Treating Depression With Erectile Dysfunction (ED)

A lack of communication is the primary barrier for seeking treatment and can prolong the suffering. (53–60 and 61–88 years, respectively) (Figure 3, Panel B). Even when only one of these components is involved in the initial development of erectile impairment, eventually the other ones will appear, thus further worsening ED (21-23). Communication is the first step in resolving this particular cause for psychological ED but it is also one of the most difficult steps to take. The five factors of personality in the NEO-PI were within normal range. As shown in Figure 2, in younger patients consulting for ED, the organic component plays the predominant role.

  • It’s worth noting that some types of antidepressants (known as SSRIs) can cause erectile dysfunction.
  • While there are many medical causes of ED, studies have shown that men with ED may be twice as likely to develop clinical depression as compared to those without ED.
  • There can be a negative impact on the man both physically and psychologically and can ultimately put a strain on relationships.

Surgery following pelvic or perineal trauma has a 60-70% success rate. To look for evidence of systemic problems, such as the following: This anxiety appears to interfere with sexual functioning through altering the neural substrate of sexual behavior, further contributing to the maintenance of sexual dysfunctions. Approach the problem together and do not be afraid to talk about your feelings. The interactive transcript could not be loaded. Talk with your primary care provider to determine the most appropriate options for you.

The cut is either above the penis where it joins the belly, or under the penis where it joins the scrotum. They will be able to provide advice, or if appropriate, suggest a short-term treatment which can help to get you through a difficult period and restore confidence. See also, many men do not seek treatment due to feelings of embarrassment. Antidepressants such as Sertraline, Fluoxetine and Citalopram can be prescribed for depression – but be aware that some anti-depressants can cause or worsen erectile dysfunction, so the doctor will select the most appropriate treatment to prescribe. The loss of erectile capacity can have a profound effect on a man. Sexual dysfunction can lead to feelings of failure and denial. Hormonal causes:

Medications used to treat erectile dysfunction can be prescribed to treat this side effect.

Surgical Treatment

Give your partner the opportunity to ask questions to help them understand – you may even be able to give them some tips on how to help you when you are experiencing difficulties. Secondary navigation, however, among those without treatment or with inadequate blood pressure control or with severe hypertension, it is recommended the cardiologic approach and initial cardiovascular therapy before the prescription of specific drugs to improve erectile function [74]. A Cologne study reported that ED was the most prevalent of the male sexual dysfunctions (prevalence age 30-80 years) at 19. Five of which we will discuss here: If this is unsuccessful, cautious intracavernosal injection of a sympathomimetic (eg, phenylephrine or adrenaline (epinephrine) may be required).

Psychosexual causes: The most common symptoms of depression include: Investigating the mediating role of body self-consciousness. And not being able to participate in and enjoy sex can worsen depression symptoms, Kramer said.

Do not abruptly stop taking your Zoloft; this can cause uncomfortable withdrawal symptoms and possible harmful side effects.

NHS or private prescription?

Depression can be defined as “a mood disorder that causes a persistent feeling of sadness and loss of interest” in formerly pleasurable activities. Based on this interesting and useful concept of vascular age, we recently studied the clinical consequences of having a high discrepancy between the estimated vascular and the actual chronological age in our population of men consulting for ED. Moreover, additional studies have reported that exposure to ED increases the risk of depression. There is no single test that can diagnose depression; however, there are certain patterns that doctors look for in order to make the diagnosis. Since the decrease in T levels is often a consequence of obesity or weight gain (51), the milestone of treating testosterone deficiency in obese men is encouraging substantial lifestyle changes, including physical activity and weight loss. If you are on an antidepressant, your doctor may switch your medication or lower your dose.

There are different types and causes of ED.

Intraurethral (IU) Therapy

The main surgical treatment of ED involves insertion of a penile implant (also called penile prostheses). How should I take ED medications? Selective serotonin reuptake inhibitor-induced sexual dysfunction. Connect with cms, for example, 7. Significant disruption to normal social and occupational activities. Age may be the most common denominator of men with ED. Results of a randomized controlled trial with vardenafil.

The data demonstrates that men with ED are affectively distressed but infrequently meet criteria for categorical DSM-IV depression.


Drugs known as PDE type-5 inhibitors increase penile blood flow. Reynolds CF III, Frank E, Thase ME, et al. Once observed that the organic component of ED is the most important one in younger patients (Figure 2), the summarized evidence underlines that metabolic and CV risk must not be underestimated in younger men even when they are apparently healthy. Antidepressants : It was estimated that, in 1995, over 152 million men worldwide experienced ED.

Erectile dysfunction is associated with feeling negative about yourself.

Premature Ejaculation (PE)

If you aren’t quite ready to talk to a therapist about your psychological impotence, there are some alternative therapies you can try at home. Helping employers with tobacco and vaping cessation in response to covid-19. And two studies looked at both angles. 7 years, ED was reported by 13% of them and it showed a significant association with depressive symptoms, whose frequency got higher as a function of ED severity (73). Let’s now take a closer look at each of these causes for psychological ED. Failure to undo priapism will lead to permanent penile damage and untreatable ED. Cognitive distraction could be also provided by excessive worry for physical, and in particular genital, self-image. ED has been for long time considered a problem mainly related to psychological conditions and distress.

The simplest kind of implant is made from two easy-to-bend rods that are most often made of silicone. Researchers have found associations between depression and ED, noting that each condition may be a risk factor for the other. Further reading, 32 [9] Bukhari 1:. (Levitra) are medicines that are taken by mouth that help maintain an erection.

Are you able to achieve an erection while masturbating? If you spend a great deal of time watching and masturbating to pornography, it could cause you to develop unrealistic expectations about sex or about your sexual partners. Exercises, almost any disease or condition can affect erectile function by altering the nervous, vascular, or hormonal systems. Once you confirm your privacy choices here, you can make changes at any time by visiting your Privacy Dashboard. Washington, DC: ED is a complicated problem and multiple factors may be triggering it.

Erectile Dysfunction: Diet and Home Remedies

Frequency and determinants of erectile dysfunction in Italy. Explained; the more anxious a man gets about being able to perform, the less able they are to do so, and the more anxious they get, and so on, causing a spiral of deterioration. This result echoes previous research findings showing that depression is a risk factor for ED but not for PE [49, 50]. Depression may do more than just lessen your interest in sex. What causes erectile dysfunction?

While these medications are often effective for people and well tolerated, they can occasionally cause sexual dysfunction, which can include erectile dysfunction. Men most often start having sex with their penile implants by eight weeks after surgery. For the first month, men should limit their physical activity. Erectile dysfunction can result from a problem with any of these. Ranking by impact factor, from the 179 patients who were engaged in this study, 28 subjects were excluded due to insufficient data. Some of the most common causes of this type of ED include the following: The success rate for getting an erection firm enough to have sex is as high as 85% with this treatment.

Willke RJ, Glick HA, McCarron TJ, et al. Phosphodiesterase inhibitors (sildenafil, tadalafil, vardenafil and avanafil) improve the relaxation of smooth muscle. These are the only oral agents approved in the U. Impaired masturbation induced erections:

Cortisol, which the body produces as a response to stress, can cause sexual problems; and during periods of stress, levels of testosterone (a hormone the male body needs to produce erections) may drop.


Results of a multiple ethnic groups investigation. What were the basic results? In this regard, it is possible that this patient was not a true sildenafil nonresponder. According to a study by the University of Missouri‘s Columbia School of Medicine, 70% of people who suffer from depression report a significant loss of sexual desire. In addition, several other factors play an important role in sexual dysfunction, including emotional expression and proximity in the paternal family, presence of potentially traumatic sexual experiences, and religious beliefs [44]. Scand J Sexol 1999;3: In a population of more than 600 subjects attending the Sexual Medicine and Andrology Unit of the University of Florence for ED, the presence of MetS was associated with an increased incidence of MACE during 4.

These patterns may include overall sadness, irritability, and withdrawal from everyday activities. Symptoms include low self-esteem, hopelessness, worthlessness, fatigue, and sleep disturbances (such as insomnia or sleeping too much). These are most often related to the blood supply of the penis. Men are more likely than women to keep their feelings hidden, but they may become more irritable and aggressive. Testosterone and depression in aging men. While no one should stop taking blood pressure medicine without speaking to their doctor, making lifestyle changes, such as maintaining a healthy diet and getting more exercise may help lower your blood pressure so you don't need the drugs, Kramer said. Men should tell their doctor about all the medications they are taking, including over-the-counter medications. Blood loss is typically small.

Because the potential causes are so wide-ranging, they will be able to help you identify the issue at the source, and the best possible course of treatment. The treatment for ED starts with taking care of your heart and vascular health. There is in all studies a steep age-related increase. If fertility is requested, gonadotropin is the only option, with the caveat of anti-estrogens in selected cases. Young patients who have had pelvic or perineal trauma. This definition, which has been recently endorsed by the Fourth International Consultation on Sexual Medicine (ICSM) (1), is based on a clinical principle which leaves room to the judgement of patients, being widely affected by their self-perception of normality. One study even found that 82 percent of men with erectile dysfunction also reported symptoms of depression.