What Is Erectile Dysfunction? According to the planet Health Organization (WHO), the meaning of impotence or male sexual impotence corresponds to “persistent or recurrent inability to attain and maintain an erection sufficient for satisfactory sexual activity.”
Erectile dysfunction is taken into account primarily if it occurs right from primary sexuality. Male erecticle dysfunction is considered secondary if it arises in individuals who have previously had a useful erectile function. In turn, the lack of keeping up an erection can occur all told sexual relationships ( permanent impotence) or only manifest in certain conditions (for example, piecemeal of psychological stress or tiredness) or with individual sexual partners ( situational erectile dysfunction) ).
It is estimated that between 5 to twenty of men may have ED (approximately 13% in Portugal), a percentage that increases progressively with age, reaching 50 to 75% from 70 years old.
Erectile Dysfunction – Causes
There are multiple causes for the origin of impotence. In most men, the reason is especially multifactorial; several causal factors are present simultaneously.
The physiological mechanism for erection presupposes various organ systems’ right functioning, namely, the psychological, hormonal, vascular, and neurological systems. Thus the factors liable for disfunction are often divided into:
This is among the foremost common mechanisms of ED. the main frequent risk factors for avascular cause are: smoking, alcoholism, high force per unit area, diabetes, dyslipidemia (high cholesterol), obesity, among others.
ED of vasculogenic cause must be considered an early sign of cardiovascular / atherosclerotic disease, the most explanation for heart attacks and strokes. Some lesions or diseases of the penis can even condition impotency by altering the venous component of the penis: acquired curvature (Peyronie’s disease), trauma to the penis, or some sorts of penis surgery (see also the paragraph on neurogenic factors) are examples. More common. The rise within the prostate (benign prostatic hyperplasia – BPH) is also associated with changes in erectile function, and a few authors attribute this relationship only to progressive changes in aging. The presence of chronic inflammation of the prostate (chronic prostatitis) should be associated with some sexual function alterations, namely ejaculation.
Learn here what’s chronic prostatitis.
It is estimated that 10 to 19% of dysfunction cases are neurogenic in origin. Any disease that affects the brain, medulla spinalis, or nerves within the penis can cause the erection mechanism’s failure. Within these diseases and causes, the foremost frequent are stroke, Alzheimer’s, dementia, diabetes, spinal trauma (spine), or pelvic surgery like prostate surgery (eg, radical prostatectomy – when the prostate is completely removed) or surgery of the intestine (colorectal). Vasectomy (ligation of the channel bilaterally) isn’t usually associated with changes in erectile function.
The deficiency of androgens (testosterone) can translate into impotence and a decreased libido (sexual desire). Some relatively common diseases can cause androgen deficits like diabetes, obesity, and also metabolic syndrome. Less common are testicular injury from trauma, actinotherapy, or tumor.
Changes within the levels of other hormones can even cause male erecticle dysfunction like elevated prolactin (hyperprolactinemia) or thyroid hormones (hyper and hypothyroidism).
Psychogenic causes (also referred to as psychogenic/psychological impotence) account for 10 to twenty cases. These include depression, nervousness, anxiety, stress, and tiredness, or problems together with your partner.
The appearance of a psychological problem in a very patient with a minor physical cause can trigger the event of a severe ED, which until then had not been manifested.
Medicated / drug factors
Deficiency in erection function may be attributed to the side effects of medication or other substances. Among the foremost common are included:
Psychotropics: antidepressants, anti-psychotics, anxiolytics or anti-convulsants; antihypertensives: thiazide diuretics, beta-blockers (namely propranolol), aldosterone antagonists (spironolactone, etc.); Others: anti-androgens (namely medication employed in prostate cancer), tobacco (smoking cigarettes, etc.) or cannabinoids, opioids (therapeutic or recreational), alcohol, etc.
Erectile dysfunction and age
Erectile dysfunction in adolescents is sometimes because of only 1 factor. This could appear more frequently within the context of psychological problems, anatomical/vascular malformations, or hormonal problems. Within the previously healthy juvenile, with no traumatic history of the genital region, the foremost commonly identified causes are stress, fear of sexual performance, anxiety, or the coexistence of other sexual disorders like premature (or premature) ejaculation.
On the opposite hand, within the elderly, it’s more common the presence of several factors that contribute to the presence of male erecticle dysfunction, namely vascular, neurogenic, and drug causes. Kamagra Gold and Super Kamagra Beat your Erectile Dysfunction
The age is thus a risk factor for the onset of dysfunction, given the close dependence of this pathology of other diseases most often in advanced age like hypertension (high blood pressure), diabetes, dyslipidemia, dementia, etc.
Erectile dysfunction – symptoms
The most common signs and symptoms are:
Inability to get an erection with sufficient stiffness for penetration;
A short-lived erection that is, an erection of insufficient duration for satisfactory sexual intercourse;
Decrease within the number of spontaneous erections (night, morning).
These symptoms can appear all told or most sexual relations or only sporadically.
Some symptoms and signs could also be associated with the diseases underlying ED like the presence of a severe curve or plaque on the penis, high force per unit area, easy tiredness, angina (angora), lameness (pain within the legs shortly after getting down to walk), decreased physical attraction (libido), etc.
The presence of spontaneous nocturnal erections (during the night) or with self-stimulation generally indicates an honest functioning of the organic component of the erectile mechanism and probable failure of psychogenic origin (fear of not reaching the erection, stress, tiredness, etc.) .).
Diagnosis of impotence
The diagnosis and study of impotence are sometimes made by the urologist (specialist in urology).
The first and most significant step within the diagnosis of ED is that the correct collection of anamnesis exploring the onset of symptoms, the frequency, and occasions once they appear, the presence of spontaneous night or morning erections, the success of self-stimulation, etc..
The physical examination must be performed patients altogether, emphasizing the genitourinary, vascular, and neurological systems. Vital sign, peripheral pulses, evaluation of the prostate, size, and texture of the testicles, and abnormalities of the penis (eg, hypospadias – alteration of the urethral meatus; hard plaques on the body of the penis – Peyronie) should be assessed.
There are some laboratory tests which will be performed to review the various causes of ED, such as hormonal status assessment (testosterone, endocrine binding globulin, gonadotrophic hormone [LH], prolactin, thyroid hormones), cholesterol and diabetes evaluation (hemoglobin A 1c, lipid profile), urine analysis or specific functional tests (vasoactive test with prostaglandin, penile echocardiography, nocturnal penile tumescence test, neurological tests, angiographies, etc.)
The patient shouldn’t be afraid or ashamed to hunt the urologist, visible of the diagnosis, and, therefore, establish a treatment plan.
Complications of dysfunction
Erectile dysfunction will inevitably cause some anxiety or maybe states of depression, and it’s vital for patients to stay their relationship with their partner or spouse as regular as possible until an answer is found. The most recent and most varied therapeutic techniques can help over 90% of erection problems.
Most of the significant serious complications recorded in patients with male erecticle dysfunction are passionate about the underlying disease that led to a deficit in erectile function: hypertension, obesity, DM, or dyslipidemia are diseases predisposed to the looks of cardiovascular pathology like acute myocardial infarct or stroke.
Accurate stratification of cardiovascular risk and the promotion of general measures to scale back this risk are essential in ED patients.
Can male erecticle dysfunction be cured?
The treatment of dysfunction depends on the underlying problem. In other words, only after diagnosis by the doctor can a treatment plan be established, which can be found in line with the underlying causes.
Some causes respond better to pharmacological treatment; in turn, others are the seat of sexual psychotherapy. Thus, the probability of a definitive cure varies with the dysfunction’s severity, yet like the pathology (disease) underlying it.
New and varied therapeutic techniques are developed, allowing unravel over 90% of the issues associated with male sexual impotence.
Next, find out how to treat impotence.
Erectile Dysfunction – Treatment
All patients should be encouraged to practice healthy habits like regular physical exertion, weight loss, eating carefully, rich in vitamins and antioxidants, low fats, smoking, and alcoholic avoidance. The proper control of pressure, cholesterol, and glucose is crucial in patients tormented by these pathologies.
Many patients with sexual impotence even have cardiovascular disease; thus, the treatment of impotence must consider cardiovascular risks.
The most common treatments for impotency include:
Sexual counseling, if there are non-organic causes for the dysfunction;
Oral medications (or remedies):
Phosphodiesterase type 5 (PDE5) inhibitors – Vidalista 20
Hormone replacement therapy: in cases of hormonal deficit (testosterone in oral preparations – rarely used -, injectables, gels and transdermals;
Medicines applied locally (topical urethral prostaglandins);
Medicines for Penile Injection: recommended in refractory patients (without efficacy) or contraindication to topical or oral medication. Examples are intracavernous prostaglandins;
External vacuum and constriction devices;
Surgery (or operation), like penis prostheses.
The use of herbs, tea, or other natural products is often dangerous if not recommended by your doctor. Many of the products sold on the “black market” or websites are of very dubious origin and might seriously compromise your health and should even cause severe illness or perhaps death. The most straightforward treatment or home remedy is to change your lifestyle to boost your vascular function (for example, not smoking, taking care of your diet, maintaining your ideal weight, and exercising regularly).
Under no circumstances should the patient self-medicate. Otherwise, he may aggravate the matter and even put his own life in danger. You ought to take the medication described above or the other prescribed by the doctor, always by the medical prescription, and end the therapy only indicated.
It is never an excessive amount of to say that the various therapeutic techniques can help solve quite 90% of impotence cases. during this sense, the patient mustn’t be ashamed of seeking medical attention, to diagnose the matter and establish a treatment plan for his case.
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