Depression and Erectile DysfunctionDepression And Erectile Dysfunction
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MEN, DEPRESSION AND ERECTILE DYSFUNCTION Depression is a serious but treatable medical condition that can strike anyone regardless of age, ethnic background, socioeconomic status, or gender. However, depression may go unrecognized by those who have it, their families and friends, and even their physicians.
Men, in particular, may be unlikely to admit depressive symptoms and seek help. Depression and erectile dysfunction are not topics men are open to freely discussing. But depression and erectile dysfunction in men, and the frustration it brings, is not uncommon. In the United States every year, depressive illnesses affect an estimated 7 percent of men (more than six million males). Depression comes in different forms. Three main depressive disorders are: * Major Depressive Disorder * Dysthymic Disorder * Bipolar Disorder (manic - depressive illness)
Not everyone with a depressive disorder experiences every symptom. The number and severity of symptoms may vary among individuals and over time.
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SYMPTOMS OF DEPRESSION INCLUDE: * Persistent sad, anxious, or "empty" mood * Feelings of hopelessness, pessimism * Feelings of guilt, worthlessness, helplessness * Loss of interest or pleasure in sex * Decreased energy, fatigue, being "slowed down" * Loss of interest or pleasure in hobbies and activities that were once enjoyed * Difficulty concentrating, remembering, making decisions * Appetite and/or weight changes * Thoughts of death or suicide, or suicide attempts * Restlessness, irritability
* Persistent physical symptoms, such as headaches, digestive disorders, and chronic pain, which do not respond to routine treatment
Research and clinical findings reveal that while both men and women can develop the standard symptoms of depression, they often experience depression differently and may have different ways of coping.
Men may be more willing to report fatigue, irritability, loss of interest in work or hobbies, and sleep disturbances rather than feelings of sadness, worthlessness, and excessive guilt. Men are less likely than women to cry, may keep their feelings hidden, but they may become more easily angered and aggressive.
Some researchers question whether the standard definition of depression and the diagnostic tests based on it adequately capture the condition as it occurs in men. Men are more likely to report alcohol and drug abuse or dependence in their lifetime; however, there is debate among researchers as to whether substance use is a "symptom" of underlying depression in men, or a co-occuring condition that more commonly develops in men. Nevertheless, substance abuse can mask depression, making it harder to recognize depression as a separate illness that needs treatment. Instead of acknowledging their feelings, asking for help, or seeking appropriate treatment, men may turn to alcohol or street drugs when they are depressed, or become frustrated, discouraged, angry, irritable and, sometimes violently abusive. Some men may deal with depression by throwing themselves compulsively into their work, attempting to hide their depression from themselves, family and friends; other men may respond by engaging in reckless behavior, taking risks, and putting themselves in harms way. Four times as many men as women die by suicide in the U.S, even though women make more suicide attempts during their lives. In light of research indicating that suicide is often associated with depression, the alarming suicide rate among men may reflect the fact that men are less likely to seek treatment for depression. Many men with depression and erectile dysfunction do not obtain adequate diagnosis and treatment, which may be life saving.
More research is needed to understand all aspects of depression and erectile dysfunction in men, including how men respond to stress and feelings associated with depression, how to make them more comfortable acknowledging these feelings and getting the help they need, and how to train physicians to better recognize and treat depression in men. Family members, friends, and employee assistance professionals in the workplace also can play important roles in recognizing depressive symptoms in men and helping them to get treatment.
DEPRESSION AND ERECTILE DYSFUNCTION: PROBLEMS IN RELATIONSHIPS It is not uncommon that if the man does not confide his own anxieties or explain his bouts of depression and erectile dysfunction to his partner, she may feel rejected, resentful, or even guilty. This can result in tension and anger and a breakdown in communication between the couple.
Such negative feelings , may increase the man's inability to achieve or maintain an erection. Counseling for depression and erectile dysfunction can be of help and should be considered both for each partner individually and as a couple. SEEK HELP FOR DEPRESSION If you are having symptoms of depression and erectile dysfunction or know someone who is, seek help. There are several places in most communities where people with depressive disorders can be diagnosed and treated.
Help is available from family doctors, mental health specialists in mental health clinics or private clinics, and from other health professionals. A variety of treatments, including medications, and short term psychotherapies (i.e., "talking" therapies), have proven effective for depressive disorders: more than 80 percent of people with a depressive illness improve with treatment. Not only can treatment lessen the severity of depression, but it may also reduce the duration of the episode and may help prevent additional bouts of depression.
Once the depression and the erectile dysfunction which often accompanies it, has been explained and treatment begun, stress will be reduced and coping mechanisms more effective.
SIDE EFFECTS OF NEWER ANTI DEPRESSANT MEDICATIONS AFFECTING SEXUAL PERFORMANCE Before starting a new medication, ask the doctor to tell you about side effects you may experience. Antidepressants may cause mild and, usually temporary side effects in some people. Typically, these are annoying but not serious. However, any unusual reactions or side effects, or those that interfere with functioning, should be reported to the doctor immediately.
If there are side effects regarding sexual problems, consult with your doctor if the problem is persistent or worrisome. Although depression itself can lower libido (sexual drive), and impair sexual performance, SSRI's and some other medicinal antidepressants can provoke sexual dysfunction.
These side effects can affect more than half of adults taking SSRI's. In men, common problems include reduced sexual drive, erectile dysfunction, and delayed ejaculation. For some men, dosage reductions or acquired tolerance to the medication reduce sexual dysfunction symptoms. HELP IS AVAILABLE Remember, depression and erectile dysfunction are treatable. Be honest with yourself and your partner and seek the help of a health care professional.
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