will allow a trial period without the drug. Another important consideration is counseling for both you and your partner. If all physiological possibilities have been ruled out, you might consider seeing a sex therapist, psychiatrist or psychologist.

Make another appointment with your primary-care physician. Once you identify the possible source for the impotence, you can get on with your life in a way you will approve of.

To provide related information, I am sending you a copy of my Health Report “Erectile Dysfunction.” Other readers who would like a copy should send a self-addressed stamped No. 10 envelope and a $2 check or money order to Newsletter, P.O. Box 167, Wickliffe, OH 44092-0167. Be sure to mention the title or print an order form off my website at www.AskDrGottMD.com.