Erectile Dysfunction: Causes And Remedy

Erectile Dysfunction: Causes And Remedy

"Erectile dysfunction is defined as inability to maintain an erection adequate for sexual intercourse. This is a dysfunction that impacts millions of men world wide in several ways and with varying causes."

What's it?

Erectile dysfunction is a medical time period 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 very important understand that it can occur even with want and orgasm (ejaculation) present.

Erectile dysfunction (ED) impacts about thirds of men over 50 years of age, representing 10 to 20 million Brazilians.

Most men, in some unspecified time in the future of their lives, have skilled episodes of erectile dysfunction, normally as a consequence of tiredness, stress or alcohol abuse. Occasional failures shouldn't be overrated. Nonetheless, if the problem persists, a urologist needs to be sought.


The capacity of erection is just one of a number of facets of male sexual function. The sexual response cycle has 4 levels of man foremost desire, erection, orgasm and relaxation. Every can change different.

The causes of ED are divided into organic, psychogenic and mixed, will be found with mixed factors. Organic problems similar to diabetes, cancer, arteriosclerosis and neurological accidents can typically lead to psychological problems, for example. It can be secondary, and appear as the first manifestation of assorted issues resembling hypertension, diabetes, cardiovascular disease and renal failure.

ED of psychological origin may be manifested in varied ways, or delayed ejaculation, painful ejaculation and even impotence. There may additionally be loss of libido (sexual want), lack of orgasm and phobias (fears) intercourse, all for anxiety, depression or guilt. A person who has an unpleasant expertise, reminiscent of lack of erection to have intercourse or ejaculate very early, tends to the subsequent relationship, bear in mind these "failures" and develop 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 abnormalities are less common. The neurogenic causes are diabetic neuropathy, a number of sclerosis, alcohol abuse, trauma, spinal wire and nerve damage by radical prostatectomy (surgical procedure to remove the prostate). For the reason that causes are hormonal hipoandrogenismo main or secondary (disorders of male hormones).

The ED can also happen, for use and abuse of drugs like marijuana, alcohol, heroin, cocaine, barbiturates, antidepressants.

Problems associated

The DE has a number of risk factors as advanced age, diabetes, hypertension, peripheral vascular ailments; neurological diseases, endocrine problems, spinal wire injuries, radical pelvic surgical procedure, radiation therapy, alcoholism, smoking, marijuana use and / or cocaine; use of antihypertensives, tranquilizers and psychotropic substances; relationship problems with partner, stress, nervousness and worry of failure, depression, obsessive-compulsive personality, sexual deviation.


The goals of the initial evaluation of the patient are to find out the probable cause of ED and identify organic or psychological factors that will influence the associated therapeutic.

A detailed medical interview is crucial factor in evaluating patients with this problem. The history should establish the duration, progression and severity of ED and related factors.

After you have recognized a problem within the affected person's sexual performance, the subsequent step is to differentiate it from different sexual problems such as loss of libido and ejaculatory disorders.

Physical examination is to evaluate the patient's health, with particular attention to the cardiovascular, neurological and genitourinary, due to its contribution to the erection. The neurological analysis should embrace a perception of their patient's anxiousness or depression. Since the assessment of genital herpes is directed to detection of local irregularities.

Some are primary laboratory tests to determine issues that may end up in ED.


In cases of psychogenic DE, psychotherapy is indicated. A number of factors needs to be evaluated by the urologist and if attainable, by an skilled in psychology or psychiatry. Factors similar to physical, psychiatric, psychological, conflicted relationship with the partner and sexual inadequacy ought to be addressed to the couple.

Penile injections have been the first environment friendly and goal, with little or no side effects, with significant improvement of erection, even in severe OF and organic. They were the main complication, painful erections. Additionally had the disadvantage of limiting the time limitation of erections and frequency of application (3 times per week). This method tends to be abandoned with the advancement of technology.

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