Erectile dysfunction: symptoms, causes, methods of diagnosis and treatment

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USA

Erectile dysfunction – one of the most sensitive and complex problems that the doctors have met.

Although treatment for erectile dysfunction should have trained sexologists, everyone should have the idea of this ailment.

What is erectile dysfunction?

Erectile dysfunction is the inability to achieve and/or maintain a sufficient erection for sexual intercourse.

Because such “disorder” can happen for many reasons – through excessive alcohol consumption, severe physical or mental fatigue, etc., the individual disorders (up to 20 cases out of 100) are no cause for excitement.

However, more frequent episodes of erectile dysfunction show the need to treat the specialist (sexologist – andrology).

How is erectile dysfunction common?

About 110 million people in the world have some form of sexual dysfunction. According to the research, about 5% of 40-year-old men and 15-25% of 60-year-old men regularly suffer from erectile dysfunction.

Unfortunately, not all people are unaware that due to the sensitivity of the problem to seek help from a doctor, that erectile dysfunction can be indirectly the presence of serious illnesses, such as heart disease or diabetes.

In addition, significantly erectile dysfunction aggravates the quality of life, which is shown in sexual dissatisfaction, constant stress, and mental stress, low self-esteem, and depression.

Anatomy of erectile dysfunction

The ability of the penis to ensure erection in depth into its structure the erectile tissue. Especially the blood supply answers for the quality of the erection. In turn, the mechanism of blood supply regulates the blood vessels and the nerves (including the penis directly), as well as the brain.

Briefly, the scheme of erection formation can be described as follows: at the physical stimulation of the penis or as a result of the thoughts of the erotic content (that is, the activation of the zones of the brain responsible for the libido), the brain issues “the order” the nerves to ensure the increased tributary flow of the arterial blood in cavernosum. At the same time, the drain of the venous blood decreases.

Thus, erection is caused by an interaction of the central nervous system, peripheral nerve fibers, arteries, arteries and muscle fibers. Disturbance of work of each of links of formation of an erection leads to the impossibility of their achievement which causes a pathogenetic approach to the treatment of erectile dysfunctions depending on the level of defeat.

Character and causes of erectile dysfunction

Erectile dysfunctions can have both psychogenic and organic character (ie physical reasons). In most cases, erectile dysfunction has mixed nature.

Psychogenic causes of erectile dysfunction are:

  • depressions
  • stress
  • Mental disorders

Physical causes of erectile dysfunction:

  • atherosclerosis;
  • High blood pressure;
  • Diabetes;
  • obesity;
  • Parkinson’s disease;
  • low testosterone levels;
  • Peyronie’s disease (scar tissue in the penis);
  • the consequences of surgical intervention or pelvic/spinal injury

Some medicines (reduce arterial pressure, antidepressants, anticonvulsants, tranquilizers), alcohol and smoking also contribute to the development of dysfunction.

Identify the nature and cause of erectile dysfunction

The modern methods of diagnosis allow differentiating organic and psychogenic dysfunction.

Checking for erectile dysfunction:

  • The physical examination, including examination of the sexual organs and the assessment of their sensitivity
  • The general and biochemical analysis of blood (including a lipid profile), for a definition of a condition of an organism as a whole
  • Gormonograms (determination of testosterone levels in the blood)
  • urinalysis
  • Estimation of a condition of vessels of a penis. For this goal can be used:
  • Measuring the pressure in the blood vessels of the penis
  • Vascular ultrasound
  • angiography
  • Assessment of other tissues of the penis using radiological procedures (eg static and dynamic cavernosography)
  • Radiological methods
  • Vibration test, measurement of latency for assessing bulbocavernosus reflex to ensure neurogenic erection

The basic principles of the treatment of erectile dysfunction

After the diagnosis and identification of the type of dysfunction (psychogenic, organic or mixed), the specialist can choose the appropriate treatment.

The principles of treatment of psychogenic erectile dysfunction

With the most frequency, psychogenic erectile dysfunction meets in young men with little sexual experience. Often she becomes emotional and emotionally unstable.

At treatment of the erectile dysfunction caused only by mental reasons (without organic pathology) it is possible to limit by psychotherapy – psychological correction of disorders of sexual function.

The goals of psychotherapy in the treatment of erectile dysfunction are the removal of sexual tension, anxiety, insecurity before intercourse.

The principles of treatment of true erectile dysfunction

It is said that true erectile dysfunction in this case if it has neurological, endocrine, vascular (arterial, venous, arteriovenous) traumatic origin.

As with true erectile dysfunctions, the psycho-emotional component is repeated, the psychological correction at their treatment is insufficient: medical therapy, an even surgical operation is necessary.

The methods of treatment of true erectile dysfunction

At present, it is possible to use true dysfunctions such as conservative methods of treatment (medical and physiotherapeutic), as well as surgical.

Here is the brief review of the most popular types of erectile dysfunction treatment.

Drug treatment of erectile dysfunction

1) Tablet for the treatment of erectile dysfunction – sildenafil, tadalafil, and vardenafil have been used successfully by millions of men.

As an impressive example of such drug, it is possible to take Viagra. This medicine is given out in three different dosages: the tablet can contain 25, 50 or 100 mg sildenafil that allows choosing the optimum amount of the valid substance for treatment of erectile dysfunction at each specific patient.

Viagra is designed exclusively for men. Viagra helps with erectile dysfunction due to the fact that under its influence during sexual stimulation blood flow to the genitals increases, while the relaxation of the muscles that fills the blood cavities prevent it.

Despite the high efficiency of Viagra, however, it is not a drug for everyone! This means that you should not pass it “on trial” to friends and relatives.

If the doctor prescribes the patient Viagra (as well as other drugs such as sildenafil, tadalafil, and vardenafil), he should warn patients that they do not take along with the preparations containing the nitrates, since the arterial pressure to the threatening for life Numbers can suddenly fall.

The attention of the doctor demanded in the anamnesis diseases of the cardiovascular system or cordial insufficiency, postponed stroke, a blood pressure disturbance (hypertension or hypotension), diabetes. Today you can buy Viagra online safely and over the counter.

2) The introduction of vasoactive drugs for the treatment of erectile dysfunction involves the injection of alprostadil, papaverine, phentolamine. The procedure is also not free from side effects such as injection site bleeding, the formation of fibrous tissue at the site of injection.

3) Alprostadil for the treatment of erectile dysfunction is entered directly into the urethra, the side effects are the pain, bleeding from the urethra, burning, the formation of fibrous tissue around the penis.
4) Testosterone replacement therapy for the treatment of erectile dysfunction is performed at low solid secretion of this hormone. Besides, in complex pharmacotherapy of erectile dysfunction such means as adaptogens (ginseng, Rhodiola Rosea, Eleutherococcus senticosus, etc.), the connections influencing a tone of vessels and a condition of a blockade (for example, extracts of ginkgo and horse chestnut) , Tranquilizers (based valerian, motherwort, etc.), the preparations of amino acids (L-arginine, glycine, glutamine, etc.) and others are used.

Physiotherapy treatments of erectile dysfunction

Treatment of erectile dysfunction local negative pressure. To implement the necessary influence one uses special vacuum pump directly on the penis. When reaching an erection the penis will put a special ring that will be removed after intercourse.

Foot reflexology (acupuncture, electropuncture) in some cases has a pronounced positive effect, although its mechanism of action has not been studied. As an independent treatment method is not recommended, but a useful part of a comprehensive treatment of erectile dysfunction.

Surgical methods of correction of erectile dysfunctions.

For the surgical treatment of erectile dysfunction often resort to a restoration of blood flow in atherosclerotic lesions of the inner iliac arteries. In addition, the introduction of surgeons implanting in the penis (the so-called “intimate plastic”) – the expensive and complicated treatment.

As we can see, each method of therapy has its advantages and disadvantages. Thus, only the expert can choose the optimal way of treatment, more than all approaching the specific patient.

Prevention of erectile dysfunction

Like any other disease, erectile dysfunction is much easier to prevent than to cure. But to never encounter the problem of erectile dysfunction, one should consider all 5 conditions:

  • To refrain from smoking, drugs and excess consumption of alcohol
  • to stick to a balanced diet
  • to do sports
  • to support the stability of the psycho-emotional sphere of life, the time spent in the open air, conversations with friends and family, hobbies
  • Monitor blood pressure, blood sugar and lipid profile, especially in the presence of high blood pressure or diabetes.

Potency

The most popular and best-selling erectile dysfunction potency pills also include Levitra and Cialis (Vardenafil and Tadalafil). The mode of action of these power resources does not differ from each other in particular. In the course of medical researchers, it was found that the strongest and most potent inhibitor is Levitra.

A peculiar feature is only that the effect of Levitra begins all ready in 10 minutes after the tablet is taken, that is, it starts about 20 minutes earlier than Viagra. It is interesting that the intensity of absorption from the organism Levitra is not affected by alcohol or high-calorie foods. It is interesting to note that the record for the duration of action is Cialis – it works 36 hours.

In especially hard cases doctors recommend to patients to order Levitra. Practice shows that this potency agent is especially well-proven in the treatment of erectile dysfunction in the elderly. For this patient group, the duration of action is not so important, but the effectiveness of the drug is important.

In the treatment of Levitra most serious side effects were not detected. It may be an insignificant headache, facial flushing, itching, stuffy nose.
In order to solve the problems of erectile dysfunction, one uses the preparation inhibitors of the fifth type (Viagra, Cialis, Levitra). The courses of reception of this drug show excellent results. You can buy sexual enhancer in the online pharmacy.

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