Erectile Dysfunction

David Shusterman, MD -  - Kidney Stone Specialist

NY Urology

David Shusterman, MD

Kidney Stone Specialist & Nephrologist located in Manhattan, New York, NY & Forest Hills, NY

Erectile Dysfunction Specialist
As a board certified urologist, Dr. David Shusterman at NY Urology with locations in both Forest Hills and New York City, New York works with his patients to manage even the most sensitive of conditions, such as erectile dysfunction. Dr. Shusterman is recognized in the field for the compassionate care he offers to those facing challenges that affect their quality of life. If you need to discuss this sensitive medical concern, call NY Urology for an appointment.

Erectile Dysfunction

by David Shusterman, MD

What is erectile dysfunction?

Erectile dysfunction is a common problem for men, especially as they get older. It’s also a topic many are embarrassed to talk about with anyone, including their doctors. This condition results in an inability to maintain or even achieve an erection.

Erectile dysfunction happens to all men from time to time, but when it becomes an ongoing issue, it’s likely to be a symptom of an underlying medical problem.

What kinds of problems lead to erectile dysfunction?

The causes vary but some possible illnesses include:

  • Heart disease
  • Atherosclerosis
  • High cholesterol
  • High blood pressure
  • Diabetes
  • Metabolic syndrome
  • Parkinson's disease
  • Multiple sclerosis

These are all quite serious medical conditions and erectile dysfunction could be one of the first symptoms.

The inability to achieve an erection may be a mechanical malfunction caused by prostate problems or a condition called Peyronie's disease, which is scar tissue formation inside the penis. It may also indicate low testosterone levels.

Is erectile dysfunction sometimes related to mental health?

That’s another possible cause. Emotion and mood play a huge role in the physical events that trigger an erection. Someone depressed or feeling anxiety may find it difficult to achieve or maintain an erection. Regardless of why it happens, the first step requires a physical exam and discussion with a physician.

Do some men have a greater risk for erectile dysfunction?

There are medical problems and daily habits that increase the risk. For example, smoking affects the circulation necessary to get an erection. Other risk factors include:

  • Chronic illness such as diabetes or hypertension
  • Obesity
  • Drug use
  • Alcohol use

A person who undergoes prostate surgery may battle this problem, as well.

What is the treatment for erectile dysfunction?

Treatment depends on the underlying cause. The initial goal is to deal with any medical problems that are interfering with the sexual function, such as heart disease.

There are also a number of medications available that can help men achieve and maintain a firm enough erection for sex. These medications enhance the chemical in the body that relaxes the muscles in the penis, allowing for increased blood flow. Along with lifestyle changes, drug therapy may ensure a better sexual life for men with erectile dysfunction.

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