Erectile Dysfunction: The Causes and Treatments
Erectile dysfunction (ED), also called impotence, is the term used when a man is unable to have an erection. Erectile dysfunction is the second most common male sexual problem. Although ED can strike at any age, it becomes much more common as men grow older. Among men in their late 70s and beyond, some symptoms of ED are almost universal. ED doesn’t necessarily mean the end of a man’s sex life. Depending on the cause of the problem, several possible solutions are usually available, so take heart.
Causes of erectile dysfunction
The causes of ED can be either psychological or physical, while the degree of ED can vary from a simple loss of rigidity to a total inability to have an erection.
Fewer psychogenic erections does not mean you are impotent. Some men worry this means they are impotent and begin to avoid sex. This can cause a rift in a longtime relationship. Instead, adding foreplay can solve this problem.
As a man gets older, his erections begin to get weaker and weaker, and he may need more and more stimulation to get an erection. Some older men can get an erection but can’t keep it long enough to have intercourse. Sometimes they can get an erection, but the erection isn’t stiff enough to allow for penetration.
Eighty percent of ED problems occur as a result of serious medical conditions including diabetes, hypertension, or prostate cancer surgery. These conditions are much more common in older men, though they can happen in men of any age. These are all real, physical problems, but they don’t necessarily spell the end of a man’s sex life. If men are willing to take appropriate action, many men can continue to have sexual relations through their 90s.
Treatments for ED
The morning cure: Have sex in the morning instead of at night. Because you’re probably retired and have no children at home, you have no reason to always try to have sex at night, except the force of habit. However, blood flow and testosterone, both key to erections, tend to be at higher levels in the morning.
The older you are, the longer it takes you to get your body warmed up for activity. Because you probably don’t have to be on a rigid schedule, try waking up, having a light breakfast, getting your blood flowing, and then taking your partner back to bed for a sexual interlude.
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The stuff technique: Have sex without first having an erection. After stuffing a nonerect penis into the vagina, a man begins to thrust. Sometimes, the blood then flows into his penis and causes an erection.
This technique doesn’t always work — or may never work for some men. Try it for a few minutes, and if it doesn’t seem like an erection will occur, then drop it.
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Oral medications: Viagra, developed by Pfizer, is the most commonly known prescription drug for treating ED. Other companies have similar drugs. These drugs may have side effects and should only be taken after prescribed by a doctor.
Men with heart conditions who take nitrates such as nitroglycerin should never take Viagra because the combination of the two drugs can be deadly.
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Penile implants: Non-hydraulic prostheses (semi-rigid rods that surgically implant within the erectile chambers) are reliable but leave the penis always in a rigid state. Hydraulic prostheses are now becoming more reliable and allow a man to create an erection only when desired using a mechanic pump into a fluid reservoir (also surgically implanted).
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Injection therapy: A man injects his penis with a medication that relaxes the muscles, thus allowing blood to flow into the penis and cause an erection. The penis is relatively insensitive to pain, so you can barely feel the injections. Most men who use this system have reported good results although side effects are possible. This method may be appropriate for men who can’t take a pill.
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Vacuum constriction: Vacuum-constriction devices, placed over the penis, allow blood to flow into the penis as air is pumped out, creating an erection. A ring at the base of his penis holds the blood in place. This does not require surgery (like prostheses) but may not provide as rigid an erection and may result in bruising.
A couple should decide together which method will work best for them and when to use one of these ED therapies, instead of the man making the decision on his own.

Sex Glossary
abortion
The termination of a pregnancy by the loss or destruction of the fetus before it has reached viability.

Sex Glossary
adolescence
The period of life, usually around ages 11–16, wherein the brain triggers hormonal changes leading to adulthood (both physically and psychologically).

Sex Glossary
anorgasmia
The inability to have an orgasm.

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anticipatory anxiety
When the fear or expectation of a possible failure causes an actual failure; a common cause of short-term impotence.

Sex Glossary
autoimmune deficiency syndrome; AIDS
Sexually transmitted disease; extremely deadly; not curable.

Sex Glossary
basal body temperature method
Natural family planning method of birth control that uses the woman’s daily body temperature to determine when a woman is ovulating and therefore fertile.

Sex Glossary
benign prostatic hypertrophy
A medical condition in which a man’s prostate gland becomes enlarged, which causes frequent urination; this condition is common with age, is not dangerous, and may be treated with medication or surgery.

Sex Glossary
bi-curious
A state of interest in sex with members of both sexes in order to determine one’s sexual orientation.

Sex Glossary
bisexuality
When men or women are sexually attracted only to members of both sexes.

Sex Glossary
calendar method; fertility awareness method; rhythm method
Natural family planning method of birth control that relies on abstinence during the time of month when the woman is fertile and likely to become pregnant.

Sex Glossary
candidiasis; yeast infection
Fungal infection that is sometimes spread to the genitals through sexual contact (usually oral sex).

Sex Glossary
cervical cap
Barrier method of birth control using a small cap that fits tightly over the cervix, blocking sperm from entrance.

Sex Glossary
cervical mucus method
Natural family planning method of birth control that uses the consistency of the woman’s cervical mucus to determine when a woman is ovulating and therefore fertile.

Sex Glossary
cervix
The entrance to the uterus in a female’s anatomy.

Sex Glossary
chlamydia
Most common sexually transmitted disease in the United States; hard to diagnose but treatable.

Sex Glossary
circumcision
The surgical removal of the penis foreskin.

Sex Glossary
climacteric
Period of change when a woman goes through menopause, usually lasting one to two years.

Sex Glossary
clitoris
Part of the female genitalia, found within the vulva and the principal organ of female sexual pleasure.

Sex Glossary
condom
Barrier method of birth control using a sheath that fits over the penis; the best method of protection against sexually transmitted diseases.

Sex Glossary
contraception; birth control
The effort to avoid unintended pregnancy via a variety of methods; does not necessarily protect against sexually transmitted disease.

Sex Glossary
corpus cavernosa
Two spongelike cylindrical tubes that contain the central arteries and lie on the top half of the penis.

Sex Glossary
corpus spongiosum
A spongelike structure under the two corpus cavernosa that surrounds the urethra and is the pipeline for both urine and sperm.

Sex Glossary
crus
The penis that is under the skin and not exposed; the proportion of crus to exposed penis is what results in curvature in an erect penis.

Sex Glossary
cunnilingus
Oral-vaginal sex.

Sex Glossary
Depo-Provera
Hormonal method of birth control taken via injection.

Sex Glossary
detumescence
After a man ejaculates or if his arousal fades, detumescence occurs, in which the brain sends a signal to allow the blood to leave the erect penis, and it returns to its flaccid state.

Sex Glossary
diaphragm
Barrier method of birth control using a shallow, dome-shaped cup that blocks the whole rear part of the vagina, including the cervix, from sperm.

Sex Glossary
dildo
A phallic (penis-shaped) object that you insert into your vagina to simulate the feelings that you would get from a real penis.

Sex Glossary
ejaculation
When a man emits sperm from his penis as a result of orgasm.

Sex Glossary
epididymis
A lumpy section that lies on top of the testicle.

Sex Glossary
epididymitis
An infection of the epididymis gland; easily diagnosed by a doctor and treated with antibiotics.

Sex Glossary
erect
Stiff and hard, generally referring to a penis during a state of arousal.

Sex Glossary
erectile dysfunction; ED
Physical or psychological condition when a man is unable to have an erection (varying degrees of severity).

Sex Glossary
erection
A penis that is in a state of arousal, becoming stiff and hard.

Sex Glossary
estrogen
A female hormone; plays a key role in triggering the process needed to create a baby; no longer produced after menopause.

Sex Glossary

Sex Glossary
female-superior position
Common sexual position, wherein the woman lies on top and the man lies on bottom.

Sex Glossary
foreskin
A sheath of skin that surrounds the glans at birth and opens at the top; may be surgically removed in a process known as circumcision.

Sex Glossary
frenum
The strip of skin connecting the glans to the shaft on the underside of the penis.

Sex Glossary
frottage
The practice of two men rubbing their bodies against each other, usually until climax; considered a safe form of homosexual activity.

Sex Glossary
full laparotomy
Form of female sterilization involving major surgery; see tubal ligation.

Sex Glossary
genital warts; human papillomavirus; HPV
Sexually transmitted disease; sometimes linked with cervical cancer; not curable but a vaccine exists.

Sex Glossary
glans
The head of the penis.

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gonorrhea
Sexually transmitted disease; curable with medication.

Sex Glossary
group masturbation; circle jerk
Mutual masturbation in a group, wherein each person uses masturbation methods to sexually pleasure a different person.

Sex Glossary
Hepatitis B
Sexually transmitted disease; not curable but a vaccine exists.

Sex Glossary
herpes
Sexually transmitted disease; extremely contagious and can be spread through intimate contact (kissing, etc.) as well as sexual intercourse; not curable.

Sex Glossary
heterosexuality
When men or women are sexually attracted only to others of the opposite sex from themselves.

Sex Glossary
homosexuality
When men or women are sexually attracted only to others of the same sex as themselves.

Sex Glossary
hormone replacement therapy; HRT
Medical treatment for menopause in which estrogen (which is no longer produced by the body) is prescribed to alleviate symptoms; studies vary on safety of HRT.

Sex Glossary
hot flash
A sudden feeling of heat that takes over the entire body, common during menopause and perimenopause.

Sex Glossary
human immunodeficiency virus; HIV
Sexually transmitted virus that is linked to autoimmune deficiency syndrome (AIDS).

Sex Glossary
hysterectomy
The surgical removal of the uterus; results in sterilization but usually done to correct a medical problem.

Sex Glossary
Implanon
Hormonal method of birth control that uses a small rod that is implanted into a woman’s arm, effective for three years.

Sex Glossary
impotency
Physical or psychological condition when a man can’t have an erection when he wants one.

Sex Glossary
intrauterine device; IUD
Method of birth control that implants a small device into the uterus, using either hormones or copper to prevent pregnancy.

Sex Glossary
laparoscopy
Common form of female sterilization done using a small instrument inserted through a small incision; see tubal ligation.

Sex Glossary
libido
The desire to have sex.

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masturbation
Sexually pleasuring oneself without the aid of another person.

Sex Glossary
meatus
The opening of the glans.

Sex Glossary
menarche
A girl’s first menstrual period.

Sex Glossary
menopause
The period of time when a woman goes through the changes associated with the end of her egg supply (including the end of menstruation and of producing female hormones); also known as the change of life.

Sex Glossary
menstruation; menstrual cycle
The monthly process of releasing eggs in preparation for possible pregnancy in a female’s body.

Sex Glossary
mini-laparoscopy
Common form of female sterilization done using a small instrument inserted through a small incision within 48 hours of giving birth; see tubal ligation.

Sex Glossary
missed orgasm
When the body goes through all the physical manifestations of an orgasm but the woman doesn’t really feel it.

Sex Glossary
missionary position; male-superior position
Most common sexual position, wherein the woman lies on bottom and the man lies on top while facing her.

Sex Glossary
Molluscum contagiosum
Sexually transmitted virus; treatable.

Sex Glossary
mons pubis; mons veneris
A layer of fatty tissue that lies above the female’s pubic bone.

Sex Glossary
mutual masturbation
Using masturbation methods on a sexual partner, usually to climax; often done in lieu of sexual intercourse.

Sex Glossary
natural family planning
Birth control method that relies on timed abstinence without other contraceptives.

Sex Glossary
nocturnal penile tumescence
Erection during REM or dream sleep; common in a healthy man’s sleep patterns and not necessarily related to erotic dreams.

Sex Glossary
NuvaRing
Hormonal method of birth control that uses a small, flexible ring inserted into the woman’s vagina.

Sex Glossary
orgasm
An intense feeling of physical pleasure, experienced as the culmination of sexual stimulation.

Sex Glossary
ovulation
Process in which a woman’s ovaries release and egg, allowing for fertilization.

Sex Glossary
the Patch; Ortho Evra
Hormonal method of birth control applied directly to a woman’s skin via an adhesive patch.

Sex Glossary
pedophile
A person who wants to have sex with children and young adults.

Sex Glossary
pelvic inflammatory disease; PID
A genital infection in a woman that has spread into the deeper organs of her reproductive system, including the uterus, fallopian tubes, or the structures around the ovaries; not technically an STD but may be a consequence of an STD, usually either gonorrhea or chlamydia; can lead to serious consequences if not treated in time.

Sex Glossary
perimenopause
Period of life preceding menopause, experienced when a woman’s ovaries become resistant to follicle stimulating hormone (FSH) and the body reacts with a spike in estrogen; usually lasts about four years but may last anywhere from a few months to 15 years.

Sex Glossary
perineum
The area between the genital organ and the anus.

Sex Glossary
Peyronie’s disease
Medical condition in which the erect penis curves or bends sharply to one side such that sex may be impossible.

Sex Glossary
the Pill
Hormonal method of birth control taken orally, available under many names.

Sex Glossary
premonitory sensation
The feeling that a man gets just before he reaches the point of no return before orgasm/ejaculation, also called "the moment of inevitability."

Sex Glossary
priapism
Medical condition in which a man suffers from a permanent erection.

Sex Glossary
progesterone
A female hormone; plays a key role in triggering the process needed to create a baby; no longer produced after menopause.

Sex Glossary
prostate gland; prostate
The prostate gland, located below the man’s bladder, produces some of the fluids that are contained in the semen, giving semen its whitish color.

Sex Glossary
psychogenic erection
An erection caused by an external, non-immediate stimulus that trigger the brain to release hormones that cause an erection.

Sex Glossary
pubic lice; crabs
Lice that live in the pubic area, and whose bites cause intense itching; visible to the naked eye; treatable with over-the-counter medication.

Sex Glossary
pubococcygeus muscles; PC muscles
The set of muscles in the genital area that incurs the most contractions during orgasm; found in both men and women.

Sex Glossary
retarded ejaculation; male orgasmic disorder
Medical condition in which a man cannot make himself ejaculate.

Sex Glossary
retrograde ejaculation
Condition such that, during ejaculation, the semen flows backwards into the bladder instead of out of the penis.

Sex Glossary
scrotum
The sac of skin at the base of the penis that holds the testicles (once descended).

Sex Glossary
sexual orientation
The statement of what gender (same, opposite, or both) a person is attracted to: homosexual, heterosexual, etc.

Sex Glossary
sexually transmitted disease; STD; sexually transmitted infection; STI
Any disease or infection that can be transmitted via sexual intercourse.

Sex Glossary
smegma
Cottage cheese-like substance that can form under an uncircumsised foreskin due to the combination of excretions and dead skin cells; if not cleaned, can lead to infection.

Sex Glossary
sonogram
A picture of a fetus taken in utero and made by sound waves.

Sex Glossary
spermicide
Chemical that kills sperm, generally applied topically before sexual intercourse as a contraceptive.

Sex Glossary
sterilization
Permanent method of preventing unintended pregnancy via surgery; either vasectomy (male) or tubal sterilization (women).

Sex Glossary
syphilis
A potentially deadly STD that can be hard to diagnose because it mimics other diseases (starting with canchres); can be transmitted through any intimate contact; treatable in most stages.

Sex Glossary
testicles; testes
Part of the male genitals.

Sex Glossary
testicular torsion
A severe and painful medical condition in which the testicle gets twisted around inside the scrotum and blood no longer flows into it; requires immediate attention.

Sex Glossary
transurethral resection of the prostate; TURP
Most common form of surgery for an enlarged prostate; common side effects include erectile dysfunction and retrograde ejaculation.

Sex Glossary
tribadism
The practice of two women rubbing their genitals together while lying one on top of the other.

Sex Glossary
trichomoniasis; trich
Sexually transmitted disease; curable with medication.

Sex Glossary
tubal ligation
Contraceptive method in which a woman undergoes sterilization via surgery of the fallopian tubes.

Sex Glossary
urologist
A medical doctor who specializes in the care of the genitourinary tract, the urinary tract in men and women, and the male genital tract.

Sex Glossary
uterus
Uhe muscular, female organ where a fertilized egg develops.

Sex Glossary
vagina
Part of the female genitals; a hollow, muscular tube that extends from the external opening to the cervix.

Sex Glossary
vaginismus
A condition in which a woman’s vaginal muscles involuntarily tighten up to the point where penetration by the man’s penis is painful or sometimes even impossible.

Sex Glossary
vaginitis
Sexually transmitted disease; curable with medication.

Sex Glossary
vas deferens
Part of the male sexual organs; the tubes that carry sperm.

Sex Glossary
vasectomy
Contraceptive method in which a man undergoes sterilization via surgery of the vas deferens.

Sex Glossary
vibrator
Sexual device that provides clitoral stimulation for a woman.

Sex Glossary
vulva
The part of the female genitals that one can see; lies between the mons pubis and the anus. The outer lips are called the labia majora; the inner lips are called the labia minora.