Different abnormalities that prevent achieving or maintaining penis erection sufficient for full sexual intercourse are called erectile dysfunction. This disorder is one of the most common forms of sexual disorders at men.
Almost every man once in his life has suffered from inability to achieve erection. This temporary phenomenon could be caused by excessive alcohol consumption or fear.
What is erectile dysfunction? Broadly defined – it is a chronic condition of male body, manifesting not only in inability to keep penis in erected state, but also in decrease in sexual desire – libido. This disease can be caused by inconfidence, stress and fear or self-dissatisfaction.
More than 10% of men complain on this disorder over the age of 21, and in the age group from 40 to 70 this disease affects more than 50%. Quite often, causes are problems or fatigue at work, a variety of psychological problems or physical illness.
There are primary (congenital) and secondary degree of erectile dysfunction. The first type is characterized by the fact that a man has never, throughout his life, been able to perform a full sexual intercourse. This disease form is very rare. The most common form is the second type, at which a man had everything fine, but then, for some reason, problems or weak erection began to appear.
To a large extent erectile dysfunction worsens quality of life. It can manifest in sexual dissatisfaction, constant psychic tension, stress and low self-esteem.
How does Erection Appear?
Different mechanisms are responsible in human body for erection appearance. Male penis consists of two different cavernous bodies and one spongy body. Each of them individually has circulatory system, unrelated to each other. They are supplied with blood through their arteries, and then it outflows through individual veins. In case of sexual excitement the arteries, that bring blood, greatly expand, and veins are sharply narrowed. Consequently, penis lacunas accumulate a large amount of blood, there is tension and erection appears. This blood vessels condition is preserved during the whole excitation period. During all this time penile tissues (excluding skin) do not receive new blood, in this case – they are in specific ischemia state.
As a consequence, very long-lasting sex can also lead to a certain kind of male health problems and serve as the cause for one of erectile dysfunction types.
Consequence of multifactor impact is erectile dysfunction etiology and pathogenesis itself. Any reasons for blood flow to cavernous bodies reduction, or to increase in its outflow may become erectile disorders factors.
Disease Causes Classification
Erectile dysfunction according to its causes may have psychogenic origin, as well as physical factors of organic nature. In overwhelming number of cases, this disease has a mixed nature.
Among organic factors causing male erectile dysfunction, Canadian Health&Care Mall distinguishes:
- chronic prostatitis;
- drug therapy side effect;
- endocrine disorders (pituitary tumor, hypogonadism, etc.);
- spinal cord or pelvic organs injury or surgery;
- perineal organs dysfunction or disease;
- neurological disorders (epilepsy, multiple sclerosis or Parkinson’s disease, etc.);
- cardiovascular system diseases.
Erectile dysfunction physical causes include obesity, atherosclerosis, hypertension, Peyronie’s disease (scar tissues in penis). Erectile dysfunction at diabetes is a relatively frequent consequence for this type of disorders.
Smoking, drinking alcohol or taking narcotic drugs also contribute to such disease as erectile dysfunction development. In the same time, some medication drugs – antispasmodics, antidepressants or substances that reduce blood pressure – can cause this disorders.
Psychogenic factors that cause this disorder include:
- general poor health condition;
- conflict situations;
- dissatisfaction with oneself or partner.
Psychogenic erectile dysfunction at men can be caused by various psychological and other reasons. Very often, erection does not occur because of insufficiently favorable for sexual intercourse external environment: unlocked doors, presence of strangers in the house, necessity to keep quiet not to wake sleeping children and so on. Such psychogenic disease form may be also selective, when a man at constant success with one partner, can’t perform full sexual intercourse with another. Young people may have problems with sexual intercourse on first acquaintance. The degree of excitation during first intimacy is so great that before intercourse begins the body is already very tired of this overload. Because of this – erection disappears. In future, everything may come back to normal.
Psychogenic erectile dysfunction can also occur due to condoms use. In some cases, because of them normal erection doesn’t appear. Other contraceptive methods help to remove this psychological moment and build up relationships.
Psychological constitution of some men can be built in such a way that even random failures can cause severe anxiety and lead to negative perception of sexual relations in future. Most negative impact is exposed by thoughts of own worthlessness. In such cases it is better to forget about the problem and switch off from it. It is necessary to only remove excitement factor, and the next time everything will be fine.
Typical signs and symptoms, that psychological reasons affect this function, is erection appearance during sleep, in the morning or during masturbation, and at other times achieving this condition causes problems. Only complete absence of erection can indicate serious violations and organic causes of erectile dysfunction.
Vascular or vasculogenic erectile dysfunction occurs because of blood flow disruption. It can be caused by:
- atherosclerosis in penile blood vessels. Predisposing factors for this disease type development are consequences of: hypertension, hyperlipidemia, as well as diabetes, hypothyroidism and obesity;
- arteries occlusion in pelvic organs due to injuries or fractures;
- impaired blood circulation as a result of specific drugs reception.
Disorders of vascular nature may contribute to: iliac arteries obstruction, aortic aneurysm, Leriche’s syndrome or priapism. This disease type can be caused by venous system dysfunction (venous insufficiency). At this, blood outflows very quickly from cavernous tissue and erection does not reach maximal level.
Erectile dysfunction may be often caused by combination of these or other reasons. More than half of cases, that determine erectile dysfunction causes, are of physiological nature, they are successfully treated in modern days.
Before you carry out erectile dysfunction treatment, it is necessary to carefully analyze causes and determine method of medical treatment. For psychogenic reasons treatment it is important to get expert advice from therapist and then apply physiotherapy techniques. Ideally, this disease should be treated by sexologist, a psychiatrist who specializes in these types of diseases. This technique is used to facilitate psychological disorders of this kind correction. The aim of psychotherapy is to remove fear, sexual tension or inconfidence before committing sexual intercourse.
Erectile dysfunction treatment, caused by other diseases, should start with their localization and elimination of their symptoms.
There are several techniques that can fully restore male sexual function, even at complex forms of this disease. They are appointed on individual basis and require strict abidance by rules.
Among such methods of erectile dysfunction treatment, localized negative pressure can be mentioned. Thus special device is used which by means of pressure difference creates erection that is sufficient for a single intercourse. This procedure is painless and can be done by patients themselves.
Intracavernous injections into penis are also used. This method allows to get lasting results, but it is inconvenient to use because not everyone is able to make an injection directly into penis. Also, the drug for injection should be chosen strictly individually. It can not be used more frequently than once a week.
Intraurethral suppositories are also used to create erection, which are introduced into urethra. This method provides erection for one hour. High efficiency of this method is smoothed over by high cost of these drugs.
Surgical endoprosthesis replacement or blood flow directly to penile cavernous bodies functions restoration are used as extreme measures.
Erectile dysfunction can be treated by various Canadian Health&Care Mall drugs. Drug therapy is prescribed only when indicated. Careful erectile dysfunction diagnosis makes it possible to identify causes and prescribe appropriate medications.
Another form of therapeutic intervention are various stimulators: vacuum constrictor effect (local or vacuum-erectile decompression) and penis electrical stimulation. These techniques make it possible to strengthen «obturative mechanism» at abnormal venous drainage.
Canadian Health&Care Mall experts do not recommend to abuse different means to briefly achieve erection. Their impact and effectiveness leaves much to be desired, but they have no effect on true causes of violations.
Like any other disease, erectile dysfunction is easier to prevent than to cure. In order not to be faced with similar kind of disorders it is necessary to comply with the following rules:
- keep to balanced diet and reduce animal fats intake;
- perform various exercises;
- stop smoking, do not take drugs and reduce alcohol consumption;
- maintain stability in general psycho-emotional sphere;
- monitor pressure level, lipid profile and blood glucose level.
In most cases, well-chosen drugs and psychotherapy sessions provide an excellent result for erectile dysfunction. The disease can be cured, while sexual function at men is fully restored.
«Between You and Us»
If you have problems with premature ejaculation, then you have 2 options:
Option №1. Before sexual intercourse, help yourself by your own efforts. In this case, it is possible that by the second time you will have not enough strength. And the problem is not solved by this option.
Option №2. Go to the clinic. Minuses:
- obligatory finger prostate analysis;
- obligatory tests for all sexually transmitted diseases;
- surgery is possible (in the case of short frenulum, etc.);
- obligatory semen and bacterial prostate secretion inoculation tests;
- huge queues to go through all humiliating procedures.
If you have week erection, then you have 2 options:
Option №1. Use such pills as Canadian Viagra, Cialis, Levitra, which have long been taking money just for the brand. In this case, effect will be short-lasting and after a few hours you won’t have enough strength for the second round.
Option №2. Exercise, prostate massage. Minuses:
- after the first time there will be no effect;
- it is necessary to repeat exercises for a long time;
- very small chances to completely recover potency;
- it is necessary to put finger into anus for massaging prostate;
- risk of mistakes and injuries.