Male Infertility A child of my own - Andrology Australia

APPENDICESERECTION &EJACULATION PROBLEMSMALE INFERTILITY 90Causes may include:• Nerve damage following prostate or otherabdominal surgery, spinal cord injury or diabetes• Poor blood supply into the penis and poorfunction of the blood vessels in the penis (suchpoor blood vessel function is more common inmen with cardiovascular problems like heartdisease, stroke and diabetes)• Interactions with other medicines• Psychological or relationship problemsHow is erectile dysfunction orimpotence treated?Most often erectile dysfunction is due toconditions affecting the blood flow to the penis orthe nerves which supply the blood vessels. Theseare not usually reversible but medicines, whichrelax blood vessels in the penis, can help men geterections. Tablets such as Viagra®, Cialis® andLevitra® (PDE5 inhibitors), work well for manymen with erectile dysfunction. Injections for thepenis, such as Caverject Impulse®, can be used ifthese oral medicines don’t work or can’t be used.Erectile dysfunction can be caused bypsychological problems, and even if a physicalcause is found, psychological problems may stillhappen. Counselling can often help overcomeperformance anxiety and other concerns.