Erectile Function

The penis is an erectile organ made up largely of spongy tissue: in some situations, this tissue becomes engorged with blood and the penis increases in size and becomes rigid. This process is called an erection and is associated with sexual arousal for most people with a penis. During sleep, the penis usually becomes erect and then flaccid again a few times. This behavior is completely normal and associated with good vascular health. ### Erectile Dysfunction Erectile dysfunction or "impotence" is the lack of ability of the penis to become erect (hard), even in presence of sexual arousal. Though usually caused by cardio-vascular issues or hormonal imbalances, it may sometimes also be caused by anxiety, stress, trauma, medication, STD's (sexual transmitted dieses), or old age. The removal of the prostate (e.g: due to cancer) may also cause the penis to function differently. There are some medications that induce erections by increasing the blood flow to the groin, however you should not take them without seeing a doctor or pharmacist, since they may increase the risk of stroke or heart attack, especially in older people. Erectile dysfunction does not always prevent orgasm and ejaculation. Nor does erectile dysfunction prevent sexual interest and desire. For those with erectile dysfunction, chronic or acute, changing the focus of their sexual experience from erection and penetration can often help with accepting and normalizing the situation. Acute bouts of erectile dysfunction are extremely common, and should not be seen as being 'broken' or 'any less a man'. Nor does the lack of an erection automatically indicate a lack of desire. Open communication about what to do, as well as reassurance that the person is still desirable, is incredibly important if a night is interrupted by a bout.