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Treatment vs Cure
It's very important to understand the difference between a treatment and a cure when it comes to erectile dysfunction. Many of the popular ED treatments - including prescription drugs, vacuum pumps, and certain types of hormone therapy - only work as long as you continue to take or use them. Once the treatment is discontinued, the erectile dysfunction returns.
Some men find the perpetual inconvenience, expense or other factors associated with treating their erectile dysfunction more troublesome than the erectile dysfunction itself. Ultimately, they may choose to discontinue the treatment. For others, the knowledge that one or more of these treatments is available to help them is comforting enough, even though they may choose not to use them frequently.
Other remedies such as lifestyle change (like quitting smoking), counseling, or surgery can sometimes reverse the underlying condition that caused the ED in the first place. While these can provide a more permanent solution to erectile dysfunction, they are not appropriate for everyone, success may take time and is not always guaranteed.
Communication is Key
Because it is not a life-threatening condition, erectile dysfunction is sometimes dismissed as a mere "lifestyle condition." As a result, there is often a real stigma associated with openly discussing ED. However, erectile dysfunction can lead to a range of serious psychological problems that have the potential to wreak havoc with a person's well-being or relationships. These include:
- anger
- depression
- low self-esteem or feelings of inadequacy
- anxiety and stress
- shame
The key to avoiding these potentially harmful consequences of ED is to keep the lines of communication open. Men should discuss their erectile dysfunction with their partner in an effort to better understand each other's feelings and expectations and to offer support to one another. Often, speaking about ED openly is itself an important first step towards healing and an integral part of an effective treatment plan.
Men who suffer from ED but are not in a committed relationship have other ways to talk about their erectile dysfunction. ED support groups and a range of counseling services can provide a crucial link to people who have had similar experiences.
Not Such Great Expectations
Many men are educated to believe that sexual health is synonymous with being able to achieve an erection and have an orgasm. So when we are faced with erectile dysfunction, regardless of the cause, we may develop feelings of inadequacy based on a perceived inability to "perform." This emphasis on performance may be more appropriate for younger men, but fails to take into account the physical changes that affect most men as they get older. (Over half of all men over 40 experience erectile dysfunction to some degree.)
Some people have suggested that as men age, they should consciously adjust their definition of what constitutes sexual health. The fact is that both a man's potency and his sexual drive normally decline with age. Shifting the emphasis from a "performance-based" notion of sexual health to a broader definition that includes behavior not focused entirely on erection and orgasm can be helpful. Erotic massage, sensual touching, body rubbing and fantasy are all examples of pleasurable but less goal-oriented activities that may benefit men or couples affected by ED. One way in which these activities can be explored is through sex therapy .
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