Close
In this section
See all services See all Locations
Dismiss Modal
Close

Services

See all services
Bariatrics Behavioral Health Cancer Care Heartburn Heart Care Emergency Care Neurosciences Orthopedic Care Primary Care Surgical Services Urgent Care Urology Virtual Primary Care Women's Health Vascular and Endovascular

Locations

See all Locations
Emergency Room Urgent Care Primary Care Surgical Center Pharmacy Hospital

Patients & Visitors

Campus Maps For Patients For Visitors Hospital Visitor Policy Important Phone Numbers Insurance Plans We Participate In Spiritual Support Parking Pay a Bill Online Safety Measures at AtlantiCare Facilities Customer Experience Feedback Form 1-888-569-1000

More

News Blog For Our Community For Healthcare Professionals AtlantiCare Foundation About Us Giving Options Explore Careers Nursing at AtlantiCare

Erectile Dysfunction

What is Erectile Dysfunction?

Erectile dysfunction (ED) is the persistent inability to achieve or maintain an erection firm enough for sexual intercourse. While occasional difficulties with erections are normal, frequent or ongoing issues can impact self-esteem, relationships, and overall well-being. ED can be a sign of an underlying health condition and is often treatable with lifestyle changes, medications, or advanced therapies.

Risk Factors

Several factors can contribute to the development of ED, including:

  • Age – While not an inevitable part of aging, ED becomes more common as men get older.
  • Cardiovascular Disease – Conditions like high blood pressure, atherosclerosis (hardening of the arteries), and heart disease can limit blood flow to the penis.
  • Diabetes – High blood sugar levels can damage nerves and blood vessels that control erections.
  • Obesity – Excess weight can contribute to hormonal imbalances and vascular problems.
  • Hormonal Imbalances – Low testosterone or thyroid disorders may lead to ED.
  • Neurological Disorders – Conditions such as Parkinson’s disease, multiple sclerosis, or spinal cord injuries can affect nerve signals involved in erections.
  • Psychological Factors – Stress, anxiety, depression, and relationship issues can all play a role.
  • Medications – Certain drugs for high blood pressure, depression, and prostate conditions can contribute to ED.
  • Smoking, Alcohol, and Drug Use – These habits can impair circulation and nerve function, increasing ED risk.

Symptoms

The primary symptom of ED is difficulty achieving or maintaining an erection. Other related symptoms may include:

  • Reduced sexual desire
  • Difficulty getting an erection in certain situations but not others (such as with a partner vs. during self-stimulation)
  • Erections that are too soft for penetration or do not last long enough for sexual activity

Treatment

Treatment for ED depends on the underlying cause and may include medical therapy, diagnostic tools like penile ultrasound, or surgical interventions.

Medical Therapy

  • Oral Medications (PDE5 Inhibitors) – Medications like sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra) enhance blood flow to the penis.
  • Hormone Therapy – For men with low testosterone, testosterone replacement therapy (TRT) may improve symptoms.
  • Injection Therapy – Medications such as alprostadil can be injected directly into the penis to stimulate blood flow.
  • Vacuum Erection Devices – A pump that creates a vacuum around the penis, drawing in blood to induce an erection.

Penile Ultrasound

  • Diagnostic Tool – Penile Doppler ultrasound evaluates blood flow in the penis, helping to identify vascular causes of ED.
  • Guided Treatment Planning – If poor circulation is detected, targeted therapies like shockwave therapy or vascular procedures may be recommended.

Prosthetics (Penile Implants)

  • For Severe ED – Surgical placement of a penile implant is an option for men who do not respond to other treatments.
  • Types of Implants:
  • Inflatable Implants – Fluid-filled devices that create an erection on demand.
  • Malleable (Semi-Rigid) Implants – A bendable device that maintains a constant firmness.

Prevention 

While not all cases of ED can be prevented, adopting a healthy lifestyle can reduce the risk:

  • Maintain a Healthy Weight – Reduces the risk of diabetes and vascular disease.
  • Exercise Regularly – Improves circulation and cardiovascular health.
  • Eat a Balanced Diet – A heart-healthy diet rich in fruits, vegetables, and lean proteins supports vascular function.
  • Manage Stress and Mental Health – Seeking help for anxiety or depression can improve both emotional well-being and sexual health.
  • Limit Alcohol and Avoid Smoking – Both habits can impair blood flow and nerve function.
  • Regular Health Checkups – Monitoring blood pressure, cholesterol, and hormone levels can help detect early signs of ED-related conditions.

Erectile dysfunction is a common but treatable condition. If you are experiencing symptoms, consulting with a urology specialist can help determine the best course of action for restoring sexual health and confidence.