Erectile dysfunction

What is erectile dysfunction?

Erectile dysfunction (ED), also known as impotence, is the inability to get and maintain an erection firm enough for sexual activity. It is a common condition that affects at least 30 million men in the United States. In my San Diego area clinic, I see many men of all ages with concerns about ED.

The main cause is poor blood flow to the penis, often due to underlying health issues like diabetes, heart disease, obesity, or side effects from certain medications. Other causes can include stress, depression, fatigue, relationship problems, heavy alcohol use, or low testosterone levels. As we age, ED may become more common.

Men who suddenly develop ED should talk to a doctor, as it can be an early warning sign of a more serious health condition. The good news is ED is often reversible and highly treatable with lifestyle changes, counseling, medications like Viagra or Cialis, hormone therapy, pumps, or other treatments.

Some key facts about ED:

• It is not a normal part of aging. But incidence does increase with age - around 50% of men over 50 may experience some degree of ED.


• It often causes stress, anxiety, embarrassment or depression. So it's important not to ignore it. Talk to your doctor.


• Physical and psychological factors can contribute, so comprehensive treatment works best.

Here at Hormone Health Center in San Diego, we specialize in hormone therapy for ED and sexual health concerns in aging men. Low testosterone is a leading cause of ED. We provide customized bioidentical hormone treatments, nutrition advice, and lifestyle guidance tailored to your unique health profile. If ED is impacting your quality of life, we encourage you to schedule a consultation at our clinic to discuss safe, effective treatment options.

The good news? For most men, implementing some lifestyle changes can make a big difference:

• Quit smoking and limit alcohol - both negatively impact ED


• Get regular exercise and eat a balanced, nutritious diet


• Reduce stress through yoga, meditation or counseling


• Get enough sleep and take steps to improve sleep quality

Additionally, oral medications like Viagra, Cialis and Levitra can help increase blood flow to facilitate erections. Hormone therapy, penile injections, pumps or implants are options if pills don't work. With professional support, most men can overcome ED or at least manage symptoms effectively.

The key is to identify the underlying cause with your doctor, then map out a personalized treatment approach to restore sexual function and satisfaction. Don't lose hope - solutions are available, and taking that first step to address ED concerns can lead to huge quality of life improvements. Our bodies change as we age, but your sex life doesn't have to end!