It refers to the inability of a male to maintain erection constantly and repeatedly. It’s a frequent 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 persons are reluctant to talk about it to others even to doctors. This is why it is essential to address this problem openly.
What are the mechanics of erectile dysfunction?
The penis contains two cylinder-shaped chambers called corpora cavernosa which runs along the size of the penis. They include arteries which convey 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 relaxation of the penile arteries. This will increase the blood flow to the penis making it stiff and hard, thus achieving erection.There’s simultaneous contraction of specialised muscle mass located in the penis which compresses the veins and reduces the outflow of blood from the penis thereby helping to maintain 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
Most people consider it as a psychological problem. Nonetheless it shouldn’t be the case. Although psychological factors are concerned in the causation of ED however mostly we do have any underlying physical cause of ED.
Physical Conditions Leading To ED
1. Vascular ailments
We understand that it is the increased blood flow to the penis that helps us achieve erection. Thus any vascular illnesses which impair the blood flow to the penis will make it tough to get erection. They include atherosclerosis, high blood pressure and increased levels of cholesterols.
Males suffering from diabetes mellitus normally expertise erectile dysfunction in the course of life particularly after 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 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 embrace conditions comparable to Stroke Multiple sclerosis and Alzheimer’s disease.
4. Way of life
There are some life-style choices which can enhance the risk of erectile dysfunction. They include 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 may also cause erectile dysfunction. The significance of trauma as a cause of erectile dysfunction has been implicated in individuals who have been driving 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 particular medicine that can cause erectile dysfunction. They include medications 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 medicine you are using to treat 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 drugs and also you start having problems with the erection.
Mostly older individuals 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 surgeries for these conditions and during surgical procedure the nerves supplying the penis could be damaged resulting in erectile dysfunction.
Psychiatric Conditions Leading To ED
The brain is concerned 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 responsible for only about 10-15%of the cases of ED. They embrace
The way to Treat Erectile Dysfunction?
1. Lifestyle changes
There are particular life style modifications which may help in the improvement of sexual function. They embrace cessation of smoking, exercise and weight loss.
There’s this well-known drug called sildenafil which is well known as Viagra. It is not the only drug, fairly there’s a entire class of drugs called phosphodiestrase inhibitors. The opposite essential medications included in this group are Vardenafil ( Levita, Stxyn), Tadalafil (Cialis) and Avanafil (Stendra)
3. Vacuum Pumps
They are specialised gadgets containing a cylinder and a pump. The penis is positioned in 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 a view to keep the erection an elastic band is worn across the base of penis.
4. Surgical procedure
If the erectile dysfunction is due to blockage of the artery supplying the penis particularly 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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