What is Erectile
Dysfunction? It is common and in most cases, can be treated. Erectile
Dysfunction can define as the inability to achieve and maintain an
erection sufficient for Satisfactory Sexual activity. You would know that
erectile dysfunction is a relatively common condition that affects men of all
ages. However, more than 85% of men with Erectile Dysfunction don't seek
treatment. It is not a disease, but a symptom of another problem, which might
be physical, psychological, or a mixture of both.
How common is it?
Erectile
Dysfunction is Very Common. An Australian survey showed that at least one in
five men over the age of 40 has an e*ection problem, and about one in ten men
is unable to have erections.
How Erection Work:
During physical
arousal, nerves release chemicals that increase blood flow into the penis. Blood
flows into two erection chambers in the penis, made of wet muscle tissue. The
corpus cavernosum chambers are not hollow. During an e r e c t i o n, the
spongy tissues relax and trap blood. The blood capillaries in the penis relax
and open up, leaving the blood to fill them. Blood trapped under high pressure
generates an e r e c t i o n. Ejaculation is a reflex action managed by the
central nervous system.
Why Does Erectile Dysfunction Happen?
A decrease in blood flow to the p e n i s — from
narrowing blood vessels — is often the cause of ED in older men. When erectile
dysfunction happens, there might be several contributing issues, and it's
usually a combination of physical and psychological cause. Sometimes, there's
no apparent reason for erectile dysfunction.
When you aren't sexually excited, the p e n i s is soft
and limp. Men may notice that the size of the penis varies with warmth, cold,
or worry; this is general and indicates the balance of blood coming into
leaving the penis.
Physical Causes include:
· Vasculogenic Situations – An including disease of the heart or cardiovascular disease (CVD), high
blood pressure, raised cholesterol, and diabetes.
· Neurogenic Situations – An including various sclerosis, Parkinson's disease, stroke, diabetes,
and spinal injury.
· Hormonal Conditions (which affect the hormones) – An including overactive thyroid gland, an
underactive thyroid gland, hypogonadism (low testosterone level), Cushing's
syndrome (high cortisol level), a head or brain injury recently in the past and
subarachnoid hemorrhage or radiation to the head (these may cause hormonal
changes, particularly a low testosterone)
· Anatomical
conditions – An including Peyronie's disease.
· Surgery and
radiation therapy for bladder, prostate or rectal cancer
· Injury to the
penis
· Side effect of
directed medications
· Recreational
medicine use
· Excessive
alcohol consumption
Erectile
Dysfunction is also more likely to occur in people who smoke, are overweight,
or are not active enough.
If atherosclerosis
is the cause of your ED, this narrowing is likely to impress other blood
vessels in the body as well, including the arteries that supply blood to the
heart. That means ED can an early warning sign of future heart problems,
appearing some 3-5 years before a heart complaint. You may, therefore, be able
to prevent a next heart problem from happening if you see your doctor for
treatment soon after your Erectile Dysfunction starts (see our factsheet'
Erectile Dysfunction and the heart').
Psychological Causes:
A Psychological
cause of Erectile Dysfunction is
more likely if:
· Your erection is
great, except for your partner.
· You are
suffering stress and anxiety from work or home (family or money).
· There are
marital rows and dissatisfaction (which may also cause premature ejaculation
problems).
· You are
depressed
· Failure once is
followed by fear of subsequent failure
· Your partner has
Physical Problems.
· You are bored
sexually.
· You are
concerned about your sexual orientation.
· You have
suffered previous sexual abuse.
What are the Symptoms of Erectile Dysfunction?
The main symptom of
(ED)
is the inability to get and maintain an erection for satisfying intercourse. Or
it can mean you cannot get an erection consistently, or can only get brief
erections. There are three Symptoms of Erectile Dysfunction.
· Inability to get
an erection:
· Failure to keeping
an erection
· Reduced
Sexual Desire
If Erectile Dysfunction
is affect a man's well-being or his relationships, it should be treated. Treatment
aims to fix or enlarge erectile function, help circulatory health, and help the
quality of a man's life.
How is Erectile Dysfunction Diagnosed?
Diagnosis
of ED may include:
· Review of health and sexual history: This may reveal
conditions that lead to Erectile Dysfunction. It can also help your healthcare
provider tell the difference between problems with erection, ejaculation,
orgasm, or sexual drive.
·
Physical exam to look for a main problem, such as:
- A problem in the nervous system: This may
be involved if your penis does not respond as expected to specific
touching.
- Secondary sex features: Things such as
hair pattern can point to hormone problems, which involve the endocrine
system.
- Unusual features of the penis itself: These
could suggest the cause of Erectile Dysfunction (ED).
·
Lab tests: These can include blood counts, urine tests,
cholesterol tests, and measurements of creatinine and liver enzymes. When low
sexual desire is a feature, checking testosterone in the blood can show
problems with the endocrine system.
·
Penile ultrasound: This is used to scale the blood flow in the penis.
·
Psychosocial exam: That is done to help find psychological causes that
may be affecting your performance. They may also interview your sexual partner.
· Other Tests: Inquiries are often used by health
specialists to rate your ability to initiate and keep erections, gauge your
satisfaction with sex, and help identify any problems with orgasm.
What Treatments are there?
Usually, there
won't be one special treatment that helps. For some men, there is a reversible
underlying cause that can be treated. For others, the erectile dysfunction
problem can't be cured, but it can be managed.
Some of the ED Treatments
that may be used include:
Oral Drugs (PDE5 inhibitors): Drugs or Medicine are
known as phosphodiesterase type 5 (PDE5) inhibitors that enhance penile blood
flow. These are the only oral agents established in the U.S. by the Food and
Drug Administration for the treatment of Erectile Dysfunction. In England, four
phosphodiesterase (PDE-5) inhibitors are available for treating erectile
dysfunction. They are:
- Sildenafil
Citrate: Sold Under the Brand name Generic
Viagra
- Tadalafil: Sold
Under the Brand name Cialis
- Vardenafil:
Sold Under the Brand Levitra
- Avanafil: Sold
Under the Brand Stendra
Sildenafil (Fildena
Tablets), Vardenafil, and Avanafil Work for about 6-8 hours, and they
are designed to work 'on demand.' Tadalafil (Cialis) lasts for up to 36 hours.
And it's Also Called "Weekend
Pills." These medications are triggered by sexual stimulation, so you
also need to be aroused for it to work.
Lifestyle Changes: Erectile
dysfunction can often be developed by making changes to your lifestyle, such
as: Losing Weight, Stop Smoking, cutting back your alcohol consumption, not
taking illegal drugs, exercising regularly, reducing stress.
Psychotherapy: This may be used to help reduction the
stress and anxiety that may be linked to sex.
Vacuum devices: These
can be applied to create an e r e c t i o n by using a partial vacuum to draw
blood into the penis. Then an elastic ring is put on the base of the penis to
keep the blood there during penis.
Testosterone
therapy. This may enhance energy, mood, and increase physical interest in
older men who have low testosterone. It is not informed of men who
have normal testosterone levels for their age. That is because there is a risk
of prostate enhancement and other side effects.
Penile implants: These
can be surgically placed if other medicines do not work. The types of implants
used to treat Erectile Dysfunction include:
- Inflatable
implants: A pump is put in the scrotum, and two
cylinders are placed in the erection chambers of the p*nis. The pump gait
a saline solution into the cylinders to cause an erection. It also removes
the solution to deflate the penis.
- Semi
Rigid (Rod)
implants: Two Semi Rigid (Rod) but bendable rods are placed in
the erection chambers of the penis. This lets the man bend his penis into
an erect or no erect position.
Key points about Erectile Dysfunction:
·
Erectile Dysfunction (Sexual Dysfunction) or impotence means you can't get an erection. It
can also mean you are not happy with the size or hardness of erections or how
prolonged erections last.
·
Organic reason are usually the result of an underlying medical condition
affecting the blood vessels or nerves supplying the penis.
· There are many various types and
causes of Erectile Dysfunction. Mental health problems, physical, psychological
problems, certain diseases, and health situations, certain prescription
medicines, and lifestyle choices have all been linked to Erectile Dysfunction.
· Numerous prescription medications, recreational
drugs, alcohol, and smoking can all factor ED.
· Erectile Dysfunction can be a strain on a couple,
and many times the man's partner is involved in the diagnosis and treatment of
Sexual Dysfunction (Impotence).
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