Erectile Dysfunction

Sex and the body

Video: Sex

Sex is one of the things that most causes people stress. It is a normal human function, but it has become complicated in the modern world. Dr Joe Kosterich talks about how to have a good sex life, being comfortable with yourself, and practising safe sex.

Watch the video Sex.

Male reproductive system

The term urogenital refers to something that has both urinary and genital origins. The word urogenital is used because the urinary and reproductive systems in males merge. The male urogenital system consists of several parts, including the testes, epididymis, vas deferens, ejaculatory ducts, urethra, penis, prostate and accessory glands.

For more information, see Male Reproductive System (Male Urogenital System).

Erectile dysfunction

Erectile dysfunction is the inability to develop or maintain an erection that is rigid enough to allow penetration of the vagina, and therefore functional sexual intercourse. Generally, the term erectile dysfunction is applied if this occurs frequently (75% of the time) over a significant period if time (several weeks to months). If this is the case, the term impotence may also be used.

For more information, see Male Sexual Dysfunction (Erectile Dysfunctio; Impotence).

Tool: Could I have erectile dysfunction?

	Erectile dysfunction: Could you have it?
	This questionnaire is based on the International Index of Erectile Function-5, and is used to assess a mans erectile function.
Complete the questionnaire

Animation: Impotence

Impotence can be caused by a disruption at any stage of erection. Certain diseases, including diabetes and muscular dystrophy, can cause impotence. Psychological factors can cause impotence, and so can some common medications.

Watch the animation Impotence.

Premature ejaculation

Premature ejaculation is a type of male sexual dysfunction, characterised by a man's inability to control ejaculation so that sex can continue long enough for both partners' satisfaction. Typically this means that the male partner will ejaculate shortly after penetration occurs. In severe cases, ejaculation may occur before penetration.

For more information, see Premature Ejaculation.

Video: Premature ejaculation

Premature ejaculation affects a surprisingly large number of men. Dr Joe Kosterich defines premature ejaculation and when it may be considered a problem. There are some simple ways that it can be approached and treated, but care must be taken when seeking a cure.

Watch the video Premature Ejaculation.

Sexual self-consciousness and dysfunction

Penis size has been a source of male anxiety throughout history and across cultures. The only medical consensus regarding penis enhancement procedures is for the surgical correction of a micropenis. However, most men requesting penile enhancement surgery have a penis of normal size and function.

For more information, see Penis Enlargement: Sexual Self-Consciousness and Dysfunction.

Cancer and sexual difficulties

Between 10 and 88% of patients diagnosed with cancer experience sexual problems following diagnosis and treatment. This varies according to the location and type of cancer, and what kind of treatment is used. Sexual problems following cancer may persist long term.

For more information, see Sexual Difficulties Associated with Cancer in Men.

Impact on other diseases and conditions

Erectile dysfunction is associated with many systemic health conditions (health conditions which affect the whole body or other body systems). Systemic health conditions affect a man's physical health, can impact negatively on the treatment of erectile dysfunction and, in some cases, are life-threatening.

For more information, see Erectile Dysfunction: Impact on Other Diseases and Conditions.

Treating erectile dysfunction

Tips for dealing with erectile dysfunction

Erectile dysfunction is extremely common. It affects relationships and self-esteem, and can be difficult or embarrassing for men to talk about. Your local doctor is well equipped to deal with sexual dysfunction issues, and some health professionals have provided useful tips and advice for men wondering about erectile dysfunction.

For more tips, see Tips for Dealing with Erectile Dysfunction.

PDE-5 inhibitors

The most common treatment for erectile dysfunction is a group of drugs known as phosphodiesterase type 5 (PDE-5) inhibitors. These include Cialis, which contains the active ingredient tadalafil; Levitra, which contains vardenafil; and Viagra, which contains sildenafil.

For more information, see Cialis, Levitra and Viagra.

Counterfeit ED drugs

Counterfeit drugs

Counterfeit erectile dysfunction (ED) drugs are fraudulent or fake medications marketed and/or sold to treat erectile dysfunction. Like other counterfeit medicines, they may differ from genuine medications in many ways.

For more information, see Counterfeit ED Drugs.

Useful resources

Supportive care: Impotence Australia

Impotence Australia is the peak body providing support for individuals and couples affected by erectile dysfunction. They run a confidential help-line offering information, advice and counselling.

For more information on this group, see Impotence Australia.

More information

Contraception

For more information on contraception, including types of contraception, protecting against sexuallly transmitted infections, and contraception after childbirth, see Contraception (Birth Control).