It refers back to the inability of a male to sustain erection constantly and repeatedly. It is 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 necessary to address this problem openly.
What are the mechanics of erectile dysfunction?
The penis contains cylinder-shaped chambers called corpora cavernosa which runs along the size 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 is 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 increases the blood flow to the penis making it stiff and hard, thus achieving erection.There may be simultaneous contraction of specialized muscular tissues located within the penis which compresses the veins and reduces the outflow of blood from the penis thereby helping to sustain erection.
This is clear now that anything that interferes with the either nerve impulses anywhere 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 of the people consider it as a psychological problem. However it shouldn’t be the case. Though psychological factors are involved in the causation of ED however principally we do have any undermendacity physical cause of ED.
Physical Conditions Leading To ED
1. Vascular illnesses
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 difficult to get erection. They embody atherosclerosis, high blood pressure and elevated levels of cholesterols.
Males affected by diabetes mellitus often experience erectile dysfunction for the duration of life particularly once they haven’t got an optimum sugar control. The erectile dysfunction related 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 disorder that interferes with the features of brain or nerves can cause erectile dysfunction. They embody conditions reminiscent of Stroke A number of sclerosis and Alzheimer’s disease.
4. Way of life
There are some life-style decisions which can increase the risk of erectile dysfunction. They embody smoking, drinking and drug abuse. The accomplish that 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 using bicycle for longer interval of times. This is because bicycle seat can put fixed pressure on the vessels and nerves supplying the penis thereby damaging them and resulting in erectile dysfunction.
There are certain drugs that can cause erectile dysfunction. They embody medicines used to decrease blood pressure and also some antidepressant. The irony is depression and high blood pressure are among the causes of erectile dysfunction and the medication you are using to treat these conditions additionally cause erectile dysfunction. This is why it is necessary for you to talk to you doctor if you’re on any medications and also you start having problems with the erection.
Largely older folks above the age of 50 have problems with erection. This is the age when folks also present with enlargement of the prostate and even with prostate cancer. They require surgeries for these conditions and through surgery the nerves supplying the penis might be damaged leading to erectile dysfunction.
Psychiatric Conditions Leading To ED
The brain is concerned in achieving erection as well as pleasure and excitement associated with sex 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 include
• Low-self worth
How one can Treat Erectile Dysfunction?
1. Lifestyle adjustments
There are certain life type adjustments which might help in the improvement of sexual function. They embrace cessation of smoking, train and weight loss.
There’s this famous drug called sildenafil which is well known as Viagra. It isn’t the only drug, relatively there is a whole class of drugs called phosphodiestrase inhibitors. The other vital medicines included in this group are Vardenafil ( Levita, Stxyn), Tadalafil (Cialis) and Avanafil (Stendra)
3. Vacuum Pumps
They’re specialised 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 creating a cylinder. This will increase the blood flow to the penis. With the intention to preserve the erection an elastic band is worn around the base of penis.
If the erectile dysfunction is because of blockage of the artery supplying the penis especially in youthful patients we can surgically restore that blood flow. The other things we will 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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