What is Erectile Dysfunction?
Erectile dysfunction is characterized by chronic difficulties with full sexual intercourse implementation. Canadian Pharmacy talks about problems with erection, and about absence of ejaculation or orgasm, as well as other phenomena that prevent you from enjoying sex and satisfying your partner. However, more often patients come to doctor with a complaint about the first variant of disorder – when, during sexual excitement, penis for some reason does not fill up with enough blood (remains soft, does not increase in size).
It is important to know: Impotence is a fairly common phenomenon: according to statistics, up to 50% of stronger sex over 40 years face, to one degree or another, erectile dysfunction symptoms. American scientists estimated that “victims” of erectile dysfunction are more than 150 million men. At the same time, despite the fact that treatment gives effect in 95% of cases, no more than 10% of patients visit doctor.
There are several risk factors that contribute to erectile dysfunction development.
So, problems with potency are often observed in:
- heavy smokers;
- men with diabetes;
- men with coronary heart disease;
- men with hypertension;
- men with depression;
- men with neuroses;
- some other mental disorders.
Sometimes erectile dysfunction is provoked by taking certain medicines, by abrupt change in diet or lifestyle, and by traumas and operations in genitalia area. Men who abuse alcohol and those who spend most of their time sitting infront of computer or driving a car should also be prepared for possible “riot”, which one day will destroy plans for romantic evening.
Erectile Dysfunction Causes and Types
Doctors divide causes provoking ED into three groups:
- organic (associated with physical obstacle to natural occurrence and maintenance of erection);
- psychogenic (in which no physiological disturbances are observed in person, and problems in sex are explained by stress, chronic fatigue or psychological trauma);
- mixed (when both of these factors contribute to erectile dysfunction development).
Psychogenic causes of erectile dysfunction account for about 20% of total number of cases when treatment is carried out in hospital. More often we are talking about men of young or middle age. The main role in such patients’ treatment is assigned to doctor-psychotherapist.
The most common causes of erectile dysfunction are organic – they are often associated with age-related changes in blood vessels walls.
The fact is that mechanism of erection can be compared in part to bath filling with hot water: when you close spigot and open tap, tank gradually fills up, and to empty it, you need to cut off water supply and remove spigot . When vascular lesions (for example, cholesterol plaques) are present, process of filling penile cavernous bodies – a kind of analogue of the bath – slows down, sometimes so much that erection does not occur at all. Also, in some cases, problem with sex is explained by “leakage” – veins pathology, at which blood leaves penis too quickly till the end of sexual intercourse. If erectile dysfunction cause is violation of hormonal background, then entire mechanism of excitement is destroyed: a man may completely cease to be interested in sex.
Table: Erectile Dysfunction Type
|Psychogenic||The main role here is played by low sensetivity of carvenous bodies to neurotransmitter action|
|Neurogenic||Spine Cord Injuries, peripheral nerves disorders, brain cord disorders. There is hindert impulses penetration to carvenous body.|
|Arteriogenic||atherosclerosis, age, vascular changes, traumas, cigarettes, increased arterial blood pressure, diabetes mellitus|
|Venogenic||Carvenous tissues cannot perform its functions, Peyronie’s disease, undernutrition.|
|Hormonal||More often ‒ diabetes mellitus, provoking changes in carvenous bodies, vessels is guilty.|
|Cavernous Insufficiency||Extra and intracellular changes in carvenous bodies|
|Aging and Other||Erectile dyfsunction is caused by some physiological changes in organism.|
It is important to know:
Erectile dysfunction can be a problem not only in intimate sphere, but also alarming symptom calling for checking vascular system health as soon as possible. The fact is that coronary heart disease and type 2 diabetes in initial stages can proceed almost asymptomatically, gradually leading to death-dangerous disorders in body’s performance. Therefore, it is so important not to postpone visit to “male doctor”: it can save you from:
- heart attack;
- hyperglycemic coma.
Erectile Dysfunction Symptoms
Is it necessary to give the alarm in case of a single “fiasco”? No – doctors consider a pathological situation in which problems with erection occur no less than in a quarter of cases of sexual intercourses.
However, there are number of symptoms that should be occasion for consultation with a specialist:
- absence of morning erection;
- impossibility to cause erection during masturbation;
- slowing erection speed appearance when excited or completely absent;
- rapid ejaculation.
With erectile dysfunction of organic nature, these symptoms increase gradually, often accompanied by extinction of male interest for sex. If underlying disease cause is psychological problems – there can be no symptoms of violations outside sexual intercourse (morning erection persists, and difficulties in sexual contacts are observed not always, but only occasionally).
Only a doctor can establish true cause of erectile dysfunction – for this, after initial consultation, he will appoint laboratory tests and special types of examination (vessels ultrasound, testing penile innervation, etc.). If patient has chronic somatic diseases (diabetes mellitus or hypertension), important element of diagnosis and treatment will be visit to well qualified cardiologist or endocrinologist.
How to Treat Erectile Dysfunction: Methods and Means
Success in ED treatment depends on many factors, in the first place – on cause that proves erectile dysfunction appearance. So, to cope with erectile dysfunction of psychogenic character in a young man is indisputably simpler than, for example, with severe organic impotence caused by surgery prostate gland removal. An important element of positive therapy outcome is timely treatment of patient for medical care – because the longer the disease progresses, the more difficult it is to reverse pathological process.
Andrology – a branch of medicine that specializes on male sexual sphere diseases treatment having a wide arsenal of methods based on various approaches to fighting erectile dysfunction. Doctors say that there are almost no cases when doctors can not improve patient’s condition. Therefore, one should never take such a problem as irreversible tragedy and avoid a visit to doctor because of fear of hearing disappointing forecast. Erectile dysfunction – is only overcomable trouble, which in no way should be the cause for a severe emotional crisis.
The goal of psychotherapy is to remove block that prevents physically healthy man from performing sexual function. Trustful relationships with a specialist help find cause and overcome prior negative experiences. Often joint consultations with a permanent male partner are effective, because the role of her behavior in patient’s recovery is very significant.
Drugs for ED Treatment
In some cases, with organic erectile dysfunction, prescription of medicines of Canadian Health&Care Mall may be effective. For example, preparations from group of phosphodiesterase 5 inhibitors (Canadian Pharmacy Viagra, Cialis or Levitra) dilate penile vessels, making it possible for erection to come even in severe circulatory disorders. However, their use gives only a short-term effect and does not affect root disease’s cause. Similarly, drugs are usually prescribed in form of:
Vacuum Therapy as ED Treatment
This type of treatment involves use of special medical devices that operate on principle of pump, which can direct blood into penis (erection preservation is achieved with help of special compression rings). As in case of drug treatment, vacuum therapy does not provide long-term effect and is used as situational aid, which allows to cause erection for a period sufficient for one sexual intercourse.
Special types of massage and self-massage of pelvis and pubic bone area have a beneficial effect on vessels tone in male genital area. Regular procedures help improve blood circulation in pelvic area and positively influence stimulation process. It is believed that in absence of gross organic pathology causing impotence, this approach (as an auxiliary one) significantly improves sexual function.
Training muscles of perineum is another way of erectile dysfunction drugless treatment. Due to sedentary lifestyle, many men experience chronic stagnation of blood in pelvic region, which disrupts vessels performance and adversely affects erection. Regular training for muscular development surrounding penis and scrotum, can significantly improve sex quality. Such exercises can be useful to all men, regardless of whether they have signs of violations in this area.
Unfortunately, in some cases, erectile dysfunction treatment without resorting to surgical techniques does not give desired result. In addition, with certain traumas and pathologies of genitourinary system, there is no other way to return “male power” to patient, except how to perform penile prothesis. Currently, various models of implants have been developed that can reproduce a natural sexual function with a high degree of reliability and provide pleasure to both partners. The main drawback of this method is impressive cost of both phalloprosthesis itself and operation for its installation.