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Erectile Dysfunction: Causes and Remedy
"Erectile dysfunction is defined as inability to maintain an erection sufficient for sexual intercourse. This is a disorder that affects tens of millions of men around the globe in numerous ways and with various causes."
What is it?
Erectile dysfunction is a medical term used to define the inability to get an erection with ample inflexibleity for penetration and / or keep it for a time frame adequate to the satisfaction of each partners throughout sex. It is very important understand that it can occur even with want and orgasm (ejaculation) present.
Erectile dysfunction (ED) impacts about thirds of men over 50 years of age, representing 10 to 20 million Brazilians.
Most males, in some unspecified time in the future of their lives, have experienced episodes of erectile dysfunction, normally due to tiredness, stress or alcohol abuse. Occasional failures shouldn't be overrated. Nevertheless, if the problem persists, a urologist should be sought.
The capacity of erection is just one in every of a number of features of male sexual function. The sexual response cycle has four stages of man most important want, erection, orgasm and relaxation. Every can change different.
The causes of ED are divided into organic, psychogenic and combined, could be discovered with combined factors. Natural problems comparable to diabetes, cancer, arteriosclerosis and neurological injuries can typically lead to psychological issues, for example. It may also be secondary, and appear as the primary manifestation of assorted disorders corresponding to hypertension, diabetes, cardiovascular illness and renal failure.
ED of psychological origin may be manifested in various ways, or delayed ejaculation, painful ejaculation and even impotence. There can also be loss of libido (sexual need), lack of orgasm and phobias (fears) intercourse, all for anxiety, depression or guilt. A person who has an unpleasant experience, akin to lack of erection to have intercourse or ejaculate very early, tends to the next relationship, bear in mind these "failures" and develop into anxious. This provides a new fault, creating a vicious circle.
Organic causes are subdivided in line with the etiology. The vasculogênicas are more prevalent, particularly the flow adjustments, arteriosclerosis and trauma (resulting in injury to blood vessels).Venous flow abnormalities are less common. The neurogenic causes are diabetic neuropathy, a number of sclerosis, alcohol abuse, trauma, spinal cord and nerve damage by radical prostatectomy (surgical procedure to remove the prostate). Because the causes are hormonal hipoandrogenismo primary or secondary (disorders of male hormones).
The ED may also occur, to be used and abuse of medication like marijuana, alcohol, heroin, cocaine, barbiturates, antidepressants.
The DE has a number of risk factors as advanced age, diabetes, hypertension, peripheral vascular ailments; neurological diseases, endocrine disorders, spinal wire injuries, radical pelvic surgery, radiation remedy, alcoholism, smoking, marijuana use and / or cocaine; use of antihypertensives, tranquilizers and psychotropic substances; relationship problems with partner, stress, anxiety and concern of failure, depression, obsessive-compulsive personality, sexual deviation.
The goals of the initial analysis of the patient are to find out the probable cause of ED and identify organic or psychological factors that will influence the related therapeutic.
A detailed medical interview is an important factor in evaluating patients with this problem. The history should determine the duration, progression and severity of ED and related factors.
Once you have recognized a problem within the affected person's sexual efficiency, the subsequent step is to distinguish it from other sexual problems resembling lack of libido and ejaculatory disorders.
Physical examination is to assess the affected person's health, with particular attention to the cardiovascular, neurological and genitourinary, as a result of its contribution to the erection. The neurological analysis should embody a notion of their affected person's nervousness or depression. For the reason that assessment of genital herpes is directed to detection of local irregularities.
Some are basic laboratory tests to determine problems that can result in ED.
In cases of psychogenic DE, psychotherapy is indicated. A number of factors ought to be evaluated by the urologist and if doable, by an expert in psychology or psychiatry. Factors corresponding to physical, psychiatric, psychological, conflicted relationship with the partner and sexual inadequacy ought to be addressed to the couple.
Penile injections have been the first efficient and goal, with little or no side effects, with significant improvement of erection, even in severe OF and organic. They had been the main complication, painful erections. Also had the disadvantage of limiting the time limitation of erections and frequency of application (three times per week). This methodology tends to be deserted with the advancement of technology.
With the advance of treatment, some oral drugs are available in the market. They are:
- Viagra (Sildenafil) of Pfizer: acts on the penis by stress-free muscle tissues and growing blood flow to the region. Effective in cases of partial impotence, erection of providing 40 to 60 minutes after ingestion of the medicine, with stimulation of the penis. Its effect can last as long as six horas.Tem side reactions resembling headaches, nasal congestion, facial flushing and dyspepsia. Heart patients, especially in drug remedy of nitrate (Sustrate, Monocordil, Isordil, Nitradisc, Nitroderm TTS, Isocord, Isosorbide, nitroglycerin) can not take this medicine.
- Uprima (apomorphine), from Abbott Laboratories, acts on the central nervous system, facilitating the conduct of sexual stimulation of the brain to the penis. Generates erection 10-20 minutes after oral administration sublingually. May cause headache, nausea, dizziness, fainting and flushing, but can be utilized by coronary heart patients.
- Cialis (Tadalafil), manufactured by Eli Lilly, acts directly on the penis by inhibiting the enzyme phosphodiesterase. Leads to an erection in 30 minutes, and sustained for up to 36 hours. Can cause headache, gastric intolerance, nasal congestion, back pain, muscle pain, dizziness and flushing. As Viagra, can not be used for heart disease in the use of nitrates.
- Levitra (Vardenafil) of Bayer and Glaxo, also acts directly and selectively on the penis by inhibiting the enzyme phosphodiesterase, with fewer side effects (headache, flushing and runny nose). Leads to an erection in 15 minutes, and keeps as much as eight hours. As Viagra and Cialis, cannot be used for heart disease in using nitrates. One of many most important advantages is probably the most affordable price and being sold in single packs.
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