Many people think that erectile dysfunction is impotence. If a man suffers from impotence, then he cannot perform sexual intercourse. Erectile dysfunction has a connection with problems in achieving an erection. During excitation, blood begins to flow to the penis. The arteries narrow, the male organ is in a state of ischemia. Blood begins to gather in so-called lacunae, which causes an erection.
What is erectile dysfunction?
For the emergence of an erection in the human body different mechanisms are responsible. A male penis consists of two different cavernous bodies and one spongy body. Each of them, individually, has its own circulatory system, not connected with each other. They are supplied with blood through their arteries, and then it flows off into separate veins. When there is sexual arousal, the arteries that feed blood are greatly dilated, and the veins are sharply narrowed. Because of this, a large amount of blood accumulates in the lacunas of the penis, there is a tension and an erection occurs. This state of blood vessels is stored throughout the excitement. For all this time to the tissues of the penis (excluding the skin), there are no new portions of blood, while they are in a specific state of ischemia.
The consequence of the multifactor effect is etiology, and the pathogenesis of erectile dysfunction itself. Any reasons that contribute to reducing the flow of blood to the cavernous bodies, or to an increase in its outflow may become factors in the occurrence of erectile disorders.
In the broadest sense ED is a chronic condition of the male body not only manifested in the inability to keep the penis in the erect condition, but also in the weakening of the sexual desire – libido. This disease can be caused by uncertainty, stressful conditions, as well as fear or discontent with oneself.
More than 10% of men complain of this type of disorder over the age of 21, and in the 40-70 age group, more than 50% suffer from this disease. Quite often, the causes are troubles or overwork at work, a variety of psychological problems or somatic diseases.
There are two degrees of erectile dysfunction:
The first one is characterized by the fact a man suffering from it has never, during his life, been able to complete sexual intercourse. This form of the disease is very rare. The most common one is the second type, in which, until some time, the man didn’t have any problems in sexual life but later, for some reason, he faced a problem of a weak erection.
Top-5 most common reasons of ED :
- 1) Problems with blood pressure and AGE;
- 2) Nervousness and anxiety;
- 3) Fatigue and lack of sleep;
- 4) Excess weight;
- 5) Depression
Types of erectile dysfunction
According to statistics, in 20% of cases the causes of erectile dysfunction are psychological factors, but otherwise pathology indicates serious internal diseases.
There are several types of erectile dysfunction, each of one is caused by certain factors, which contribute to its development:
Psychogenic: “Point” of pathology here is the low susceptibility of the cavernous tissue of the penis to the action of the neuromeditors of erection;
- Neurogenic: Injuries of the spinal column, diseases of the peripheral nerves, spinal cord and brain. Difficult passage of impulses to the cavernous body.
- Arteriogenic: atherosclerosis, vascular changes, injuries, smoking, high blood pressure, diabetes mellitus;
- Venous: cavernous tissue poorly fulfills its functions, Peyronie’s diseases, exhaustion;
- Hormonal: Most often, the cause is diabetes mellitus, which provokes changes in cavernous bodies, vessels;
- Cavernous insufficiency: Extra- and intracellular changes in cavernous bodies;
- Age: erectile dysfunction caused by some physiological changes in the body, systemic diseases, etc.
How to treat erectile dysfunction?
Before the treatment of erectile dysfunction, it is necessary to carefully analyze its causes and determine the methods of therapeutic therapy. For the treatment of psychogenic causes it is important to get a qualified consultation from a therapist and then use physiotherapy methods. Such a disease should be treated by a sexologist-psychiatrist, who specializes in such kinds of diseases. At the same time, methods are used that contribute to the psychological correction of disorders of this species. Psychological erectile dysfunction may be treated by a psychiatrist or sexologist as the task of psychotherapy is to remove the causes of fear, sexual tension or insecurity before the sexual act.
Methods of erectile dysfunction treatment depend on the causes of impotence. In vascular diseases the following methods are used:
- introduction of vasodilator drugs into cavernous tissue (not more often than once a week);
- local negative pressure – application of the pump to ensure blood flow to the penis.
Drugs that treat impotence improve the work of blood vessels, increase the tone of the entire body, increase blood pressure. These are: eleuterococcus, ginseng, golden root – all of them refer to the natural remedies. They help to improve the work of the whole organism.
You can use erectile dysfunction drugs to treat erectile dysfunction symptoms. Among the most popular there are Viagra, Cialis and Levitra. These pills are considered effective in 85% of cases. If problems arise with the production of the hormone testosterone, the doctor will prescribe hormone therapy to the patient. Testosterone should be taken only under the supervision of an endocrinologist. Prolactin inhibitors are also commonly referred to as hormonal therapy. If the patient suffers from psychogenic impotence, then sedatives will be effective.
Surgical intervention is one of the methods of ED treatment as well. Operations, the main purpose of which is the restoration of erection, are carried out with the following causes of impotence:
- vascular surgery on the penis (in case of vascular disruption);
- Falloprosthetics (appointed in the case of sclerosing cavernous bodies of the penis) with the help of rigid rods, elastic cylinders or joint.