Urology Specialists of Milford, LLC Blog

Posts for tag: Erectile Dysfunction

About five percent of men who are 40 years of age have complete erectile dysfunction (ED); that number increases to 15 percent for 70-year-olds. Erectile dysfunction is the inability to get and keep an erection that is firm enough for sex.

ED can be triggered by stress, a reduction in sexual desire, or an underlying health issue. One’s ability to get and maintain an erection requires the proper functioning of psychologic, neurologic, endocrine, vascular, and local anatomic systems combined. 

For this reason, diagnosing the condition typically involves a variety of testing. Let’s explore how this is done.

Testing for ED

Your clinician will first ask a series of questions. It’s best to keep track of when your symptoms started and how long they’ve been a problem, because these answers will be important in this phase of diagnosis.

There are many risk factors associated with ED, from medical conditions such as high blood pressure to psychological conditions such as stress, depression, or anxiety. The list of possible triggers is boundless, so your physician will begin with an evaluation of your medical history.

Your doctor may also ask you to fill out a questionnaire that answers how confident you are about keeping an erection, whether you have erections when you wake up in the morning, how often you find sexual intercourse satisfying, and how often you’re able to climax, orgasm, and ejaculate.

While these topics may feel taboo to discuss, doing so can make all the difference in solving your erectile issues. Remember that a urologist diagnoses and treats health issues like these every day, so there is no reason to be embarrassed.

Examination Techniques for Erectile Dysfunction 

Your urologist will conduct a physical exam of the testes and penis – which will test for sensation and other issues. This exam will also confirm whether there may be an issue with the nerve endings in these areas.

Your doctor may direct you to have lab work done if you haven’t already done so. Both urinalysis and blood draws will help to diagnose many different health conditions, and they will also indicate whether heart disease, diabetes, or low testosterone levels are to blame for your ED.

Radiology imaging is integral to the field of medicine and to diagnosing of health issues. Ultrasound – which is a commonly known type of radiology due to its role in pregnancy – is beneficial for detecting poor blood flow in the genital area, as well as recording the speed and direction of blood flow.

Psychological Causes for ED

There is sometimes a psychological factor involved in health conditions such as ED, so a mental health evaluation may be a necessary part of your diagnosis. NYU Langone Health estimates that approximately 10 percent of ED cases have a psychological component; ED due to psychological reasons tends to be more common in younger men. 

If you’re experiencing extreme stress at work, or you have a history of depression, it may be impacting you sexually. The most common mental triggers for erectile dysfunction are fear of sexual failure, depression, and stress. 

Who Can Help Treat My ED?

Seeking the medical advice of a reputable and trustworthy urologist can help you get back to feeling like yourself again. Led by board-certified urologist Dr. Jeffrey Steinberg, Urology Specialists of Milford diagnoses and treats a variety of men’s health issues – including low testosterone, male infertility, and ED. 

For more information, or to schedule an appointment, call us today at (508) 473-6333or fill out our appointment request form here. We look forward to helping you achieve optimal health and wellness so you can enjoy life to the fullest.

The medical field of urology focuses on caring for the health of the urinary system, meaning the kidneys, ureters, bladder, urethra, the prostate gland, and your reproductive health. In other words, urologists can diagnose, treat, and monitor disorders of the urinary tract and the external genital organs. Urological concerns can include the kidney, ureter, urethra, bladder, reproduction problems and prostate issues.

Going to the doctor is not something that people like to do. Research shows that men in particular are often the ones who refuse to go to the doctor as much as they should. This seems to be true, especially when needing to see a urologist. Men are often embarrassed about having to see a urologist for problems such as erectile dysfunction (ED), but there are conditions and other problems that should not be ignored. Whatever you do, don’t put yourself further at risk by ignoring your symptoms.

Just because you think nothing could happen to you, it certainly can. While there is no recommended age for a urologist visit, as men get older there are certain things that should be screened for. And if you are experiencing some of the more obvious urological concerns you should make an appointment right away. Early diagnosis and treatment can make all the difference. Here are several of the more common situations that should warrant a visit to the urologist: 

  1. Blood in Urine: Having blood in your urine is abnormal, and this often indicates that something is seriously wrong. This could be a condition called hematuria, which occurs when your kidneys or other parts of your urinary tract allow blood cells to leak into urine. Urinary tract infections or other conditions can arise as a result if left untreated.
  2. Erectile dysfunction (ED): Erectile dysfunction (ED) is when a man has trouble getting or maintaining an erection for or during sexual intercourse, which could be caused due to a variety of factors, including hormones, low libido, stress, mood, etc. Sexual satisfaction is known to be an important part of overall relationship satisfaction, and therefore men who have these conditions are embarrassed because they can’t perform. A urologist can help evaluate your symptoms and give you the right form of treatment. While it does seem like a personal matter, it is one of the many sensitive subjects that your urologist is trained to help you with. They will not judge, they will only help you solve your ED so that you can get back to regular life.
  3. Male infertility: Male infertility is rare, but still accounts for 25 percent of infertility issues. Male infertility, such as low sperm count, can also be a sign of testicular cancer and should be seen by a urologist, as this can affect you and your partner’s chance of having children.
  4. Elevated PSA levels: Your Prostate Specific Antigen (PSA) levels are used to detect early prostate cancer. While a change or higher level of PSA in the blood is not entirely indicative of prostate cancer, a urologist can determine the cause.
  5. Urinary Incontinence: Urinary incontinence is the loss of bladder control. It is very common and your urologist can help treat it.
  6. Testicular Pain: Pain in the testicles can be a sign of testicular cancer. If you see an abnormal lump, get it checked by your urologist immediately.
  7. Urinary Tract Infections (UTI): Urinary tract infections commonly affect women, but can also happen to men. Men are more prone to UTIs if they are also experiencing urinary incontinence. This is an infection in any part of the urinary system, meaning the bladder, kidneys, or urethra.
  8. Difficulty Urinating: Not being able to pee can be frustrating and cause discomfort. This is typically a sign of an enlarged prostate, and your urologist can prescribe medication to shrink the prostate, relieving the bladder and allowing you to urinate.
  9. Painful Urination: Having pain when you pee is an awful feeling. This could be a sign of bacteria being in your urinary tract, or there could be a blockage such as with a kidney stone. Your urologist can target the cause of the infection and administer the correct form of treatment.
  10. Kidney Problems: Kidney problems can be painful, and one of the most common is kidney stones. Kidney stones are stones that form in the urinary tract, and causes severe pain in the lower stomach, back, groin or testicles. Left untreated, stones can cause many problems for the kidneys and if severe enough, could cause permanent, lasting damage. Staying hydrated, by increasing the amount of water you drink could help reduce the occurrence of kidney stones. 

To learn more about reasons to visit your urologist, call Urology Specialists of Milford at (508) 473-6333 to request an appointment with board-certified urologist Dr. Steinberg.

It is inevitable that most men, especially as they age, will at some point experience some sort of urological problem. These complications could also be a result of certain conditions, injury, genetics, or even a birth defect. Urinary health is a vital component of a man’s healthcare. Urology focuses on the health of the urinary tract, which encompasses the kidney’s, bladder, urethra, and reproductive system, and is responsible for removing waste (urine) from the body.

Urologists have special training and knowledge of men’s health and what to do for the male urinary tract and reproductive system, should an issue arise. Many times, problems like urinary incontinence, infertility, and bladder infections (UTIs) are common problems that are often associated with women. However, this is not always the case, as men can be affected too. This can often cause embarrassment, and effect self-esteem, confidence, and quality of life. Therefore, when issues do arise, it is crucial that a man seek help from a urologist as early as possible, so further complications do not occur.

Here are a few of the most common urological conditions that affect men: 

  1. Enlarged Prostate (BPH): Having an enlarged prostate is one of the most common issues for men, especially older men. This condition is called Benign Prostatic Hyperplasia or BPH. BPH occurs when the prostate, a walnut shaped gland located between the bladder and urethra, becomes enlarged, making it hard to urinate. Some men experience a sensation that they need to urinate, but nothing comes out, due to swelling of the bladder and prostate. BPH can be dangerous if left untreated, with kidney problems and infections a distinct possibility. The urologist will test a man’s PSA level (Prostate-Specific Antigen, a protein produced by the prostate), and if levels are high, it can indicate a possible diagnosis of prostate cancer.
  2. Prostate Cancer: Prostate cancer happens to be the second leading cause of death for men. It occurs when cells in the prostate become cancerous and start to grow uncontrollably. All men need to have their PSA level checked annually as well as have a digital rectal exam. Depending on the man’s PSA levels, and severity of the cancer, treatment options will vary and may include chemotherapy and radiation.
  3. Erectile Dysfunction (ED): Erectile Dysfunction is a common condition that affects men, with 52 percent of men age 40 and up experiencing ED in the United States. ED occurs when a man is unable to get or maintain an erection for sexual intercourse. It’s not uncommon for a man to feel embarrassed or depressed in this situation, as sexual health is an extremely important part of an intimate relationship. If they feel like they are not providing or pulling their weight, it hurts their confidence and self-esteem. Fortunately, the urologist has many treatment options for erectile dysfunction, including medication, hormone replacement, surgery, etc. 
  4. Prostatitis or UTI: Men can get a urinary tract infection just like women can. If it burns when you pee, or the urine is cloudy, this can be a sign that bacteria are in your urinary tract and could result in a UTI. Generally, a UTI can be treated with antibiotics. Prostatitis is an infection in the prostate that is similar to a UTI, but can cause painful urination, abdominal pain, pelvic and lower back pain.
  5. Urinary Incontinence: Urinary incontinence is a more common condition for men as they get older. This occurs when muscles in the pelvic wall weaken, causing a person to lose control of their bladder, causing leaking, or someone to have to pee frequently.

Infertility: Infertility doesn’t only affect women. A man is the other part of the equation. 15 percent of couples are infertile, meaning after having sex for about a year, they are unable to conceive a child. Half of that percentage of couples contributes to the male side.  A urologist can help properly diagnose the cause of infertility and help create a treatment plan. Treatment for infertility depends on what is causing it, which could be hormone levels, mood, stress, low sperm count, etc.

To learn more about the common urological conditions that could affect men, and what treatment options are available, call Urology Specialists of Milford at (508) 473-6333, or request an appointment online. A Harvard trained and board-certified urologist, Dr. Steinberg has extensive knowledge of the many ways that men’s health can be affected. He will diagnose your condition, and find the safest, most effective treatment for each individual.