What is erectile dysfunction (ED)?
Erectile dysfunction is defined as a persistent inability to achieve or maintain sufficient erectile dysfunction in satisfying sexual function.
A Massachusetts Male Aging Study surveyed 1,709 men aged 40-70 between 1987 and 1989 and found that there was a complete spread of erectile dysfunction by 52 percent.
It was estimated that in 1995, more than 152 million men worldwide developed ED.
By 2025, the prevalence of ED is estimated to be 322 million worldwide.
In the past, erectile dysfunction was often believed to be the result of psychological problems.
It is now well-known that, for many men, erectile dysfunction is a result of physical problems, often associated with the presence of blood from the penis.
What are the risk factors for erectile dysfunction?
According to the NIH, erectile dysfunction is also a symptom of many disorders and disorders.
Specific risk factors for erectile dysfunction may include the following:
- Prostate Problems
- Type 2 diabetes
- Hypogonadism in conjunction with many endocrinologic conditions
- Hypertension (hypertension)
- Vascular disease and vascular surgery
- High blood cholesterol levels
- Low levels of HDL (high-density lipoprotein)
- Chronic sleep disorders (obstructive sleep apnea, insomnia)
- Neurogenic disorders
- Peyronie’s disease (twisting or bending of the penis)
- Priapism (inflammation of the penis)
- Alcohol use
- Lack of sexual awareness
- Sexual harassment is wrong
- Adequate relationships between people
- Many chronic diseases, especially kidney failure and dialysis
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- erectile dysfunction and prostate cancer
- mental impotence
Smoking, which exacerbates the effects of other risk factors, such as vascular disease or high blood pressure
Accurate identification of risk factors and segmentation is important in preventing or treating erectile dysfunction.
What are the different types (and causes) of ED?
The following are some of the different types and possible causes of erectile dysfunction:
Organic Erectile Dysfunction
Organic ED involves dysfunction of the arteries, veins, or both and is a very common cause of ED, especially in older men.
The manageable risks of arteriosclerosis – obesity, lack of exercise, high cholesterol, high blood pressure, and smoking – can cause erectile dysfunction often before it progresses to the heart.
Diabetes. Erectile Dysfunction is common in people with diabetes.
An estimated 10.9 million U.S. older men have diabetes, and 35 to 50 percent of these men are overweight. This process involves premature and severe narrowing of the blood vessels.
Peripheral neuropathy, with the involvement of the nerves that control inflammation, is more common in people with diabetes.
Neurologic complications. There are many neurological causes (emotional problems) of ED. Diabetes, chronic alcoholism, multiple sclerosis, heavy metal poisoning, spinal and nerve injuries, and nerve damage as a result of pelvic surgery can cause erectile dysfunction.
Drug-induced ED. A wide variety of prescription drugs, such as blood pressure medications, antidepressants, glaucoma eye drops, and cancer treatment agents are just some of the many ED-related medications.
Hormone-induced ED. Hormonal abnormalities, such as an increase in prolactin (a hormone produced by the anterior pituitary gland), steroid abuse by bodybuilders, too much thyroid hormone, and prostate-derived hormones can cause ED.
Low testosterone can contribute to ED but is rarely the only factor responsible for ED.
Premature Ejaculation (PE)
- Frequent or almost regular sperm ejaculation before or within one minute of vaginal penetration.
- Inability to delay ejaculation in all or almost every penetration of the vagina; and, adverse personal effects, such as depression, anxiety, frustration, and/or the avoidance of sexual intimacy.
Premature ejaculation is divided into lifelong stages and acquired:
- Early ejaculation for life. With the onset of premature ejaculation, the patient has experienced premature ejaculation since the onset of coitus.
- Premature ejaculation. With the detection of premature ejaculation, the patient previously had successful intercourse and now only performed premature ejaculation.
- Performance anxiety. Occupational anxiety is a form of psychogenic ED, often caused by depression.
How is ED diagnosed?
Diagnostic procedures for ED may include the following:
- Patient’s medical or sexual history. This may reveal situations or illnesses that lead to exhaustion and help to distinguish between the problems of arousal, arousal, orgasm, or sexual desire.
- Physical examination. To look for evidence of system problems, such as the following:
- A problem with the nervous system may be involved if the penis does not respond as expected to a particular touch.
- Secondary sex factors, such as hair patterns, can indicate hormonal problems, including the endocrine system.
- Abnormal features of the penis itself can raise the basis of impotence.
Laboratory tests. These may include blood counts, urine analysis, lipid profile, and levels of creatinine and liver enzymes.
What is the treatment for ED?
- Your age, lifetime, and medical history
- The severity of the disease
- Your tolerance of certain medications, procedures, or treatments
- Expectations in the course of the disease
- Your opinion or interests
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Some of the treatments available for ED include:
Sildenafil. This drug is most effective when taken on an empty stomach and most men can get urine 30 to 60 minutes after taking the medicine. Sexual stimulation is necessary for sildenafil citrate to be the most effective.
Vardenafil. This drug has the same chemical structure as sildenafil citrate and works similarly.
Tadalafil. Studies have shown that tadalafil citrate stays in the body longer than other drugs in its class. Most men who take these drugs find that the suspension occurs between 4 to 5 hours after taking the pill (slightly absorbed) and the effects of the drug may last 24 to 36 hours.
The FDA recommends that men take standard precautions before taking ED medication.
Men taking nitrate-containing drugs, such as nitroglycerin, should NOT use these drugs.
Taking nitrates with one of these drugs can significantly lower blood pressure.
In addition, men taking tadalafil or vardenafil should use alpha-blockers with caution and only as directed by their doctor, as they can cause hypotension (unusually low blood pressure).
Experts recommend that men have a complete medical history and physical examination for the cause of ED.
Men should tell their doctor about all the medications they are taking, including over-the-counter medications.
Hormone replacement therapy
Testosterone replacement therapy may improve strength, mood, and bone density, increase muscle mass and weight and increase sexual interest in older men who may have low testosterone levels.
Replacement therapy is available as a cream or gel, topical solution, skin patch, injection form, and pellet form placed under the skin.
Two types of implants are used to treat ED, including:
- Inflatable Penile Prosthesis (3-piece hydraulic pump).
Two pumps and cylinders are inserted into the penis drying chambers, causing ejaculation by releasing a saline solution; it can even remove the penis spray.
- Penile Prosthesis is slightly stronger.
Two slightly stronger but more flexible rods are inserted into the erection chambers, which allows for exploitation in a straight or indirect position.
Infection is the most common cause of penile implant failure and occurs in less than 2 percent of the time.
How do couples deal with ED?
Erectile dysfunction can cause difficulties for a couple.
Most of the time, men will avoid sexual situations because of the emotional pain associated with ED, which makes their partner feel rejected or unworthy.
It is important to communicate openly with your partner.
Some couples consider seeking ED treatment together, while other men choose to seek treatment without the knowledge of their partners.
Lack of communication is a major barrier to seeking treatment and may increase the suffering.
Erectile dysfunction can have a profound effect on a man.
Feeling ashamed of sexual health problems may prevent many men from seeking the medical help they need, which may delay the diagnosis and treatment of more serious conditions.
What is erectile dysfunction (ED)?
Erectile Dysfunction (ED) is the inability to detect or keep the erectile strong enough to have sex. It is sometimes called impotence, although the term is now rarely used.
Occasionally ED is uncommon. Many men go through periods of depression.
Frequent ED, however, can be a sign of health problems that need treatment.
It can also be a sign of emotional or relationship problems that need to be addressed professionally.
What causes pride?
ED can occur due to problems at any stage of the suspension process. Inflammation is the result of increased blood flow to your penis. Blood flow is often aroused by sexual thoughts or direct contact with your penis.
When a man is sexually aroused, the muscles in the penis loosen. This allows blood to increase in the penile arteries, filling two chambers inside the penis. As the chambers fill with blood, the penis tightens.
It only stops when the muscles contract and the accumulated blood can flow out of the arteries.
Erectile Dysfunction Problems
There are many possible causes of ED, and they can include both emotional and physical conditions. Common causes include:
- heart disease
- hypertension, or high blood pressure
- high cholesterol
- low testosterone levels or other hormone imbalances
- kidney disease
- extended years
- relationship problems
- certain prescription drugs, such as those used to treat high blood pressure or depression
- sleep disturbances
- drug use
- heavy drinking
- using tobacco products
- certain health conditions, such as Parkinson’s disease or multiple sclerosis (MS)
- injury to the pelvic area by injury or surgery
- Peyronie’s disease, which causes the growth of red tissue in the penis
- UTI and erectile dysfunction
- kidney disease and erectile dysfunction
That’s why it’s important to work with your doctor, so they can rule out or treat any of the underlying medical conditions.