Erectile dysfunction impotence

What Is Erectile Dysfunction (ED)?

Erectile dysfunction (ED) occurs when a man constantly struggles to maintain and maintain an erection. Without treatment, ED can make sex difficult. This problem is reported by one in five men and this number increases with age.

Erectile dysfunction (ED) is the inability to achieve or maintain erectile dysfunction sufficient to allow you to have sexual intercourse. It is sometimes called impotence, although the term is used less frequently now.

Random ED is not uncommon. Many men experience it under stress. However, often ED can be a sign of a health problem that requires treatment. It can also be a sign of emotional or relationship difficulties that you may need to seek help from a professional.

How common is erectile dysfunction?

About one in ten adult men will experience ED in the long term.

Many men sometimes experience erections for a variety of reasons, including B. from too much alcohol, stress, relationship problems, or fatigue.

The absence of an erection in less than 20% of cases is not uncommon and usually does not require treatment. If an erection does not occur by more than 50%, there is usually a problem, and treatment is needed.

ED should not be a part of aging. While it is true that some older men may need more stimulation, they can still get erections and enjoy intimate relationships.

Conditions that Can Cause ED

ED can be caused by one of several conditions that affect blood flow and nerve function. If your medical problem is causing ED, that means there are treatment options available.

Diabetes

Diabetes can damage nerves, blood vessels, and muscles, and cause problems such as pain, numbness, or loss of sensation in the arms and legs.12 This problem can also lead to ED problems because nerve signals and blood flow are needed for an erection. As men age, ED problems are even more common in diabetes

Finding the Right Treatment Option

Most cases of ED are treatable, and oral medication is often the first step. However, this drug has been shown to be less effective in men with diabetes and may require a wider range of treatment options.

What it means for you

If you have diabetes with ED, talk to your doctor or diabetes teacher about the treatment options that are most suitable for you.

Heart Disease

Did you know that in nearly 70 percent of cases, erectile dysfunction precedes coronary artery disease?

ED can be an early warning sign of heart problems

In coronary artery disease, plaque buildup in the arteries can limit the amount of blood that can flow through them. If this hardening of the arteries reduces or blocks the flow of oxygenated blood to the heart muscle, it can lead to angina (chest pain) or a heart attack. 17 Because the arteries that supply blood to the penis are much smaller than those that supply blood to the penis. eating the heart, the problem may appear earlier than erectile dysfunction

ED is common in patients with cardiovascular disease (CVD). Sexual problems usually precede the onset of CVD and should therefore be seen as a risk factor for cardiac events. Likewise, people with a history of CVD are at a higher risk of developing ED. Therefore, ED and CVD can be viewed as two distinct clinical manifestations of the same systemic disease.

In one study that followed men for an average of six years, those with ED were:

What it means for you​​​​​​​​

If you have ED, it is a good idea to talk to your doctor about the potential risk of cardiovascular disease. And if you are already taking certain medications such as nitrates for the heart or alpha-blockers to control blood pressure, your doctor will discuss whether ED drugs are right for you or other more appropriate options.​​​

Prostate Cancer

Prostate cancer alone is not considered a cause of ED, but radiation therapy, hormone therapy, and surgery to remove the entire prostate can make it difficult or maintain an erection. Sometimes the erectile dysfunction associated with prostate cancer treatment is temporary, but many boys have persistent difficulties that need other means of coping.

Your ability to orgasm has nothing to do with your prostate, although men who have had a radical prostatectomy will experience dry orgasms without ejaculating. As long as you have normal skin sensation, you should be able to reach orgasm with the right sexual stimulation. This means that ED treatment should allow you to continue a normal and healthy sex life.

Kidney Disease

Hormones, blood flow, and parts of your nervous system must all work together to achieve and maintain a healthy erection. However, kidney disease can affect all of the above.

Who is at risk for erectile dysfunction?

ED is a symptom associated with many health problems, such as

  • Prostate problems
  • Type 2 diabetes
  • Testicles do not produce hormones as they should (hypogonadism)
  • High blood pressure
  • Vascular disease and vascular surgery
  • Heart disease or heart failure
  • High cholesterol
  • Low HDL (High-Density Lipoprotein) levels
  • Nervous system disorders
  • The curvature of the penis (Peyronie’s disease)
  • Depression, stress, or anxiety
  • Drink alcohol
  • relationship problems
  • Many diseases are long term (chronic), especially kidney failure and dialysis

How is erectile dysfunction diagnosed?

Diagnosing ED can include:

  • Health review and sexual history. This can reveal the conditions that cause ED. It can also help your doctor differentiate between erection, ejaculation, orgasm, or sexual desire problems.
  • Physical examination. How to look for big problems such as:
  • Nervous system problems. This may be related to if your penis doesn’t respond to certain touches as expected.
  • Secondary sexual characteristics. Things like hair patterns can indicate hormonal problems affecting the endocrine system.
  • Unusual features of the penis itself. They may indicate a cause for ED.
  • Laboratory test. This may include blood tests, urine tests, cholesterol tests, and measurements of creatinine and liver enzymes. If low sexual desire is a symptom, a blood testosterone test can show problems with the endocrine system.
  • Psychosocial exams. This is done in order to find out the psychological factors that can affect your performance. Your sexual partner can also be interviewed.

How is erectile dysfunction treated?

Treatment Options for Erectile Dysfunction

As you review your treatment options, make sure you and your doctor consider all options. You may wish to see a prosthetic urologist. These doctors specialize in the treatment of erectile dysfunction and urinary incontinence. They can be an excellent source of information about the risks and benefits of treatment.

  • Physical Therapy

Working with a physical therapist can help you find out if Kegel exercises can help relieve your erectile dysfunction. You can also practice bowling on your own. Find out more on our website.

  • Oral Medications

There are a number of prescription drugs that can increase blood flow to the penis. The drugs commonly used are Viagra, Cialis, and Levitra. When combined with sexual stimulation, this can lead to an erection. This remedy is not for everyone. They can affect other medicines you take and affect your health.

  • Injections

Injection therapy uses a syringe to inject drugs directly into the base or side of the penis. The drug causes blood to flow to the penis and creates an erection. See the image at the bottom left.

  • Vacuum Erection Devices

A plastic cylinder is placed on the penis and a pump (manual or battery) creates a vacuum suction inside the cylinder, injecting blood into the penis to create an erection. Tension bands are placed at the base of the penis to help maintain an erection. See the picture above center.

  • Intraurethral Suppositories

An applicator containing a small medicinal pellet or suppository is inserted and inserted into the urethra through an opening at the tip of the penis. Pellets are about the size of a grain of rice and dissolve to increase blood flow to the penis and produce an erection. See the picture at the top right.

Best Solutions for Erectile Dysfunction

Simply put, erectile dysfunction is the inability of a man to have or maintain an erection. Nearly 30 million men in the United States are diagnosed with erectile dysfunction. And although this is a fairly common health problem for men, especially men aged 65 and over, surprisingly, erectile dysfunction is not a normal part of aging. Nearly everyone has a performance failure from time to time, but most men are reluctant to discuss it themselves with their urologist.

Identifying the cause of erectile dysfunction is the first step in diagnosis and treatment. The good news is that there are several different remedies that can treat and treat erectile dysfunction. Here are some causes of erectile dysfunction and solutions to overcome them.

  1. Low testosterone

According to one in three men with erectile dysfunction, testosterone has low levels. Testosterone is mainly produced in the testes and is a hormone that feeds male sexual desire. When testosterone levels are low, it can affect a man’s sexual prowess. If you are diagnosed with low testosterone, your doctor may prescribe testosterone therapy, which may include injections or medications, as well as lifestyle changes such as a better diet or an improved exercise program.

2. traumatic brain injury

The brain controls everything. When the brain is injured, those messages cannot be sent properly to other parts of the body. The penis is no different. Traumatic brain injuries, as well as injuries to the spine and nervous system, often affect a man’s ability to achieve or maintain an erection. In these cases, your doctor may recommend treatment, but he or she may also recommend visits to a therapist or other mental health professional if the trauma has caused depression or feelings of inadequacy that make it less effective.

3. Pelvic trauma

Trauma to the pelvic area or penis has the same consequences as if the blood supply is cut off or nerves are damaged. Erectile dysfunction, which occurs as a result of trauma to the pelvis or perineum, can be treated by revascularization. This is, in a sense, the surgical strategy doctors use to place new blood vessels around existing blockages to restore the necessary blood flow.

4. Blood vessel disease

Vascular disease decreases blood flow to the organs, including the genitals. In 50 to 70 percent of men with erectile dysfunction, poor circulation or vascular disease is the main cause. The treatments available for vascular disease can be effective in relieving erectile dysfunction. Your doctor will diagnose the condition and then prescribe treatment, which may include medications to control blood flow. Other lifestyle changes may also be suggested by a health care professional. For example, smoking has a negative impact and can lead to erectile dysfunction.