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Why Do Men Most Frequently Report Erectile Dysfunction? Know From An Expert
Erectile dysfunction refers to the inability to get and keep a strong enough erection for sex (impotence). The occasional erection problem is not always caused for concern. Erectile dysfunction can strain relationships, erode confidence, and cause stress if it continues. Having trouble getting or keeping an erection can also increase your risk of developing heart disease and be a sign of a serious medical condition that needs to be treated.
Men most frequently report erectile dysfunction, or ED, to their doctor when experiencing sexual issues. It is described as having difficulty getting or maintaining an erection strong enough for sex.
Though it's a common presenting complaint, ED that is progressive or that happens routinely with sex should be treated.
Erectile dysfunction can happen:
- Most commonly when nerves are damaged or blood flow to the penis is restricted.
- With stress or emotional reasons
- As a precursor to a more serious condition, such as atherosclerosis, heart disease, high blood pressure, or diabetes-related high blood sugar
Finding
the
cause(s)
of
ED
will
help
us
treat
the
problem.
Risk
factors
are:
- Age> 50 High blood sugar (Diabetes)
- High blood pressure
- Cardiovascular disease
- Dyslipidemia
- Smoking Drug abuse and excess alcohol intake
- Obesity
- Sedentary lifestyle
TYPES
OF
ED
ORGANIC
The
most
frequent
cause
of
ED,
particularly
in
older
men,
is
organic
ED,
which
involves
abnormalities
in
the
penile
arteries,
veins,
or
both.
The
most
common
cause
of
arterial
issues
is
arteriosclerosis,
or
the
hardening
of
the
arteries,
though
trauma
to
the
arteries
may
also
be
to
blame.
Being
overweight,
not
exercising,
having
high
cholesterol,
having
high
blood
pressure,
and
smoking
are
all
preventable
risk
factors
for
arteriosclerosis
that
frequently
first
affect
erectile
function
before
moving
on
to
the
heart.
1.Vasculogenic
- Arteriogenic
- Cavernosal
- Mixed
2.Neurogenic
3.Anatomic
4.Endocrinologic
5.Medication
induced
Psychogenic
The
inability
to
obtain
or
maintain
an
erection
during
sex
as
a
result
of
psychological
factors
is
known
as
psychogenic
erectile
dysfunction.
These
elements
may
include
anxiety
and
stress,
guilt,
depression,
low
self-esteem,
and
relationship
issues.
The
cause
of
about
40%
of
erectile
dysfunction
(ED)
cases
is
thought
to
be
psychological.
1.
Generalized
2.
Situational
ED Treatments
- Treatment aims to fix or enhance erectile function and improve circulatory health and quality of life.
- Non-invasive treatments are tried first.
-
Non-invasive
treatments
of
ED
work
well
and
are
safe.
In the United States, phosphodiesterase type-5 inhibitors are typically prescribed as oral medications or pills.
- Using Testosterone (when low testosterone is detected in blood testing)
- Penile Injections (ICI, intracavernosal Alprostadil)
- an intraurethral drug (IU, Alprostadil).
- Devices for Vacuum Erection
- Penile Implants
Some younger men with a history of severe pelvic trauma may benefit from penile implant surgery to avoid penile artery damage. It is not recommended for older men with hardened arteries to have penile vascular surgery.
Penile
implants
are
most
often
placed
under
anaesthesia
as
surgical
management
for
erectile
dysfunction.
Recovery
Time
after
Penile
Implants:
-
Postoperative
pain
is
common
and
most
commonly
managed
with
oral
analgesics.
Discomfort,
bruising
and
swelling
after
the
surgery
lasts
for
a
few
weeks.
-
Men
should
limit
their
physical
activity
during
the
first
month.
By
eight
weeks
after
surgery,
most
men
begin
using
their
penile
implants
for
sex.
- The surgeon will go over how to put air into and take the air out of the implant.
Patients are counselled before having prosthetic surgery because there are risks involved. The effectiveness of other non-surgical treatments may be compromised if a penile prosthesis is removed.
(This article has been contributed by Dr V Vishnuvardhan Reddy, Senior Consultant Urologist at Kamineni Hospital LB Nagar, Hyderabad.)
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