What is erectile dysfunction and how to treat it
About erectile dysfunction Erectile Dysfunction (ED). Symptoms and Causes (ED) is said if a man regularly experiences difficulties in his sex life. This includes three components in any combination:
- an erection does not occur at all;
- an erection occurs, but it is impossible to keep it;
- neither the erection itself, nor the sexual desire ( libido ) in a man at all. He just “doesn't feel like it” - even in the most seemingly romantic and exciting conditions.
According to statistics, certain problems with erection there is Erectile Dysfunction (ED) every third man is over 30 years old and every second man is over 50.
Earlier, erectile dysfunction was called impotence (from Latin impotense - "impotence"). But today the doctorsavoid Everything You Need to Know About Erectile Dysfunction (ED) use the “powerless” term because it is too categorical, carries an offensive connotation and does not quite correspond to the problem.
Impotence is permanent "impotence", while in men with ED, erectile dysfunction can either increase or almost disappear, depending on many factors.
How does an erection appear
Erection is a complex process in which involved Normal male sexual function: emphasis on orgasm and ejaculation brain, hormones, nerve fibers, muscles, blood vessels.
Having received a signal of sexual stimulation (due to physical caress, observation of a woman's body, fantasies about sex), the brain increases the production of a number of hormones: oxytocin, dopamine, norepinephrine, testosterone . The changed hormonal background provides blood flow and triggers the transmission of nerve impulses to the genitals. The vas deferens begins to contract, pumping sperm from the epididymis, where they are stored, and directing them to the penis. The penis hardens. At the same time, muscle contraction begins at the base of the penis and it rises. This is how an erection occurs.
The slightest disruption at any stage of this process can lead to erectile dysfunction.
A couple of decades ago, men's failures in the intimate sphere were preferred to be blamed on "nerves" - work and family problems, fatigue, stress, loss of interest in a partner . But today, scientists believe that only one in every five cases of ED is associated with psychology. Erectile dysfunction in 80% of patientscaused by Psychogenic Impotence - an overview | ScienceDirect Topics physical factors - certain diseases or injuries.
What are the psychological causes of erectile dysfunction
They are Erectile Dysfunction (ED) can cause ED on its own or exacerbate potency problems due to physical factors.
1. Problems in a relationship with a partner
An erection begins in the brain. If this organ of a man for some reason ceases to perceive a particular woman as an exciting object, the erection mechanism will not be triggered.
Nervous tension sometimes interferes Can Stress and Anxiety Cause Erectile Dysfunction? the brain correctly transmit signals to the genitals. This means that the penis will not be able to fill with blood or rise.
3. Anxiety, self-doubt
Strong feelings (“Won't they see us?”, “What if I can't do it?”, “Is there really such a girl - and with me ?!”) affect the transmission of nerve impulses as negatively as stress.
Anxiety, low self-esteem, and guilt that accompanies depression are in themselves detrimental to erection. In addition, men in this condition are more likely than women to loseinterest Depression Basics to the once favorite activity - sex as well.
Even more unfortunate, antidepressants also are able Depression and Sexual Health suppress libido, slow down the process of arousal and orgasm.
5. Bad habits
In particular, smoking. What is written on cigarette packages is true. Smoking reallyenhances Is the Relationship Between Cigarette Smoking and Male Erectile Dysfunction Independent of Cardiovascular Disease? Findings from a Population ‑ Based Cross ‑ Sectional Study risk of erectile dysfunction.
Doctors also look askance at alcohol abuse. However, the data here are not so unambiguous. In some cases, alcohol reallymakes it difficult Later that night: descending alcohol intoxication and men's sexual arousal an erection. But not necessarily.
The point is that alcohol renders Alcohol consumption and erectile dysfunction: meta ‑ analysis of population ‑ based studies contradictory action. On the one hand, strong drinks depress the nervous system, that is, they make it difficult for the transmission of signals from the brain to the genitals. On the other hand, they liberate, remove some physiological brakes and thereby increase sexual desire.
How bad alcohol abuse will affect your particular sexual function depends on many factors. For example, how old are you, whether you smoke, whether you are overweight. But, given that alcohol by itself will not improve your health, it is better not to overdo it with it.
What are the physical causes of erectile dysfunction
We are talking about diseases or disorders that are associated with disturbances in the functioning of the brain, hormonal disruptions, the circulatory system or the transmission of nerve impulses. Here are some commonexamples Erectile Dysfunction (ED). Symptoms and Causes ...
1. Excess weight
Obese men have lower levels testosterone Lowered testosterone in male obesity: mechanisms, morbidity and management ... And it affects both libido and erection. In addition, obesity can cause hypertension and hardening of the arteries, which reduces blood flow to the penis.
And a blurry, overweight body is a common cause of low self-esteem. You already know what it threatens.
Approximately 30% of men suffering from high blood pressure ,complain New insights into hypertension-associated erectile dysfunction for erectile dysfunction.
And here there is a vicious circle: problems with potency can be caused by both hypertension and the drugs that treat it.
3. High cholesterol
"Bad" cholesterol is deposited on the walls of the blood channels and creates fatty plaques on them. They constrict the lumen of blood vessels, impair blood circulation and, in particular, interfere with the supply of blood to the penis. It is difficult to get a stable strong erection under such conditions.
4. Diseases of the cardiovascular system
Any failures in the work of the heart and blood vessels disrupt the mechanism of erection.
5. Diabetes mellitus
Blood sugar spikes damage Erectile dysfunction and diabetes: Take control today nerves and blood vessels. With predictable consequences for an erection.
The fact that diabetes mellitus is often declines Hypogonadism (Low Testosterone) testosterone levels.
6. Sleep disorders
Sleep is an essential biological process necessary for both physical and mental health. When we don't get enough sleep , the bodyviolated Sleep, Sleep Disorders, and Sexual Dysfunction physiological processes. For example, testosterone production worsens and muscle reflexes decrease - including in the bulbocavernosus muscle, which is responsible for lifting the penis during erection. The outcome is predictable.
Insomnia, obstructive sleep apnea, restless legs syndrome, and other sleep disorders are closely associated with the development of erectile dysfunction.
7. Multiple sclerosis
Multiple sclerosis is a disease in which nerve fibers scattered throughout the brain and spinal cord are damaged (hence the name "diffuse"). Signals from the brain to organs, tissues and back begin to pass with a hitch, which affects health, performance and potency.
8. Spinal cord injury
Erectile dysfunction can be the result of a fall or a hard blow to the back or pelvis.
How to treat erectile dysfunction
It depends on what is causing the problem. Therefore, the first step is to go to a therapist. The doctor will conduct an examination, check your nerve and muscle reflexes, ask in detail about your lifestyle and psychological state, offer to take blood and urine tests and, possibly, do an ultrasound of the penis (this is necessary to detect problems with blood flow).
It may turn out that your situation is caused exclusively by the wrong way of life. In this case, the therapistadvise Erectile Dysfunction (ED). Diagnosis and Treatment exercise and will tell you what and how to adjust in nutrition.
If the cause of erectile dysfunction is deeper, you will get a referral to a specialist. It can be a urologist, endocrinologist, cardiologist, psychotherapist. Doctors can help you deal with the psychological and physical problems that lead to ED.
But in order to restore an erection, it is often not necessary to wait for the end of therapy. There are several ways to quickly get rid of the problem:
- Some medications are taken as pills or injections. The drugs improve blood circulation and the conduction of nerve signals.
- Hormone replacement therapy. This method is indicated if there is no erection due to insufficient production of some important hormone.
- Using vacuum pumps for the penis. These devices are a hollow tube with a manual or battery operated pump. The penis is inserted into the tube, then air is pumped out of it with the help of a pump. This creates a vacuum that literally draws blood into the penis. Then a tension ring is put on the base of the penis to keep the blood in and keep the penis firm. The receiver goes off and you are ready for action. Remember to remove the ring after intercourse.
- Falloprostheses. They are also penile implants, or penile implants. The surgeon will sew these devices on the sides of the penis. You can inflate them at the right time and thus ensure yourself an erection.
Your doctor will tell you which of these options will be most effective in your case.
How to prevent erectile dysfunction
It is impossible to guarantee that you will never face this trouble: unfortunately, no one is immune from the same multiple sclerosis or serious injuries. But it is quite possible to reduce the risks.
Medics repeat Erectile Dysfunction (ED) that the most effective way to prevent erectile dysfunction is a healthy lifestyle.
- Move more. It strengthens the cardiovascular system.
- Stick to a healthy diet. Try to eat vegetables, fruits, cereals, meat, dairy products every day. And avoid foods that are high in saturated and trans fats, such as fast food or store baked goods.
- Monitor your weight. It is desirable that the body mass index ( BMI ) does not exceed 24.9.
- Give up bad habits. Try to quit smoking and limit your alcohol intake.
- Learn to control stress.
- Regularly undergo preventive examinations with a therapist and specialized specialists. This will help you catch high cholesterol levels or prediabetes in the early stages.
- Treat if necessary. Diagnosed diseases require therapy. Do not postpone it until later: every day it becomes more difficult to defeat the disease.