It is the inability to obtain an erection intense and lasting enough to initiate sexual intercourse, maintain it and successfully end it. Causing distress and problems in the relationship of couple. It is a common pathology, affecting approximately one in five males, or 20%.
Difficulty getting an erection can occur sporadically in all men, especially when they have been exposed to stress and excessive alcohol consumption.
The frequency of erectile dysfunction increases with age and affects 15% of men aged 40 to 49, 25% of men aged 50 to 59, and 49% from 60 to 69 years old, says sexologist in Noida.
Penis Anatomy and Erection Physiology
The penis consists of two cavernous bodies (two cylinders composed of smooth vessel-active muscle tissue capable of causing penile erection) and a tube (urethra) that allows urination. The erection occurs when muscle tissue dilates and fills with blood, causing increased size and penile stiffness.
The erection occurs when the blood flow entering the penis seals the venous return, preventing the blood leak, thus maintaining the erection. If blood flow to the penis is insufficient, or escapes from the penis, then there is a difficulty in achieving and/or maintaining sufficient penile stiffness for good sexual intercourse, explains the best sexologist in Noida.
CAUSES OF ECRICTIL DISFUNCTION(OF)
1). Organic causes: Endocrine (diabetes, Hypogonadism, hyperprolactinemia, hyper or hypothyroidism, Cushing’s disease, Addison’s disease). Vascular (Arteriosclerosis, ischemic heart disease, peripheral vascular disease, venous insufficiency, cavernous alterations). Neurological (brain injuries, spinal cords), Urological (congenital lesions of the penis). Pharmacological (drugs, alcohol, tobacco, antihypertensives, antidepressants, estrogens, antiandrogens, narcotics, anxiolytics, neuroleptics, diuretics, H2 antagonists, anticonvulsants, clonidine, guanetidine, methyldopa, ketoconazole, clofibrate.), Traumatic (pelvis fracture).
2). Psychological Causes: Fear of failure, feelings of guilt, infidelity, prior premature ejaculation, insecurity, anxiety disorders, poor sexual experience, inadequate sex education, impulsivity taboos, etc.
3). Mixed, multifactorial, where there are partner problems, emotional and organic that are enhanced
The frequency of erectile dysfunction increases with age and affects, on average, 15% of men aged 40 to 49, 25% of men aged 50 to 59, and 49% from 60 to 69 years.
TREATMENTS IN THE EFFECTIVE DISFUNCTION
The evaluation is performed by a sexologist in Ghaziabad who specializes in sexual disorders, who researches the cause and what maintains the problem. If the etiology is organic, pharmacological treatments, vacuum devices, injections of vasoactive substances are used and in some cases the pathology requires it is used to vascular surgery or implantation of penile prostheses.
The manifestation of a de ED abruptly in a young male who has morning erections orients a psychogenic cause, as if it is associated with emotionally intense situations and there is a history of previous episodes of dysfunction with resolution Spontaneous. ED due to an arterial problem occurs in older males in a gradual manner, with a history of chronic disease or drug use. In hormonal DE, sexual interest is lost, DE may occur as the form of cardiovascular disease or diabetes, explains the best sexologist in Ghaziabad.
Laboratory tests are oriented to clinical suspicion, it is advisable to measure glycemia, HbA1c, cholesterol, kidney function and TSH. There is a recommendation to make testosterone and prolactin determinations.
The complementary tests that may be requested to complete the study of selected cases are: Night record of penile tumescence, intracave injection of alprostadil, eco-doppler.
If the origin is psychological, psycho-sexological treatment, psychoeducational treatment, behavioral and cognitive modifications, couple treatment etc. are indicated by the sexologist in Greater Noida. In cases of mixed problem work in co-therapy (medical-psychological).
Treatment
Initial treatment is aimed at the aetiology of ED whenever possible and not only to the treatment of symptoms. If the cause of ED is attributed to chronic organic disease we will seek good disease control in addition to insisting on modification of risk factors. In some cases the modification of lifestyles, changes in the use of certain drugs or the cessation of substance use may involve the solution of the ED, the modification on the risk factors can be made in advance or at the same time as s and use drugs intended to treat ED.
“Testosterone deficiency” may be caused by testicular insufficiency or hypothalamus/pituitary insufficiency. In cases where other endocrinological causes of testicular insufficiency have been excluded, substitute treatment with testosterone may be used. Testosterone treatment may improve erectile response by causing arterial dilation of cavernous bodies, explains the best sexologist in Greater Noida.
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