Erectile dysfunction may be a sign of physical or psychological illness. It can cause stress, relationship tension, and low self-confidence, where the main symptom is a man’s inability to have or maintain a firm enough erection for intercourse. Patients suffering from erectile dysfunction should first be evaluated for underlying physical and psychological conditions. If treatment of underlying conditions does not help, medications and assistive devices may be prescribed. It is therefore important to consult a doctor before deciding the appropriate treatment.
Most of the time, diseases associated with erectile dysfunction are controllable and treatable
Regular physical activity, avoidance of alcohol, tobacco and illicit drugs, healthy and healthy eating are the keys to prevention. It is estimated that 100 million men worldwide have erectile dysfunction, which is the most common sexual dysfunction found in this population after 40 years.
The causes are varied and may be related to circulatory problems, where erection directly depends on the blood flow to the penis, so changes that hinder proper circulation to this region may cause erectile dysfunction. For example, cardiovascular diseases (hypertension, coronary artery disease), diabetes, high cholesterol, smoking, previous pelvic surgery and people undergoing previous radiotherapy. It may also be related to neurological issues, where up to 20% of erectile dysfunction cases are associated with neurological problems. Some examples are degenerative diseases (multiple sclerosis, Parkinson’s disease), stroke, central nervous system tumors and trauma. Anatomical or structural, where people who from birth or even acquired diseases have changes in penile anatomy may have problems in erection and sexual intercourse. Another cause is hormonal disorders that lead to hormonal imbalances that may be the cause of libido changes, especially lack of testosterone, which directly influences erection. Other conditions may also be related, such as thyroid gland dysfunction (hyperthyroidism, hypothyroidism), pituitary gland (hyperprolactinemia), among other changes. Erectile dysfunction can also be caused and induced by drug use, in which numerous medications can cause erection problems such as antihypertensives, depression medications, antipsychotics and drug use such as alcohol, heroin, cocaine, methadone among others. Psychological issues can also cause this dysfunction, problems such as anxiety, depression and stress affect the adult-young population more, generating erection disorders by directly decreasing libido.
Sexual impotence can be manifested in many ways, not only because you cannot keep your penis erect, but because of problems with ejaculation or orgasm. In some patients there is a delay to maintain a lasting erection or even an erection is obtained, but it does not have sufficient rigidity. Other times, even with a proper erection, premature ejaculation occurs. Prevention is possible, keeping in mind that maintaining healthy lifestyle habits is the best way forward. Most of the time, diseases associated with erectile dysfunction are controllable and treatable. Regular physical activity, avoidance of alcohol, tobacco and illicit drugs, healthy and healthy eating are the keys to prevention.
Already the treatments depend on the underlying causes
Lifestyle changes such as not smoking, avoiding alcohol, practicing physical activity, eating healthy are essential for all men. Treatment can be divided into non-pharmacological like psychological or psychiatric counseling, pharmacological (erection-inducing medications) and surgical. For people with psychological problems, psychotherapy with or without depression medications is recommended and should be accompanied by a psychologist or psychiatrist. There are several medications available that induce erection by facilitating blood flow into the penis, which can be administered daily, on demand before sex or even administered by the patient by direct injection into the penis. Always remembering that they should be used only under medical supervision and require sexual stimulation to obtain results. In specific cases or even refractory to drug therapy, surgical options of penile prosthesis can be an option, with satisfactory results, greatly improving the quality of life of men. You can choose from malleable, articulated or inflatable prostheses.
A survey found that men who lost between five and ten percent of their weight over a two-month period improved the sexual impotence of obese and diabetic people. Although it had only 31 volunteers, the study served to remind us that there is a direct relationship between obesity and erectile dysfunction, because being overweight, especially in waist circumference, can interfere with the body’s ability to send blood to the penis, besides impairing testosterone production.