It refers to the inability of a male to maintain erection consistently and repeatedly. It’s a common problem and is reported that it impacts around 18-30 million men. It exerts considerable effects on the quality of life. Most of the time 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 comprises cylinder-shaped chambers called corpora cavernosa which runs along the length of the penis. They comprise arteries which bring the blood to the penis and veins which take the blood away from the penis. When there’s 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 specialized muscle tissue situated in the penis which compresses the veins and reduces the outflow of blood from the penis thereby helping to maintain erection.
This is clear 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 result in erectile dysfunction.
Causes of Erectile Dysfunction
The general public consider it as a psychological problem. Nonetheless it shouldn’t be the case. Although psychological factors are involved within the causation of ED however mostly we do have any undermendacity 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 embrace atherosclerosis, high blood pressure and increased ranges of cholesterols.
Males suffering from diabetes mellitus often experience erectile dysfunction in the course of life particularly when they haven’t got an optimum sugar control. The erectile dysfunction associated with diabetes is attributed to damage to blood vessels as well as nerves.
3. Neurologic Disorder
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 include conditions resembling Stroke Multiple sclerosis and Alzheimer’s disease.
4. Way of life
There are some lifestyle decisions which can increase the risk of erectile dysfunction. They embody smoking, drinking and drug abuse. The do so by interfering with the blood provide of the penis.
Trauma to the blood vessels and nerve supplying the penis may also cause erectile dysfunction. The importance of trauma as a cause of erectile dysfunction has been implicated in individuals who have been driving bicycle for longer period 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 particular medication that can cause erectile dysfunction. They embrace medicines used to decrease blood pressure and likewise some antidepressant. The irony is depression and high blood pressure are among the causes of erectile dysfunction and the medication you are utilizing to treat these conditions additionally cause erectile dysfunction. This is why it is vital for you to talk to you doctor if you’re on any medications and you start having problems with the erection.
7. Surgical procedure
Mostly older folks above the age of fifty have problems with erection. This is the age when folks also current with enlargement of the prostate and even with prostate cancer. They require surgical procedures for these conditions and through surgical procedure the nerves supplying the penis is likely to be damaged leading to erectile dysfunction.
Psychiatric Conditions Leading To ED
The brain is involved in achieving erection as well as pleasure and excitement related with intercourse so any problem that interferes with functioning of brain can cause ED. Psychiatric conditions are responsible for only about 10-15%of the cases of ED. They embrace
• Low-self esteem
How one can Deal with Erectile Dysfunction?
1. Lifestyle adjustments
There are certain life model modifications which will help within the improvement of sexual function. They embody cessation of smoking, exercise and weight loss.
There’s this well-known drug called sildenafil which is well known as Viagra. It isn’t the only drug, quite there’s a whole class of drugs called phosphodiestrase inhibitors. The other necessary drugs included in this group are Vardenafil ( Levita, Stxyn), Tadalafil (Cialis) and Avanafil (Stendra)
3. Vacuum Pumps
They’re specialised units containing a cylinder and a pump. The penis is positioned within the cylinder and pump is used to draw the air out of the pump making a cylinder. This increases the blood flow to the penis. So as to preserve the erection an elastic band is worn across the base of penis.
If the erectile dysfunction is because of blockage of the artery supplying the penis especially in younger patients we can surgically restore that blood flow. The opposite things we will do surgically is place an implant in there. This implant is crammed with the pressurized fluid every time erection is required.
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