What is Erectile Dysfunction?
A man is examined to have erectile dysfunction if he regularly finds it hard obtaining or retaining a firm sufficient erection to be able to have sex or if it obstructs other sexual activity.
However, severe men have occasionally felt some issue with their penis becoming hard or staying firm. However, erectile dysfunction is only examined as a concern if satisfactory sexual performance has been difficult on several occasions for some time.
Since the discovery that the drug sildenafil, or Viagra, influenced penile erections, severe people have become familiar that erectile dysfunction as a treatable medical situation. Men who have a problem with sexual execution may be reluctant to talk with their consultant, looking it can be an embarrassing disorder.
Symptoms
Men may not always successfully attain an erection, and if this rarely occurs, it is not examined as a medical problem. However, erectile dysfunction does not only refer to a full inability to attain an erect penis. Symptoms may also include struggling to manage an erection for long sufficient to full intercourse or an inability to ejaculate.
However, there are often also emotional signs, like embarrassment, shame, anxiety, and a decreased interest in sexual intercourse. A man is examined to have erectile dysfunction when these signs occur regularly.
Causes
Normal erectile dysfunction can be influenced by issues with any of the following systems:-
- Blood flow
- Nerve supply
- Hormones
Physical causes
However, it is always worth asking a physician about persistent erection issues, as it could be affected by a sensible medical situation. Whether the cause is simple or sensible, a proper diagnosis can support addressing any underlying medical problems and support resolves sexual difficulties.
However, the following list outlines severe of the most familiar physical or organic causes of ED:-
- Heart disease and narrowing of blood vessels
- Diabetes
- High blood pressure
- High cholesterol
- Obesity and metabolic syndrome
- Parkinson’s disease
- Multiple sclerosis
- Hormonal issues including thyroid situations and testosterone deficiency
- Structural or anatomical disorder of the penis like Peyronie disease
- Smoking, alcoholism, and substance abuse, such as cocaine use
- Treatments for prostate disease
- Surgical complications
- Some injuries in the pelvic area or spinal cord
- Radiation therapy to the pelvic region
Atherosclerosis is a familiar cause of blood flow problems. Atherosclerosis creates a narrowing or clogging of arteries in the penis, stopping the necessary blood pass to the penis to generate an erection.
Severe prescription medications can also create erectile dysfunction. Anyone using prescription medications should ask their consultant before removing or changing their medications:-
- Drugs to manage high blood pressure
- Heart medications like digoxin
- Some diuretics
- Drugs that respond on the central nervous system, such as some sleeping pills and amphetamines
- Anxiety treatments
- Antidepressants, such as monoamine oxidase inhibitors (MAOIs), selective serotonin reuptake inhibitors (SSRIs), and tricyclic antidepressants
- Some cancer drugs, such as chemotherapeutic agents
- Prostate treatment drugs
- Anticholinergics
- Hormone drugs
- The peptic ulcer medication cimetidine
Physical causes account for 90% of erectile dysfunction, with psychological causes severe less familiar.
Psychological causes
In rare cases, a man may always have had erectile dysfunction and may have attained an erection. However, this is known as primary erectile dysfunction, and the cause is more or less always psychological if there is no obvious anatomical deformity or physiological disorder. Such psychological factors may include:-
- Guilt
- Fear of intimacy
- Depression
- Severe anxiety
Severe cases of erectile dysfunction are ‘secondary.’ However, this means that erectile function has been normal. But becomes difficult. The causes of a new and persistent issue are normally physical.
Less familiarly, psychological factors cause or give to erectile dysfunction, with factors varying from treatable mental health illnesses to everyday emotional states that severe people feel at some time.
However, it is important to note that there can be a crossing between medical and psychosocial causes. For example, if a man is obese, blood flow changes can influence his ability to manage an erection, which is a physical cause. However, he may also have low self-esteem, which may influence erectile function and is a psychosocial cause.
Treatment
The good news is that there are severe treatment procedures for erectile dysfunction, and severe men will find a solution that works for them. Treatments may include:-
Drug treatments
Men can use a group of drugs known as PDE-5 (phosphodiesterase-5) inhibitors.
Severe of these pills are taken 30 to 60 minutes before sex, the better known being the blue-colored pill sildenafil (Viagra). Other procedures are:-
- Vardenafil (Levitra)
- Tadalafil (used as a once-daily pill called Cialis)
- Avanafil (Stendra)
PDE-5 inhibitors are only accessible for the prescription. A health consultant will examine for heart situations and ask about other medications being used before advising. Side-effects related to PDE-5 inhibitors include:-
- Flushing
- Visual abnormalities
- Haering loss
- Indigestion
- Headache
Less familiarly using drug options to include prostaglandin E1, which is appealing locally by either inserting it into the penis or injecting it down the unlocking of the urethra. However, severe men prefer a pill, so these locally acting drugs tend to be restraining for men who cannot take oral treatment.
