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Erectile Dysfunction


Erectile dysfunction is defined as having difficulty achieving or maintaining an erection of the penis.  The man is unable to produce an erection necessary to perform or complete sexual intercourse.  Normally, an erection begins with mental and sensory stimulation.  The muscles of the penis relax and allow blood to flow into the copora cavernosa, large vessels along the shaft of the penis, thereby expanding the penis.  The erection is reversed when the blood is allowed to drain out, usually after orgasm.  From time to time, some men experience brief periods of impotence that may be related to psychological factors such as depression, stress, relationship problems and anxiety.  True erectile dysfunction, on the other hand, is related to physical problems such as medication side effects, injury to nerves and arteries near the penis (e.g. prostate surgery), or diseases that impair circulation within the penis like diabetes, kidney disease, atherosclerosis (hardening of the arteries) and endocrine disorders.

As men age, we may notice that erections are not as firm as they once were or maintaining erections becomes difficult or has diminished. This is often the result of several factors especially low testosterone, chronic alcohol abuse; drug abuse or chronic narcotic use; smoking; use of high blood pressure medications, antihistamines, antidepressants, appetite suppressants, sedatives, and ulcer treatments, nervous system disorders (spinal cord injury, multiple sclerosis, and stroke); cardiovascular disease and many of the medications used in its treatment.

Symptoms may include:

Three categories:

What we can do:

Possible treatment options:

What you can do:

What you can expect:

If you develop signs and symptoms of erectile dysfunction, please contact us to talk about it.  Complimentary consultations are available by appointment.



Dr. Timothy Blend headshot Dr. Timothy Blend Triple Board Certified Physician in Emergency Medicine, Internal Medicine and Anti-Aging Medicine.

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