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Erectile Dysfunction - Impotence - Is More Common Than Most Of Us Imagine

Erectile dysfunction is defined as the persistent inability to attain or maintain penile erection sufficient for sexual intercourse. The 1992 National Institutes of Health Consensus Development Conference recommends use of the term "erectile dysfunction" rather than "impotence," because it more accurately defines the problem and has fewer disparaging connotations.

• An estimated 10 to 20 million American men have some degree of erectile dysfunction.
• 50% of men with diabetes have erectile dysfunction, frequently within 10 years of diagnosis.
• The likelihood of erectile dysfunction increases with age: 39% at age 40, 65% over the age of 65.
• Smokers have a higher likelihood of erectile dysfunction. Men who smoke more than one pack per day have a 50% higher chance of impotency than nonsmokers of the same age.

Statistics courtesy of the American Medical Association and WebMD.

The Erectile Process

Erection occurs when the blood flow to the penis increases as a man becomes sexually aroused.. This occurs via the secretion of a chemical called nitric oxide (NO). Blood vessels going to the penis dilate, and blood fills the penis causing it to become engorged. This will typically last until arousal is diminished, or orgasm is achieved.

The penis has 3 chambers which fill with blood during an erection. When you're not sexually aroused the penile chambers are open and allow for the flow of blood through them. When sexual arousal occurs, the chambers remain open and the exit gates close. When this occurs the blood that remains in the penis gives you your erection. Once the penile gates close the amount of blood in the chambers will determine how you perform.

Recent research has helped to change our thinking about the most common causes of sexual dysfunction. For a long time it was assumed that almost all erection failures were caused by psychological factors -- stress, anxiety, fear. While these factors can play a significant role, most experts now believe the major cause of impotence is physical. Simply stated, anything that interferes with blood flow to the sexual organs interferes with sexual function.

Increased understanding of the male erectile process and the development of several agents to improve erectile function have generated great public interest among men and their sexual partners. These advances are expanding research into the treatment options that hitherto have available only through expensive prescription drugs. Viagra was the first prescription drug for ED, but it has significant side effects, and should not be used by people with heart disease. It is also extremely expensive.