It describes the inability of a male to sustain erection consistently and repeatedly. It is a typical problem and is reported that it impacts around 18-30 million men. It exerts substantial effects on the lifestyle. Most of the time individuals hesitate to speak about it to others even to doctors. This is why it is necessary to resolve this issue openly.
What are the mechanics of impotence?
The penis contains 2 cylinder-shaped chambers called corpora cavernosa which runs along the length of the penis. They include arteries which bring the blood to the penis and veins which take the blood away from the penis. When there is sexual stimulation either physically or psychologically our brain sends a message to the nerves in the penis to cause the relaxation of the penile arteries. This increases the blood circulation to the penis making it stiff and difficult, hence attaining erection. There is simultaneous contraction of specialized muscles situated in the penis which compresses the veins and decreases the outflow of blood from the penis consequently helping to sustain erection.
This is clear now that anything that hinders the either nerve impulses anywhere from the brain to the penis or anything that restricts the blood flow to the penis can result in impotence.
Causes of Erectile Dysfunction
The majority of individuals consider it as a mental issue. However it is not the case. Although psychological elements are associated with the causation of ED but mainly we do have any underlying physical cause of ED
Physical Conditions Resulting In ED.
1. Vascular illness
We understand that it is the increased blood flow to the penis that helps us accomplish erection. Therefore any vascular illness which impair the blood circulation to the penis will make it difficult to get erection. They consist of atherosclerosis, high blood pressure and increased levels of cholesterols.
Males struggling with diabetes mellitus generally experience erectile dysfunction at some time of life particularly when they don’t have a maximum sugar control. The impotence associated with diabetes is credited to harm to blood vessels along with nerves.
3. Neurologic Disorder
For appropriate erection we require proper performance of our nerves in addition to brain. This is why any condition that hinders the functions of brain or nerves can trigger impotence. They consist of conditions such as Stroke Multiple sclerosis and Alzheimer’s illness.
There are some way of life options which can increase the danger of erectile dysfunction. They include smoking cigarettes, drinking and substance abuse. The do so by interfering with the blood supply of the penis.
Injury to the blood vessels and nerve supplying the penis can likewise trigger erectile dysfunction. The significance of injury as a cause of impotence has been implicated in individuals who have actually been riding bicycle for longer time period. This is because bicycle seat can put constant pressure on the vessels and nerves supplying the penis consequently harming them and leading to erectile dysfunction.
There are specific drugs that can trigger erectile dysfunction. They consist of medications used to lower blood pressure and also some antidepressant. The paradox is anxiety and high blood pressure are some of the reasons for impotence and the drugs you are using to deal with these conditions likewise trigger impotence. This is why it is necessary for you to speak to you doctor if you are on any medications and you begin having issues with the erection.
7. Surgical treatment
Mostly older individuals above the age of 50 have problems with erection. This is the age when individuals also provide with augmentation of the prostate and even with prostate cancer. They need surgeries for these conditions and throughout surgery the nerves providing the penis might be damaged leading to erectile dysfunction.
Psychiatric Conditions Resulting In ED
The brain is involved in attaining erection as well as pleasure and enjoyment connected with sex so any issue that interferes with working of brain can cause ED. Psychiatric conditions are accountable for just about 10-15% of the cases of ED. They include
– Stress and anxiety
– Low-self esteem
How to Treat Erectile Dysfunction?
1. Way of life modifications
There are specific lifestyle modifications which can help in the improvement of sexual function. They include cessation of smoking, exercise and weight loss.
There is this famous drug called sildenafil which is well known as Viagra. It is not the only drug, rather there is a whole class of drugs called phosphodiestrase inhibitors. The other crucial medications consisted of in this group are Vardenafil (Levita, Stxyn), Tadalafil (Cialis) and Avanafil (Stendra).
3. Vacuum Pumps.
They are specialized devices including a cylinder and a pump. The penis is placed in the cylinder and pump is utilized to draw the air out of the pump creating a cylinder. This increases the blood circulation to the penis. In order to preserve the erection an elastic band is used around the base of penis.
4. Surgical treatment.
If the erectile dysfunction is because of obstruction of the artery providing the penis especially in younger patients we can surgically restore that blood flow. The other things we can do surgically is place an implant in there. This implant is filled with the pressurized fluid whenever erection is needed.
Impotence is a complex problem to handle. Therefore it is important for you to realize that you need to involve your partner and talk to a physician if you wish to leave this frustrating circumstance. The other important issue to bear in mind is to prevent any self-medication at all as it may have lethal result.