![]() Erectile Dysfunction Evaluation and Diagnostic Testing ED can be successfully treated even without the knowledge of the precise nature of its cause. In these cases ED may provide a clue to the subtle onset of numerous systemic diseases. Many men will complain of erectile problems and will self-refer for evaluation of erectile issues in the absence of any disease. Systemic disease-induced (state of the entire system) - Possible causes include chronic renal failure, coronary heart disease, congestive heart failure, recent heart attack CHF and liver failure.Psychological (mental and emotional issues) - Possible causes include anxiety, depression, stress and relationship issues among others.Neurologic (neurologic impairment or dysfunction) - Possible causes include retroperitoneal or pelvic surgery, spinal cord injury, neurologic disease (such as spina bifida, Parkinson's disease, Alzheimer's disease), diabetes mellitus, pelvic trauma, ETOH abuse, stroke and pelvic irradiation.Medications – Possible medications that can contribute to ED include antihypertensives, antidepressants, antipsychotics, alcohol abuse, smoking, antiandrogens, alpha adrenergic blockers, beta blockers, thiazide diuretics, cimetidine and marijuana use.Endocrinologic (decline in serum testosterone levels) - Possible causes include hypogonadism, hyperthyroidism, hypothyroidism and obesity.Cavernosal (abnormal arterial inflow) - Possible causes include vascular disease, diabetes mellitus, Peyronie’s disease and age.Arteriogenic (insufficient arterial blood supply) – Possible causes include atherosclerosis, HTN, hyperlipidemia, smoking, pelvic trauma and diabetes mellitus. ![]() The incidence of ED in diabetic men rises with age and degree of glycemic control (men with better control have less severe erectile dysfunction). Vascular disease, such as hypertension, is one of the most common causes of organic ED and as the severity of hypertension increases, so do reports of ED severity from patients. There are several underlying causes that contribute to ED: arteriogenic, venogenic, endocrinologic, neurologic, psychological, and medicinal. Make an Appointment online or call 73 Erectile Dysfunction Categories and Underlying Causes We are working to improve access to those by offering both in-person and virtual options at our Ann Arbor and Brighton urology clinics or our men’s virtual sexual health clinic. Many who are experiencing ED can be hesitant to seek help, which is why it is both under-recognized and under-reported. Erectile dysfunction (ED) is an extremely common condition that can have far-reaching consequences on the self-esteem and relationships of those involved.
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