Hello - thanks for asking your question.
There are several causes for erectile
dysfunctionBasal ganglia dysfunction
Carpal tunnel syndrome
Causes of sexual dysfunction
Chronic fatigue syndrome
Dysfunctional uterine bleeding (dub)
Ear barotrauma
Erection problems
Female sexual dysfunction
Femoral nerve dysfunction
Orgasmic dysfunction
Sciatica. Any type of
vascularArteriosclerosis of the extremities
Birthmarks - red
Dementia
Heart disease
Intravascular ultrasound
Mesenteric artery ischemia
Renovascular hypertension
Replantation of digits
Stroke
Tobacco and vascular disease
Vascular headaches disease or anatomical abnormality can cause a change in the character of the erection. Other things to consider would include
psychologicalChild neglect and psychological abuse stress or endocrine abnormalities.
One test to consider would include nocturnal penile tumescence testing which can determine between organic and "non-organic" (i.e. psychogenic) causes of erectile dysfunction.
Other studies to consider would be an ultrasound to examine the blood vessels to and from the penis. I would also measure the testosterone level.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.