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Shockwave Therapy
Erectile Dysfunction

What Is Erectile Dysfunction?

Erectile dysfunction (ED) is a common sexual health condition characterized by the inability to achieve or maintain an erection suitable for sexual activity. ED affects millions of men around the world and can have a significant impact on quality of life, sexual satisfaction, and relationships. The condition can be temporary or ongoing, and its severity can range from occasional to persistent.

Erectile Dysfunction Symptoms

The primary symptom of ED is the inability to achieve or maintain an erection. In some cases, men may also experience a reduction in libido (sex drive) or have trouble ejaculating. Other potential symptoms of ED include:

  • Difficulty achieving an erection, even when sexually stimulated
  • Reduced sexual desire
  • Premature or delayed ejaculation
  • Painful or prolonged erections
  • Difficulty achieving an erection sufficient for sexual intercourse

It’s important to note that the inability to achieve an erection on occasion is not necessarily a sign of ED. Most men experience this at some point in their lives, and it is often due to stress, fatigue, or excessive alcohol consumption. If you are experiencing persistent difficulties with achieving an erection, it is important to speak to a medical professional.

Causes of Erectile Dysfunction

ED can have a variety of causes, including physical, psychological, and lifestyle factors. Some common causes of ED include:

  • Physical factors: These can include conditions such as cardiovascular disease, diabetes, high blood pressure, and high cholesterol, as well as certain medications, neurological conditions, and prostate surgery.
  • Psychological factors: Anxiety, depression, and stress can all contribute to ED. Psychological factors such as a history of sexual trauma or abuse can also be related to the underlying physical causes of ED.
  • Lifestyle factors: Smoking, alcohol consumption, and a sedentary lifestyle can all increase the risk of ED. Obesity, poor diet, and a lack of exercise can also contribute to the development of ED.

Erectile Dysfunction Tests

Diagnosing ED usually begins with a physical examination and a review of medical history. This may be followed by a series of tests to help determine the underlying cause of ED, including:

  • Blood tests: To check for underlying medical conditions such as diabetes, high cholesterol, and hormonal imbalances.
  • Urine tests: To check for the presence of other health problems, such as prostate issues.
  • Psychological evaluation: To assess for any psychological factors contributing to ED.
  • Nocturnal penile tumescence test: A test performed at home to assess the quality of nighttime erections.
  • Penile Doppler ultrasound: A test that uses high-frequency sound waves to evaluate blood flow to the penis.
  • Rigidity monitoring: A test that uses a device to assess the rigidity of the penis during an erection.

Erectile Dysfunction Treatments

The treatment of ED will depend on the underlying cause of the condition. Some common treatments include:

  • Medications: Oral medications such as sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra) can be effective for many men with ED. These medications work by increasing blood flow to the penis, allowing for an erection to occur.
  • Lifestyle changes: Making changes to your lifestyle, such as quitting smoking, reducing alcohol consumption, and increasing exercise, can help improve ED. A healthy diet and weight loss can also have a positive impact on sexual health.
  • Therapy/counseling: For men with psychological factors contributing to ED, psychotherapy can be an effective treatment. This may involve counseling, sex therapy, or couples therapy.
  • Penile injections: In some cases, a man may be prescribed a medication that can be injected directly into the penis to produce an erection.
  • Vacuum erection devices: This treatment involves using a suction device to draw blood into the penis and produce an erection.
  • Penile implants: In severe cases of ED, a penile implant may be recommended. This is a surgical procedure that involves the placement of a device inside the penis to help achieve an erection.
  • Shockwave therapy: This is a relatively new treatment for ED that uses low-intensity shockwaves to improve blood flow to the penis and promote the growth of new blood vessels. This therapy is still considered experimental and more research is needed to fully understand its efficacy and potential side effects.


To help you better understand how to recognize the signs and symptoms of ED and what your treatment options are, watch this webinar presented by Dr. Ryan Dornbier. In it, he explains everything you need to know about the diagnosis and treatment of ED. 

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