Erectile Dysfunction

Erectile dysfunction (ED) is more common than many men realize, with approximately half of men in their 50s experiencing mild to moderate symptoms. However, ED is not simply a normal part of aging and can often be effectively treated.

At Urological Associates of Savannah, our board-certified urologists work to identify the underlying cause of erectile dysfunction and provide personalized treatment options tailored to each patient’s needs across all of our locations.

What is ED?

If you have difficulty achieving or maintaining an erection firm enough for sexual activity, you may be experiencing erectile dysfunction (ED). ED is defined as the persistent inability to achieve or sustain an erection sufficient for satisfactory sexual performance.

Erectile dysfunction can affect more than just physical intimacy. It may also impact confidence, emotional well-being, and personal relationships. While many men find ED frustrating or distressing, it is important to understand that it is a common and treatable condition.

ED affects a significant number of men, particularly with increasing age. Studies indicate that more than half of men over 40 experience some degree of erectile dysfunction. Fortunately, effective treatment options are available, and a medical evaluation can help identify the underlying cause and determine the most appropriate path to restoring sexual health.

What Causes ED?

Erectile dysfunction (ED) can occur when blood flow to the penis is reduced or when the nerves involved in the erection process are not functioning properly. A variety of medical and lifestyle factors may contribute to these changes. Common causes include conditions such as diabetes, cardiovascular disease, prostate cancer treatments, depression, anxiety, and side effects from certain medications. Lifestyle factors—such as poor sleep, smoking, excessive alcohol use, lack of physical activity, and an unhealthy diet—can also impact erectile function.

Additional health conditions that may contribute to ED include:

  • Heart disease
  • High blood pressure
  • High cholesterol
  • Diabetes
  • Obesity
  • Neurological conditions such as multiple sclerosis or Parkinson’s disease
  • Low testosterone levels

Because erectile dysfunction is often linked to underlying health concerns, a medical evaluation is an important step in identifying the cause and determining the most appropriate treatment approach.

How is ED Diagnosed?

If you are experiencing difficulty achieving or maintaining an erection more than half of the time, it may be appropriate to consult a physician. A thorough medical history and physical examination can help identify potential underlying causes of erectile dysfunction.

Your provider may also recommend laboratory testing or additional diagnostic evaluations to assess for conditions that can affect blood flow or nerve function, such as diabetes, cardiovascular disease, or hormonal imbalances. Identifying the underlying cause is key to guiding treatment and selecting the most effective options to improve your sexual health.

When Should I Talk to a Doctor About ED?

You should consider scheduling a consultation if symptoms of erectile dysfunction or other sexual health concerns occur frequently or begin to impact your quality of life, confidence, or relationships.

It is also important to speak with a physician if you have underlying health conditions such as heart disease, high blood pressure, or diabetes, as these conditions can contribute to ED and may require ongoing management. Early evaluation can help identify the cause and guide the most appropriate and effective treatment options.

How is ED Treated?

Your physician will begin with a comprehensive evaluation to identify the underlying cause of erectile dysfunction. This may include a physical examination along with diagnostic testing such as blood work, urinalysis, or ultrasound to assess blood flow and overall health.

Based on the results, your provider will develop a personalized treatment plan tailored to your needs. Treatment options may include:

Oral medications:
Prescription medications that improve blood flow to the penis. When combined with sexual stimulation, they can help achieve and maintain an erection.

Vacuum erection devices:
A device that uses a cylinder and pump to draw blood into the penis. A tension ring is then applied to help maintain the erection.

Penile implants:
A surgically placed device that allows for controlled, natural-feeling erections. The implant is fully internal and operated by the patient.

Injection therapy:
Medication is injected directly into the penis using a very small needle to increase blood flow and produce an erection.

Intraurethral suppositories:
A small pellet is inserted into the urethra, where it dissolves and helps improve blood flow.

In some cases, addressing an underlying condition—such as diabetes, high blood pressure, or hormonal imbalance—can improve erectile function. If low testosterone is a contributing factor, testosterone replacement therapy may be recommended.

Lifestyle changes can also play a significant role. Quitting smoking, maintaining a healthy diet, exercising regularly, and managing weight can all improve symptoms. Counseling or therapy may also be helpful if stress, anxiety, or relationship concerns are contributing.

If you have questions about erectile dysfunction or would like to explore your options, scheduling a consultation is the first step toward effective, personalized care.