Know More about Erectile Dysfunction
What is Erectile Dysfunction?
Erectile dysfunction – inability to have or maintain it at a level sufficient to carry out normal sexual intercourse, lasting for at least 6 months. Erectile dysfunction does not always accompany aging and may be absent in deep old age. With age, frequency, and severity of ejaculation, sexual tension degree and need for ejaculation decrease, and the ability to erect often persist.
With the preservation of morning erection and a good erection in the process of masturbation, the main role in erectile dysfunction development is played by mental factors. With a permanent failure to erection under any circumstances, erectile dysfunction cause has an organic origin. Erectile dysfunction can be true and imaginary (dissatisfaction with erection caused by its inconsistency with subjective and more often false beliefs about it) and be combined with premature ejaculation.
According to statistics: The incidence of erectile dysfunction is 52% of men aged 40-70 years. Only 10% of patients seek help from specialists.
The main erectile dysfunction causes collected by Canadian Family Pharmacy are:
- organic damage to the nervous system;
- diseases of genital organs (prostatitis, urethritis, colliculitis);
- endocrine disorders (due to direct damage to testicles, pituitary gland, adrenal glands, thyroid gland, erectile dysfunction in the old age);
- penile lesions (malformations, trauma, fibroblastic penile compaction – tightening of gallbladder and septum of the penis with nodules formation or plates that are not soldered to corpus cavernosum, hence penile deformation during erection);
- chronic cavernitis, priapism;
- diseases of internal organs (arterial hypertension, diabetes, stenocardia, renal failure);
- vascular lesions (Leriche’s syndrome);
- medications (eg, antihypertensive, beta-blockers, antidepressants);
- alcoholism, drug addiction;
- psychological factors (stress, fatigue).
There are the following erectile dysfunction symptoms:
- erection absence during sexual excitement;
- less often penile deformation, making it impossible to have sexual intercourse;
- possible neurotic disorders (anxiety, fear);
- signs of endocrine disorders.
Many patients can not detect significant changes from nervous, genitourinary and endocrine systems, as well as internal organs.
To establish a diagnosis of erectile dysfunction, the doctor should carry out the following examination:
- blood and urine tests;
- blood glucose and glucose tolerance test;
- lipids of blood serum;
- tracking of night erection;
- endouretral thermometry;
- penial pressure measurement;
- aortography and selective perineal angiography;
- dynamic cavernography;
- neurological research;
- psychological testing;
- examination of external genitalia;
- color ultrasound dopplerography;
- study of hormonal status;
- psychological examination;
- penile ultrasound;
- electromyography of pelvic area muscles.