Let’s focus on one of the most common causes of erectile dysfunction. Is going to be people, so it’s been coming on gradually over time, the definition of erectile dysfunction is at least 25% of the time that you’re trying to initiate sex either the inability to achieve an erection or you able to reach an erection but unable to maintain it. And that doesn’t count if you’re drinking 25% of the time, alcohol can impair one’s ability to have an erection. So that would be a whole another issue to treat. But if it’s not any drug or alcohol use as 25% of the time you are unable to do that or more than one dealing with erectile dysfunction.
If you have a sudden onset, and nothing changed, you’re feeling great in your relationship or just whoever your sexual partner is, you have to have a relationship, right, but if that hasn’t changed, stresses ok, nothing suddenly has happened, then it is important to see your physician and get a full check. Now, I don’t want to scare you but a sudden onset of inability to have an erection, we’re concerned about nerve issues and nerve damage, concerned about possible cancer – is a small incident – but as a doctor I always think worse case scenario and I want to rule out those big bad things before I feel really comfortable treating on herbal level.
So sudden onset of erectile dysfunction, pay attention there are situational change, if not – then you go in and see your physician and get some laboratory tests to rule out some of these big bad causes.
As well as some of the other causes could be kidney issues, which is also a problem with circulation; it could be thyroid issues, people with thyroid disease, low thyroid – that can cause erectile dysfunction; blood sugar issues as well – all these can contribute to that.
The next step would be figuring out what are the causes. So unable to get an erection in the morning and unable to perform, now I’m thinking more circulatory issues. What we want to do, generally, if you are a patient coming in to see me, I’d want to do some blood work. And I’d want to check things like your thyroid; I’d want to check your blood sugar, I’d want to check your cholesterol.