Erectile dysfunction (ED) is a prevalent health concern affecting millions of men globally and is the most common sexual problem reported by men to their doctors. With the ageing population of Singapore, erectile dysfunction may become a significant health problem. This underscores the importance of understanding the impact, causes, and treatments of ED to better manage this condition in the ageing community.
In this article, we will help you understand erectile dysfunction in Singapore – what it is, its symptoms, causes, risk factors, and diagnosis.
What Is Erectile Dysfunction?
Erectile dysfunction (ED) is a medical condition characterised by the inability to achieve or maintain an erection sufficient for satisfactory sexual performance. This issue can stem from a variety of underlying causes, which may be either physical or psychological.
It is a common issue, especially in older men, but it is not considered a normal part of ageing.
Erectile Dysfunction In Singapore – Statistics
In Singapore, erectile dysfunction is an issue that is gaining more recognition and understanding. A study involving 729 men indicates that about 51.3% of Singaporean men aged 30 and above experience some form of ED. The results of the study also highlighted that among the 51.3%:
- 23.2% have mild ED.
- 8.8% have moderate ED.
- 9.3% had severe ED.
Additionally, it is found that the prevalence of ED increased from 42.8% for men in their forties to 77.4% in their sixties.
What Are The Signs And Symptoms?
The signs and symptoms of ED often include:
- Difficulty achieving an erection.
- Difficulty maintaining an erection.
- Reduced sexual desire or libido.
It is important for men who experience these symptoms persistently to seek professional advice, as they can be indicators of ED or other health conditions.
What Are The Causes And Risk Factors?
The causes and risk factors for erectile dysfunction (ED) can be multifaceted and may involve a combination of physical, psychological, and lifestyle-related factors.
Physical Causes:
- Vascular Issues – Conditions that affect blood flow to the penis, such as atherosclerosis (hardening of the arteries), high blood pressure, and high cholesterol.
- Neurological Disorders – Conditions that interfere with the nerve impulses responsible for initiating and maintaining erections, such as multiple sclerosis, Parkinson’s disease, and spinal cord injuries.
- Hormonal Imbalances – Low levels of testosterone or other hormonal imbalances can contribute to erectile dysfunction.
- Diabetes – High blood sugar levels can damage blood vessels and nerves, leading to erectile dysfunction.
- Medications – Certain medications, including antidepressants, antihypertensives, antihistamines, and drugs for prostate conditions, can have side effects that affect erectile function.
- Surgery Or Trauma – Pelvic surgery, prostate surgery, or injuries to the pelvic area can damage nerves and blood vessels, leading to erectile dysfunction.
Psychological Causes
- Stress and Anxiety – High levels of stress, anxiety, or performance anxiety can interfere with sexual arousal and lead to erectile dysfunction.
- Depression – Mental health disorders, such as depression, can affect libido and sexual function.
- Relationship Issues – Conflicts, communication problems, or unresolved issues within a relationship can contribute to erectile dysfunction.
Lifestyle and Behavioral Factors
- Smoking – Tobacco use can damage blood vessels and restrict blood flow, increasing the risk of erectile dysfunction.
- Alcohol And Substance Abuse – Excessive alcohol consumption and illicit drug use can impair sexual function.
- Obesity – Being overweight or obese is associated with various health conditions, such as diabetes and cardiovascular disease, which can contribute to erectile dysfunction.
- Lack Of Physical Activity – Sedentary lifestyles and lack of regular exercise can contribute to obesity, cardiovascular problems, and hormonal imbalances, all of which are risk factors for erectile dysfunction.
- Poor Diet – Diets high in saturated fats, processed foods, and refined sugars can contribute to obesity and cardiovascular problems, which in turn increase the risk of erectile dysfunction.
Understanding these causes and risk factors is essential for identifying and addressing the underlying issues contributing to erectile dysfunction.
How Is It Diagnosed?
Diagnosing erectile dysfunction (ED) typically involves a comprehensive evaluation by your healthcare provider. The diagnostic process may involve:
Medical History
To diagnose erectile dysfunction (ED), your healthcare provider may begin by obtaining a comprehensive medical history. This includes a discussion about the frequency, severity, and duration of ED symptoms. Past and current medical conditions that could contribute to ED, such as diabetes, heart disease, hypertension, neurological disorders, and hormonal imbalances may also be asked. Additionally, your provider may review your medication history to identify any drugs that may be causing or exacerbating erectile dysfunction.
Physical Examination
Genital examination to assess for any anatomical abnormalities, signs of nerve damage, or other physical factors contributing to erectile dysfunction. Additionally, a cardiovascular examination may be performed to assess blood pressure and evaluate cardiovascular health, as ED can be linked to vascular issues.
Laboratory Tests
Blood tests are performed to evaluate blood sugar levels, lipid profile, hormone levels (including testosterone), and markers of underlying health conditions such as diabetes, heart disease, or hormonal imbalances. Urinalysis may also be performed to check for signs of diabetes, kidney disease, or other conditions that could contribute to erectile dysfunction.
Psychological Evaluation
Patients may be asked to complete psychological questionnaires to screen for symptoms of depression, anxiety, stress, or relationship issues that may be contributing to erectile dysfunction. Additionally, a discussion about psychological factors, interpersonal relationships, and sexual history may be conducted to better understand the overall psychological well-being.
Specialised Tests
In some cases, specialised tests may be recommended to further evaluate erectile dysfunction. These tests may include a Nocturnal Penile Tumescence (NPT) test, which monitors erections during sleep to assess the physiological integrity of erectile function. Duplex ultrasound or penile Doppler ultrasound may also be used to evaluate blood flow to the penis and assess for any structural abnormalities or blockages in the blood vessels.
Consult Our Preferred Doctor On Your Erectile Dysfunction
Dr Kenneth Lee is the Medical Director of Dr Plus Aesthetics Clinic, and an aesthetic and men’s health doctor in Singapore. From erectile dysfunction to sexually transmitted disease (STD), Dr Kenneth Lee is the doctor to look for.
Erectile Dysfunction Treatment from Dr Kenneth Lee you can consider with estimated pricing:
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This article is informative only and is not intended to be a substitute for professional medical advice, diagnosis, or treatment, and should never be relied upon for specific medical advice.