It refers to the inability of a male to maintain erection constantly and repeatedly. It is a common problem and is reported that it affects around 18-30 million men. It exerts considerable effects on the quality of life. Most of the time people are reluctant to talk about it to others even to doctors. This is why it is necessary to address this problem openly.
What are the mechanics of erectile dysfunction?
The penis accommodates two cylinder-shaped chambers called corpora cavernosa which runs alongside the size 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 situated in the penis which compresses the veins and reduces the outflow of blood from the penis thereby serving to to sustain erection.
This is evident now that anything that interferes with the either nerve impulses anyplace 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
Most people consider it as a psychological problem. Nonetheless it just isn’t the case. Though psychological factors are involved within the causation of ED but mostly we do have any underlying physical cause of ED.
Physical Conditions Leading To ED
1. Vascular illnesses
We understand that it is the increased 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 tough to get erection. They embrace atherosclerosis, high blood pressure and elevated ranges of cholesterols.
Males affected by diabetes mellitus usually experience erectile dysfunction at some point of life particularly once they don’t 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 functions of brain or nerves can cause erectile dysfunction. They include conditions corresponding to Stroke A number of sclerosis and Alzheimer’s disease.
There are some way of life choices which can increase the risk of erectile dysfunction. They embrace smoking, drinking and drug abuse. The achieve this by interfering with the blood provide of the penis.
Trauma to the blood vessels and nerve supplying the penis also can cause erectile dysfunction. The significance of trauma as a cause of erectile dysfunction has been implicated in people who have been using 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 certain drugs that can cause erectile dysfunction. They embody drugs used to decrease blood pressure and also some antidepressant. The irony is depression and high blood pressure are a few of the causes of erectile dysfunction and the medication you’re using to deal with these conditions additionally cause erectile dysfunction. This is why it is necessary so that you can talk to you physician in case you are on any medicines and you start having problems with the erection.
7. Surgical procedure
Largely older people above the age of 50 have problems with erection. This is the age when individuals additionally present with enlargement of the prostate and even with prostate cancer. They require surgical procedures for these conditions and during surgical procedure the nerves supplying the penis could be damaged leading to erectile dysfunction.
Psychiatric Conditions Leading To ED
The brain is concerned 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 chargeable for only about 10-15%of the cases of ED. They embrace
• Low-self worth
The best way to Treat Erectile Dysfunction?
1. Life-style adjustments
There are particular life model adjustments which can help within the improvement of sexual function. They embody cessation of smoking, train and weight loss.
There’s this famous drug called sildenafil which is well known as Viagra. It is not the only drug, relatively there is 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 are 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 creating a cylinder. This will increase the blood flow to the penis. With the intention 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 especially in younger patients we are able to surgically restore that blood flow. The opposite things we can do surgically is place an implant in there. This implant is filled with the pressurized fluid at any time when erection is required.
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