Erectile dysfunction can put the fizzle in your fireworks. While it's normal for a man to have occasional trouble getting an erection that's firm or long-lasting enough for sexual intercourse, persistent disappointment below decks warrants a checkup. Research suggests that 50% of men have ED, most of whom are over age 50. "Yet a lot of men are embarrassed and reluctant to talk about it," says Douglas Milam, MD, associate professor of urologic surgery at Vanderbilt University Medical Center. "In recent years, more women are telling their partners, 'If you have this problem, do something.' "
Why it happens
"The problem usually involves a combination of nerve function and blood flow," Dr. Milam says. Nerves may not produce enough nitric oxide, which dilates blood vessels and allows them to flood chambers in the penis. Or there may be a bigger blood vessel problem, such as blockages or arterial walls that can't relax enough for blood to flow freely. In fact, ED may be a sign of heart disease. Men with ED are more likely to have heart disease and diabetes than men with normal erectile function.
Here, tips and treatment ideas for men experiencing this problem.