Erectile Dysfunction: Causes And Remedy

Erectile Dysfunction: Causes And Remedy

"Erectile dysfunction is defined as inability to maintain an erection sufficient for sexual intercourse. This is a dysfunction that impacts millions of men all over the world in numerous ways and with various causes."

What's it?

Erectile dysfunction is a medical time period used to define the inability to get an erection with ample inflexibleity for penetration and / or keep it for a time period adequate to the satisfaction of each partners during sex. You will need to understand that it can occur even with need and orgasm (ejaculation) present.

Erectile dysfunction (ED) impacts about thirds of males over 50 years of age, representing 10 to 20 million Brazilians.

Most males, at some point of their lives, have skilled episodes of erectile dysfunction, often as a consequence of tiredness, stress or alcohol abuse. Occasional failures should not be overrated. Nevertheless, if the problem persists, a urologist must be sought.


The capacity of erection is just one among a number of features of male sexual function. The sexual response cycle has 4 stages of man essential want, erection, orgasm and relaxation. Each can change different.

The causes of ED are divided into organic, psychogenic and blended, might be discovered with mixed factors. Organic problems resembling diabetes, cancer, arteriosclerosis and neurological accidents can usually lead to psychological issues, for example. It will also be secondary, and seem as the first manifestation of varied problems akin to hypertension, diabetes, cardiovascular disease and renal failure.

ED of psychological origin can be manifested in various ways, or delayed ejaculation, painful ejaculation and even impotence. There may be loss of libido (sexual need), lack of orgasm and phobias (fears) sex, all for anxiety, depression or guilt. A person who has an unpleasant experience, akin to loss of erection to have intercourse or ejaculate very early, tends to the subsequent relationship, bear in mind these "failures" and grow to be anxious. This provides a new fault, making a vicious circle.

Natural causes are subdivided in response to the etiology. The vasculogênicas are more prevalent, particularly the flow changes, arteriosclerosis and trauma (leading to injury to blood vessels).Venous flow irregularities are less common. The neurogenic causes are diabetic neuropathy, a number of sclerosis, alcohol abuse, trauma, spinal cord and nerve damage by radical prostatectomy (surgery to remove the prostate). Since the causes are hormonal hipoandrogenismo main or secondary (disorders of male hormones).

The ED may occur, for use and abuse of medication like marijuana, alcohol, heroin, cocaine, barbiturates, antidepressants.

Problems related

The DE has several risk factors as advanced age, diabetes, hypertension, peripheral vascular illnesses; neurological ailments, endocrine disorders, spinal twine accidents, radical pelvic surgery, radiation therapy, alcoholism, smoking, marijuana use and / or cocaine; use of antihypertensives, tranquilizers and psychotropic substances; relationship problems with partner, stress, anxiety and worry of failure, depression, obsessive-compulsive personality, sexual deviation.


The goals of the initial analysis of the patient are to determine the probable cause of ED and establish organic or psychological factors that may influence the associated therapeutic.

A detailed medical interview is a very powerful factor in evaluating patients with this problem. The history should determine the duration, progression and severity of ED and associated factors.

After getting recognized a problem within the affected person's sexual performance, the subsequent step is to differentiate it from different sexual problems akin to 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, due to its contribution to the erection. The neurological evaluation ought to embrace a notion of their affected person's anxiousness or depression. For the reason that evaluation of genital herpes is directed to detection of local irregularities.

Some are fundamental laboratory tests to establish issues that can lead to 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 knowledgeable in psychology or psychiatry. Factors such as physical, psychiatric, psychological, conflicted relationship with the partner and sexual inadequacy ought to be addressed to the couple.

Penile injections have been the primary efficient and objective, with little or no side effects, with significant improvement of erection, even in extreme OF and organic. They were the main complication, painful erections. Also had the disadvantage of limiting the time limitation of erections and frequency of application (3 instances per week). This method tends to be abandoned with the advancement of technology.

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