About Erectile Dysfunction
Erectile dysfunction is defined as the inability to have an erection. A man with Erectile Dysfunction (ED) has trouble getting or keeping an erection. A guy can’t start or stop intercourse because of this problem. The term “impotence” is used to describe this condition. As we age, we’re more likely to suffer Erectile Dysfunction (ED).
Erectile Dysfunction (ED) does not have to be a part of becoming older. The older a guy grows, the more stimulation he needs to obtain an erection (such as stroking and caressing). His erection cycle may also be lengthened because of this. An erection and pleasure should still be possible for older guys.
- Erectile Dysfunction may be diagnosed
- Observation of the patient’s behavior
- Depression screening
- Menstrual hormones
An evaluation is warranted if a patient has a history of alcohol or drug abuse (including prescription medications and over-the-counter remedies), surgery or trauma to the pelvis, or a family history of these conditions. Sexual relationship satisfaction should be assessed, including an assessment of partner interaction and the sexual dysfunction of the partner (e.g., vulvovaginal atrophy, dyspareunia, depression).
Depression may not always be visible, so getting checked out is essential. If you’re looking for a simple way to measure depression, the Beck Depression Scale or the Yesavage Geriatric Depression Scale (see the table Geriatric Depression Scale (Short Form)) may be applicable.
The emphasis of the evaluation is on symptoms of hormonal, neurological, and vascular problems in the genitalia and extragenital. Symptoms of hypogonadism, fibrous bands or plaques (Peyronie’s disease), and the genitalia are screened for abnormalities. Neurologic dysfunction may be indicated by poor rectal tone, diminished perineal sensation, or aberrant bulbocavernosus reflexes. Reduced pulses in the extremities are an indication of vascular dysfunction.
It is reasonable to consider a psychological etiology in young, healthy men who experience a rapid onset of Erectile Dysfunction (ED), mainly when it happens only in certain settings or is linked to a specific emotional incident. A history of ED with a spontaneous recovery also shows a psychological etiology for the condition (psychogenic ED). Men with psychogenic Erectile Dysfunction (ED) or biological ED are not uncommon to have typical nighttime and early morning erections.
Causes that are based on the physical world
Eight out of every ten occurrences of Erectile Dysfunction are the result of a physical problem. ED may be caused by a variety of factors, including:
The penis receives less blood flow. ED in men over 40 is almost always caused by this. The arteries that carry blood to the penis may get obstructed, just as in other body regions. A constriction of the streets may be caused by several circumstances. Toxins in the body may be caused by age, high blood pressure, and excessive cholesterol.
Nerve injury. These include multiple sclerosis (MS), stroke, Parkinson’s disease (PD), and others.
Physical causes of Erectile Dysfunction
Erectile Dysfunction is often caused by a physical issue.
One common reason is:
- Heart disease
- Clogged blood vessels (atherosclerosis)
- High cholesterol
- High blood pressure
- Metabolic syndrome
- Parkinson’s disease
- Multiple sclerosis
- Certain prescription medications
- Tobacco use
- Peyronie’s disease
- Alcoholism and other forms of substance abuse
- Sleep disorders
- Treatments for prostate cancer or enlarged prostate
- Surgeries or injuries that affect the pelvic area or spinal cord
- Low testosterone
Maintaining good health and healthy lifestyle choices are the most significant ways to avoid Erectile Dysfunction. For instance:
- Manage your diabetes, heart disease, or other chronic health concerns by working with your doctor.
- Get frequent checkups and medical screenings from your physician.
- Stop smoking, restrict or avoid drinking, and avoid using illicit substances.
- Maintaining a regular exercise regimen is essential for overall health.
- Reduce your stress levels.
- Get support for mental health issues, including anxiety and sadness.
Diabetes can harm blood vessels and nerves
The hormones are to blame. For instance, a testosterone deficiency is a hormone produced in the testicles (testicles). This is out of the ordinary. However, a prior brain injury is one reason for testosterone deficit worth emphasizing. The pituitary gland in your brain may occasionally be affected by a condition in your skull. The testicles create testosterone in response to a hormone produced by the pituitary gland. As a result, even if it may not seem like it, a past head injury might lead to ED. Libido and mood swings may also be signs of low testosterone.
Damage to the nerves that supply the penis. For instance, a spinal injury after surgery on neighboring tissues, a pelvic fracture, genital irradiation, etc. One of the unwanted effects of some drugs. Beta-blockers such as propranolol, cimetidine, and other “water pills” (diuretics) are among the most often prescribed medications. This condition may be caused by many other less well-known drugs.
Drug and alcohol misuse
Cycling. Long-distance cycling may cause Erectile Dysfunction. Sitting in the saddle for an extended period puts pressure on the nerves leading to the penis, which is most likely to blame. After driving, nerve function may be compromised as a result. Excessive venous blood loss from the penis (venous leakage). Many different penile problems may lead to this.
In most situations, for physical reasons (apart from accident or surgery), ED develops gradually. The problem of Erectile Dysfunction might worsen with time, even if it’s just sporadic or partial. You’ll likely still have a normal sex desire if you’re suffering from ED because of a physical reason. Low self-esteem, anxiety, and sadness are side effects of ED. When people have negative responses to ED, it might exacerbate the condition.
Following medicines are best for ED Treatment
What is the treatment for Erectile Dysfunction?
Treatment options for Erectile Dysfunction include:
- Medicines are used orally
- Sex therapy is the practice of treating a person sexually
- Injections of the penis
- Vacuum systems
- Intraurethral drugs
- Aesthetic Procedures (penile implant)
All have their advantages and disadvantages. Your doctor can help you determine the best course of action. The first treatment step is finding the root cause of an Erectile Dysfunction. Then, the proper therapy may be started. A man may restore normal sexual function through various non-surgical and surgical procedures.