Erectile Dysfunction
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Impotence is a condition that all men dread. The inability to raise an erection cuts right through a man’s self-assurance and an important part of his life is affected. Sexual intimacy with a partner becomes strained and awkward. This male impotence is also known more commonly as erectile dysfunction or [ED] and seems to be a less traumatic way of stating that a man’s sexual activity is hampered for some reason.
ED is a far more widespread condition than one may think. It appears more often in older men but there is no age limit for ED. Every man at one time or another has trouble sustaining an erection but usually there is no reason for alarm. It is only if the problem persists that an ED condition can begin weighing heavily on a man, becoming the source of stress in marriages, partnerships and prompt issues such as a loss of self-worth.
In the not so distant past, the topic of erectile dysfunction was prohibited conversation. It was mainly associated with old age and a stage of life that was inevitable. Thank goodness these archaic ideas have changed, and for the better. Medical research now tells us that ED is caused by physiological maladies for the most part and psychological issues to a smaller degree. There is no reason why men should not be able to enjoy sexual activity with a firm erection well into old age.
Most men have a problem with a simple medical exam, never mind speaking frankly about an erection disorder. This too is changing in recent years with more men seeking counsel regarding erectile dysfunction – much of time at the behest of the man’s partner! There are a number of treatments today for ED with choices from prescription drugs like Cialis to surgical procedures, which can return a man to his previous “form”. Since ED is most commonly caused by a physical condition, your doctor will be able to treat you for a potentially dangerous principal ailment like diabetes or a heart problem. Recognizing ED for what it could be is essential to perhaps discovering a potentially harmful disease.
What are the indicators of ED?
Erectile dysfunction is defined as a failure to sustain an erection that is capable of sexual penetration at the very least a quarter of the time. If a man is unable to achieve an erection at certain times, this is no reason to consider leaping off a bridge since for most men an occasional malfunction is typical. It is when erection trouble seems to occur more frequently that it could be an indication of an ED and a medical checkup should be arranged. Your unexplained ED could be a sign of a greater physical ailment that is undiagnosed and requires treatment.
What Causes ED?
The process involved in attaining an erection is not a simple one. There are nerve signals from the brain, muscle response, hormones play a role and blood vessels respond, not to mention emotional response to stimulation. All combine to form a subtle reaction from the penis, any number of variables can upset the stability of the procedure with the end result being erectile dysfunction.
Understanding how the penis is designed and how an erection happens can aid in understanding ED. There are two conical tissue pieces surrounding the urethra [tube running the length of the penis for release of urine and semen] and these are called the corpus cavernosum. This spongy tissue is integral in the absorption of blood flow into the penis.
During sexual stimulus the nerves signal blood flow into the spongy tissue of the penis and this above normal blood flow causes the tissue to expand resulting in an erect penis. The constant arousal means the blood flow carries forward and the erection is sustainable until the stimulation stops. As long as the sexual excitement continues, the blood flows into the penis and this restricts the flow of blood back out of the penis, maintaining an erect and rigid penis. After ejaculating or climax of activity, blood draws out of the penis tissue and the flaccid penis shape resumes.
What physical problems result in ED?
There was a time when the medical field figured that erectile dysfunction was merely and solely a result of psychological and emotional issues but this is not the case at all. These certainly contribute to the condition, however, physical maladies are more commonly the cause of ED. Health problems like diabetes and heart trouble to simple adverse reactions from drug prescriptions and often both can bring about ED.
Some of the more prevalent conditions responsible for erectile dysfunction are:
• Heart disease
• Hypertension or high blood pressure
• High cholesterol
• Diabetes type 1 & 2
• Overweight and obesity
• Atherosclerosis or blood vessel blockage
• Insulin resistance syndrome
Some further contributors to ED are:
• Some prescribed drugs
• Smoking tobacco
• Alcoholism or problem drinking – plus abuse of drugs
• Prostate cancer treatments
• Parkinson’s disease
• MS [multiple sclerosis]
• Hypogonadism or hormone problems like lowered testosterone
• Peyronie’s disease
• Surgical procedures or damage to pelvic region or spinal injury
Early detection and diagnosis of underlying medical problems can be the outcome of a doctor examining your ED problem.
What psychological issues can result in ED?
Your brain has a huge role in instigating the physical sequence of actions that result in an erection, starting with the feeling of sexual stimulation. When this thought process is hindered and sexual urges are interrupted, this can result in – or make even worse – the ED situation. These mind invaders are:
• Stress
• Anxiety
• Fatigue
• Despair or depression
• Lack of communication with a sexual partner
There can easily be a combination of the physical and psychological issues that conspire to bring about ED. The knowledge of a physical problem can affect an emotional response causing difficulty gaining an erection. Continued anxiety about a medical situation can make an ED problem worse. To use a sport analogy, your mind needs to stay in the game and focus is shifted by these problems making ED worse.
What are the risk factors for ED?
A number of things can contribute to erectile dysfunction starting with advancing age. Up to eighty percent of men who are seventy five or older suffer from ED. It is common for males to experience a reduction or physical reluctance in obtaining an erection as they age. Erections may not come as quickly, rigidity may be questionable or more physical stimulation is required. It should be remembered that ED is not nor should it ever be simply accepted as a part of getting old – period!
The reason ED is associated with older men is they are more often afflicted with an originating health problem or more likely to be using a certain medication, which could impede an erection. In addition, it is more probable older men will be dealing with a chronic health issue such as a disease affecting the liver, kidneys heart, nervous or circulatory systems. These may all contribute to ED. Glandular ailments, specifically diabetes, are also responsible for ED in males. Plaque buildup in arteries [atherosclerosis] will impede the blood flow into the penis thwarting an erection some men also have lower levels of testosterone [male hypogonadism], a male hormone, which can also be a problem.
If you are taking specific medications, often many of them can have an adverse reaction that contributes to ED. Antidepressants, antihistamines and hypertension drugs are contributors to ED as well as pain and meds for prostate cancer hinder the blood flow or messing with the nerve synapses or impulses. Any meds used to induce sleep like tranquilizers etc. can cause ED.
If there is damage to those nerves, which are in charge of producing an erection, there will be a problem. These injuries can happen in the pelvic region or spinal column. Surgical procedures on the bladder, rectum, or prostate may raise the odds of ED. Other issues that add to the risk factor of having ED are:
• Drug or substance abuse like the persistent use of alcohol, cannabis or other illegal street drugs will contribute to ED or at least a reduced libido.
• Anxiety, stress or depression in males are all reasons to be concerned about possible ED.
• Smoking can increase the odds of having ED since it constricts the blood flow to the blood vessels and veins. Smokers have a higher risk of ED developing.
• Overweight or obese males are highly likely to contract ED than a normal weighing man. Often metabolic syndrome is responsible for ED and presents itself with excessive stomach fat, high cholesterol levels and triglycerides, resistance to insulin and hypertension.
• Too much bike riding for extended sessions causing the bicycle seat to squash nerves and blood vessels halting blood flow to the penis is a cause of short term ED and numbing of the penis.
When should I Consult My Physician?
If you can sense that your erectile dysfunction is extending beyond an impermanent, passing problem causing you concern, you should contact your primary healthcare provider. Often you family physician can determine the problem or he may refer you to a urologist specializing in ED diagnosis and treatment.
Seeking medical advice may feel awkward or uncomfortable for any man but resist the urge to run and get the facts. So often ED can be simply treated by therapy or medications such as Cialis, a PDE5 inhibitor rapidly gaining in popularity. Talk to your doctor if the treatment prescribed does not seem to assist with the ED problem. Avoid at all cost the urge to treat yourself by mixing medications such as Cialis and other remedies. You should make no modifications to your prescribed treatment protocol.