Erection problems

Erectile dysfunction; Impotence; Sexual dysfunction - male

For many men, lifestyle changes can help:

• Cut down on smoking, alcohol, and illegal drugs.
• Get plenty of rest and take time to relax.
• Exercise and eat a healthy diet to maintain good circulation.
• Use safe sex practices, which reduces fear of HIV and STDs.
• Talk openly to your partner about sex and your relationship. If you are unable to do this, counseling can help.

Couples who cannot talk to each other are not likely to be able to make love to each other. Men who have trouble communicating their feelings may find it difficult to share with their partner any anxieties about their sexual performance. If you keep worries to yourself, you are more likely to lose erections. Men who cannot express and resolve feelings of anger or frustration towards their partner may hold back their erection as a weapon in the conflict. In these circumstances, counseling can be very helpful for both you and your partner.

If erection problems seem to be caused by a medication you are taking for an unrelated condition, consult your doctor. You may benefit from reducing the dose of the drug or changing to another drug that has the same result but not the same side effects. DO NOT adjust or discontinue medications without consulting your doctor first.

Talk to your health care provider if your erection problems are related to fear of recurring heart problems -- sexual intercourse is usually safe in these circumstances.

Call your doctor if:

• Self-care measures do not resolve the problem and you continue having difficulty with erections. Effective treatments are available.
• You suspect that a medication is causing the problem.
• The problems begin after an injury or prostate surgery.
• You have other symptoms like low back pain, abdominal pain, or change in urination.

Call your doctor immediately or go to an emergency room if medication for erection problems give you an unwanted erection that lasts more than an hour. Permanent impotence or other lasting damage to your penis may result from this condition.