Nearly 50 percent of men between the age of 40 to 70 years are affected by erectile dysfunction (ED). Multiple factors can be at the root of ED such as heart disease disease, increased belly fat or recent prostate cancer surgery. Low testosterone levels may also be present, especially in obese or diabetic men. Finally, psychological performance anxiety can also play a significant role as men report guilt, shame, frustration, and anxiety related to inability to perform.
ED is often a precursor to the nation’s leading cause of death in men, cardiovascular disease (stroke or heart attack). Since ED usually occurs three to five years prior to cardiovascular disease, recognizing risk factors is crucial in addressing potential heart disease in men with ED. Men are often anxious to raise their ED to health care providers. They are embarrassed and fearful of invasive medical evaluations. Initially, a thorough history and physical exam is performed, in addition to laboratory testing. At ZestED, our care coordinators will incorporate a complete cardio-metabolic workup.
Treatment involves addressing the cause of ED. A plan of care may include referrals to other disciplines such as psychological services, physical therapy, or weight loss management. Treatment results can vary from person to person. Individuals benefit most when they’re committed to lifestyle changes in conjunction with oral pharmacological therapies. Oral therapies may be effective in up to 70 percent of men treated. Efficacy may improve when the couple is involved in treatment. Lifestyle studies related to ED continue to emerge emphasizing the importance of diet, exercise, and quality sleep, and excellent management of comorbid disease state. Here at ZestED, our Care Coordinators will help to develop an individualized plan of care to suit your needs. ZestED also offers nutritional grades supplements which may be used in conjunction with our therapies.
ALEXANDRA REGO, RN
CLINICAL CARE COORDINATOR
Ali is a nurse with a diverse skill set and tremendous experience in both homecare and men’s health issues. She has worked at the Men’s Health Clinic at The Miriam Hospital, where she has helped men better understand the causes and treatment alternatives for low Testosterone and ED.