It refers to the inability of a male to sustain erection persistently and repeatedly. It is a frequent problem and is reported that it affects around 18-30 million men. It exerts considerable effects on the quality of life. More often than not persons are reluctant to talk about it to others even to doctors. This is why it is vital to address this problem openly.
What are the mechanics of erectile dysfunction?
The penis incorporates cylinder-formed chambers called corpora cavernosa which runs alongside the length of the penis. They comprise arteries which deliver the blood to the penis and veins which take the blood away from the penis. When there is sexual stimulation either physically or mentally our brain sends a message to the nerves within the penis to cause the comfort of the penile arteries. This will increase the blood flow to the penis making it stiff and hard, thus achieving erection.There is simultaneous contraction of specialised muscular tissues positioned in the penis which compresses the veins and reduces the outflow of blood from the penis thereby helping to sustain erection.
This is obvious now that anything that interferes with the either nerve impulses wherever from the brain down to the penis or anything that limits the blood flow to the penis can lead to erectile dysfunction.
Causes of Erectile Dysfunction
The general public consider it as a psychological problem. Nonetheless it will not be the case. Though psychological factors are involved in the causation of ED but largely we do have any underlying physical cause of ED.
Physical Conditions Leading To ED
1. Vascular diseases
We understand that it is the elevated blood flow to the penis that helps us achieve erection. Thus any vascular ailments which impair the blood flow to the penis will make it troublesome to get erection. They embody atherosclerosis, high blood pressure and elevated ranges of cholesterols.
Males suffering from diabetes mellitus usually experience erectile dysfunction throughout life particularly when they do not have an optimum sugar control. The erectile dysfunction related with diabetes is attributed to damage to blood vessels as well as nerves.
3. Neurologic Dysfunction
For adequate erection we require proper functioning of our nerves as well as brain. This is why any dysfunction that interferes with the features of brain or nerves can cause erectile dysfunction. They embody conditions equivalent to Stroke A number of sclerosis and Alzheimer’s disease.
There are some lifestyle choices which can improve the risk of erectile dysfunction. They include smoking, drinking and drug abuse. The do so by interfering with the blood supply of the penis.
Trauma to the blood vessels and nerve supplying the penis can also cause erectile dysfunction. The importance of trauma as a cause of erectile dysfunction has been implicated in people who have been riding bicycle for longer interval of times. This is because bicycle seat can put constant pressure on the vessels and nerves supplying the penis thereby damaging them and leading to erectile dysfunction.
There are specific drugs that can cause erectile dysfunction. They embody medicines used to decrease blood pressure and likewise some antidepressant. The irony is depression and high blood pressure are a few of the causes of erectile dysfunction and the drugs you might be using to deal with these conditions additionally cause erectile dysfunction. This is why it is vital for you to talk to you physician in case you are on any medicines and also you start having problems with the erection.
7. Surgical procedure
Principally older folks above the age of fifty have problems with erection. This is the age when folks also present with enlargement of the prostate and even with prostate cancer. They require surgical procedures for these conditions and during surgery the nerves supplying the penis may be damaged resulting in erectile dysfunction.
Psychiatric Conditions Leading To ED
The brain is involved in achieving erection as well as pleasure and excitement related with sex so any problem that interferes with functioning of brain can cause ED. Psychiatric conditions are answerable for only about 10-15percentof the cases of ED. They embody
• Low-self worth
How one can Treat Erectile Dysfunction?
1. Lifestyle adjustments
There are particular life type modifications which may also help in the improvement of sexual function. They embody cessation of smoking, train and weight loss.
There is this famous drug called sildenafil which is well known as Viagra. It is not the only drug, quite there is a complete class of drugs called phosphodiestrase inhibitors. The opposite important drugs included in this group are Vardenafil ( Levita, Stxyn), Tadalafil (Cialis) and Avanafil (Stendra)
3. Vacuum Pumps
They’re specialized devices containing a cylinder and a pump. The penis is placed in the cylinder and pump is used to draw the air out of the pump making a cylinder. This will increase the blood flow to the penis. In order to maintain the erection an elastic band is worn around the base of penis.
If the erectile dysfunction is due to blockage of the artery supplying the penis particularly in youthful patients we can surgically restore that blood flow. The other things we are able to do surgically is place an implant in there. This implant is filled with the pressurized fluid every time erection is required.
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