ED is difficulty reaching or holding an erection that works for sex. Many men wait years before raising it. It deserves a proper evaluation.
Why the cause matters
ED can be an early sign of heart disease, high cholesterol or diabetes. Hormones, nerves, medicines, stress and anxiety also play a part, and physical and emotional causes often feed each other.
Evaluation and options
The visit starts with your history and basic testing, including testosterone where it fits. On the table: PDE5 pills (sildenafil, tadalafil and similar), shockwave treatment at low intensity, and, when nothing else has worked, an implant.
Herman Bagga, MD, FACS and Marc Greenstein, DO see men for ED at Sandy Springs. More at Advanced Urology: erectile dysfunction.