20 May Erectile Dysfunction: Causes and Remedy
“Erectile dysfunction is defined as inability to maintain an erection sufficient for sexual intercourse. This is a disorder that affects millions of males around the globe in several ways and with varying causes.”
Erectile dysfunction is a medical term used to define the inability to get an erection with enough rigidity for penetration and / or keep it for a time frame adequate to the satisfaction of both partners throughout sex. It is important to understand that it can occur even with desire and orgasm (ejaculation) present.
Erectile dysfunction (ED) affects about thirds of men over 50 years of age, representing 10 to 20 million Brazilians.
Most males, at some point in their lives, have experienced episodes of erectile dysfunction, usually on account of tiredness, stress or alcohol abuse. Occasional failures should not be overrated. Nevertheless, if the problem persists, a urologist must be sought.
The capacity of erection is just one in all a number of facets of male sexual function. The sexual response cycle has 4 phases of man foremost want, erection, orgasm and relaxation. Every can change different.
The causes of ED are divided into organic, psychogenic and blended, can be found with combined factors. Organic problems similar to diabetes, cancer, arteriosclerosis and neurological accidents can often lead to psychological complications, for example. It can be secondary, and appear as the primary manifestation of assorted problems akin to hypertension, diabetes, cardiovascular illness and renal failure.
ED of psychological origin could be manifested in various ways, or delayed ejaculation, painful ejaculation and even impotence. There may be lack of libido (sexual need), lack of orgasm and phobias (fears) intercourse, all for anxiousness, depression or guilt. A person who has an disagreeable experience, similar to loss of erection to have sex or ejaculate very early, tends to the subsequent relationship, keep in mind these “failures” and turn into anxious. This provides a new fault, making a vicious circle.
Organic causes are subdivided in line with the etiology. The vasculogênicas are more prevalent, particularly the flow modifications, arteriosclerosis and trauma (resulting in injury to blood vessels).Venous flow irregularities are less common. The neurogenic causes are diabetic neuropathy, multiple sclerosis, alcohol abuse, trauma, spinal twine and nerve damage by radical prostatectomy (surgery to remove the prostate). Because the causes are hormonal hipoandrogenismo main or secondary (issues of male hormones).
The ED may also happen, for use and abuse of drugs like marijuana, alcohol, heroin, cocaine, barbiturates, antidepressants.
The DE has a number of risk factors as advanced age, diabetes, hypertension, peripheral vascular diseases; neurological diseases, endocrine problems, spinal wire accidents, radical pelvic surgery, radiation remedy, alcoholism, smoking, marijuana use and / or cocaine; use of antihypertensives, tranquilizers and psychotropic substances; relationship problems with partner, stress, anxiety and fear of failure, depression, obsessive-compulsive personality, sexual deviation.
The objectives of the initial evaluation of the patient are to determine the probable cause of ED and identify organic or psychological factors which will affect the related therapeutic.
An in depth medical interview is an important factor in evaluating patients with this problem. The history ought to establish the duration, progression and severity of ED and related factors.
After you have identified a problem within the patient’s sexual performance, the subsequent step is to differentiate it from different sexual problems reminiscent of lack of libido and ejaculatory disorders.
Physical examination is to evaluate the patient’s health, with particular consideration to the cardiovascular, neurological and genitourinary, as a consequence of its contribution to the erection. The neurological analysis should embrace a notion of their patient’s anxiousness or depression. Since the evaluation of genital herpes is directed to detection of native abnormalities.
Some are basic laboratory tests to identify issues that may end up in ED.
In cases of psychogenic DE, psychotherapy is indicated. Several factors ought to be evaluated by the urologist and if possible, by an knowledgeable in psychology or psychiatry. Factors equivalent to physical, psychiatric, psychological, conflicted relationship with the partner and sexual inadequacy ought to be addressed to the couple.
Penile injections have been the primary environment friendly and goal, with little or no side effects, with significant improvement of erection, even in extreme OF and organic. They have been the principle complication, painful erections. Also had the disadvantage of limiting the time limitation of erections and frequency of application (3 instances per week). This technique tends to be deserted with the advancement of technology.
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