Erectile Dysfunction
It refers back to the inability of a male to sustain erection persistently and repeatedly. It is a widespread problem and is reported that it affects around 18-30 million men. It exerts considerable effects on the quality of life. More often than not people are reluctant to talk about it to others even to doctors. This is why it is vital 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 length of the penis. They contain 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 relief of the penile arteries. This increases the blood flow to the penis making it stiff and hard, thus achieving erection.There is simultaneous contraction of specialized muscle tissues situated within the penis which compresses the veins and reduces the outflow of blood from the penis thereby serving to to sustain erection.
This is obvious 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 people consider it as a psychological problem. Nevertheless it is just not the case. Though psychological factors are involved in 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 elevated blood flow to the penis that helps us achieve erection. Thus any vascular diseases which impair the blood flow to the penis will make it tough to get erection. They include atherosclerosis, high blood pressure and elevated levels of cholesterols.
2. Diabetes
Males affected by diabetes mellitus often expertise erectile dysfunction during life particularly after they do not have an optimum sugar control. The erectile dysfunction associated 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 dysfunction that interferes with the features of brain or nerves can cause erectile dysfunction. They embrace conditions similar to Stroke Multiple sclerosis and Alzheimer’s disease.
4. Lifestyle
There are some life-style decisions which can increase the risk of erectile dysfunction. They include smoking, drinking and drug abuse. The achieve this by interfering with the blood supply of the penis.
5. Trauma
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 people who have been driving bicycle for longer period of times. This is because bicycle seat can put fixed pressure on the vessels and nerves supplying the penis thereby damaging them and leading to erectile dysfunction.
6. Drugs
There are particular drugs that may cause erectile dysfunction. They embrace drugs used to lower blood pressure and also some antidepressant. The irony is depression and high blood pressure are a number of the causes of erectile dysfunction and the medication you are 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 drugs and also you start having problems with the erection.
7. Surgical procedure
Mostly 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 surgical procedures for these conditions and during surgery the nerves supplying the penis may 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 responsible for only about 10-15%of the cases of ED. They embody
• Stress
• Anxiety
• Depression
• Low-self esteem
How one can Deal with Erectile Dysfunction?
1. Way of life adjustments
There are particular life style modifications which may also help in the improvement of sexual function. They include cessation of smoking, exercise and weight loss.
2. Medications
There is this famous drug called sildenafil which is well known as Viagra. It isn’t the only drug, fairly there is a whole class of drugs called phosphodiestrase inhibitors. The other necessary medications included in this group are Vardenafil ( Levita, Stxyn), Tadalafil (Cialis) and Avanafil (Stendra)
3. Vacuum Pumps
They’re specialized units containing a cylinder and a pump. The penis is placed 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. As a way to maintain the erection an elastic band is worn across the base of penis.
4. Surgery
If the erectile dysfunction is due to blockage of the artery supplying the penis particularly in younger patients we will surgically restore that blood flow. The other things we are able to 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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