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Erectile Dysfunction Specialist

B. Robert Bamshad, MD

Urologist located in Beverly Grove, Los Angeles, CA

Erectile dysfunction is more common than most men think, and it can occur at any age. As a top-rated urologist in Los Angeles, CA, Dr. Bamshad helps patients at Cedars-Sinai Medical Center get the most appropriate treatment for optimal results, greater sexual pleasure, and improved self-confidence.

Erectile Dysfunction Q & A

What causes erectile dysfunction?

Erectile dysfunction can be caused by a wide array of issues, including both physical and emotional factors. The act of achieving and maintaining an erection involves complex interactions among nerves, blood vessels, and muscles as well as psychological stimuli that contribute to arousal. When any one of these processes is compromised or disrupted, erectile dysfunction can occur. Some of the most common causes include:

  • stress
  • performance anxiety
  • depression
  • social or work-related problems
  • obesity
  • drug or alcohol abuse
  • cardiovascular disease or atherosclerosis (“hardening” of the arteries)
  • high blood pressure or high cholesterol
  • diabetes
  • some medications
  • certain diseases or medical conditions that affect the nerves or muscles
  • problems in the structure or anatomy of the penis, including scar tissue that interferes with erection
  • nerve compression from repetitive activities like long-distance bicycling

How are the causes of erectile dysfunction diagnosed?

Diagnosis of erectile dysfunction begins with an in-depth medical history and a comprehensive examination to look for potential causes as well as risk factors that may contribute to the condition. Blood tests and urinalysis may be performed, and diagnostic study may be ordered depending on the symptoms.

What treatments are available for erectile dysfunction?

Treatment of erectile dysfunction will be determined by the underlying cause. Many men can be successfully treated with medications, injection therapy, vacuum devices, or penile prostheses. Lifestyle changes like losing excess weight or limiting drug and alcohol consumption may also work. When stress, anxiety or other psychological issues are at play, counseling can help. Anatomical issues including scar tissue may require surgery to correct. Some men will benefit from multiple approaches, and each treatment plan will be carefully developed based on the individual patient's needs.