Over the past five years, the incidence of diseases of the genitourinary system all over the world has exceeded the incidence of diseases of the circulatory system and at the age of 40 every second man has sexual dysfunction, in particular, erectile dysfunction. But only 25% of the sick turn to a urologist. This is a global problem of society, since the treatment of the disease at a later stage is much more complicated and expensive. Many men think that such violations of health are practically irreparable. But this is not so: erectile dysfunction is cured in 95% of cases. If to treat it at the initial stage, as a rule, it is enough to use medicines.
What is an Erection?
Erection is a physical mechanism. Male penis consists of cavernous and spongy bodies. In a relaxed, calm state, there is no blood in these bodies. But at the moment of sexual arousal the blood fills them. In this case, the sciatic-cavernous muscles at the base of the penis contract and cover the outflow of blood from the cavernous and spongy bodies. In such a way, the erection is supported.
The complex mechanism of erection can be explained quite simply: In the penis there are cavernous bodies, filled with blood. You can draw an analogy with a tank with two pipes: one tube into the reservoir, blood flows (arterial vessels), another tube (through the veins), the blood flows out. With erection, the blood flow (along the arteries) is high, and the outflow (by veins) completely stops. The amount of blood coming through the vessels and leaving the cavernous bodies by the nervous system is regulated. Its role can be compared to a control computer. If the computer (nervous system) fails – this leads to erectile dysfunction.
In this example, it becomes clear that violations in the filling of the tank can be caused either by a violation of regulation (by the nervous system), or by a violation of blood flow (arterial vessels), or by a violation of the outflow of blood (venous vessels). All these factors affect the development of erectile dysfunction.
Of course, there is also the endocrine system, the hormones that regulate sexual behavior, affect the nervous component of the erection, as well as vascular interactions. If there is a violation of the production of certain hormones, erectile dysfunction also occurs.
What is Erectile Dysfunction?
Currently, the world associations of urologists understand by the term «erectile dysfunction» the inability to maintain an erection sufficient to satisfy sexual activity, in the event that these disorders last for at least three months. That is, it is a prolonged inability to achieve or maintain an erection. To identify erectile dysfunction, use a test that will help assess the extent of the disorder.
The term “erectile dysfunction” is suggested in the US instead of the “impotence”, implying too categorical perception of the problem. Currently, the term “erectile dysfunction” includes not only an erection disorder, but also a disorder of sexual desire (libido) and ejaculation: Erectile dysfunction (a violation of potency) – a permanent or recurring incapacity to commit sexual intercourse and / or to bring sexual intercourse before ejaculation.
To think about the problem of impotence, a man should when more than 25% of attempts to perform a full sexual intercourse lead to failure. Very often erectile dysfunction is a signal of deteriorating health. In 90% of cases of impotence, the forecast of specialists is favorable. The main thing is the timely access to a specialist and the precise performance of the prescribed treatment.
Erectile Dysfunction Causes
Erectile dysfunction can occur for very many reasons and quite often this disorder is only a symptom of another disease.
- Chronic prostatitis: to an inferior erection or lack of it leads to inflammation of the prostate gland.
- Psychological disorders: nervous stress, excessive excitation, fatigue, drug addiction, alcoholism, depression, specific psychopathological disorders – the so-called “fear of sexual impotence”, depleted sexual technique, etc.
- Neurological disorders: spinal cord diseases (spinal cord injuries), cerebral blood flow disorders (stroke), fracture of the spine and pelvic bones, multiple sclerosis, Alzheimer’s disease, Parkinson’s.
- Endocrine disorders: diabetes, hypogonadism (hypoplasia of the sex glands), obesity, hypothyroidism, prolactinoma (brain tumor).
- Organic changes in the penis: trauma, injury, Peyronie’s disease (curvature of the penis), transferred inflammations, etc.
- Disorders of the vascular system: an atherosclerotic lesion of the arterial system of the penis on the background of smoking, diabetes mellitus, a disorder of the venous system, hypertension, high blood cholesterol, occlusion (obstruction) of the pelvic arteries (may occur after a fracture of the pelvic bones).
- Admission of medications: antidepressants, hormones, hypotensive, tranquilizers.
Diagnosis of erectile dysfunction begins with a conversation with the patient and a detailed history of the development of the disease. It is necessary to evaluate the onset of the disease, the duration of the course and predisposing factors. For the exact quantitative determination of the degree of erection reduction, various questionnaires are used.
Examination of the external genitalia (phimosis, curvature of the penis, Peyronie’s disease, developmental anomalies), examine the blood (hormonal status, biochemical analysis), the nervous system (reflexes). Details of the presence of chronic diseases and a group of constantly taken drugs are important. Functional researches are carried out: UZDG of penis vessels, monitoring of night spontaneous erections, Viagra-test, intracavernous introduction of vasoactive drugs. Depending on the patient’s condition, additional, more complex studies (cavernosometry, cavernosography, radioisotope phalloscintigraphy, neurophysiological studies) can be prescribed.
Symptoms of Erectile Dysfunction Coming
Symptoms of erectile dysfunction are usually classified into four categories:
- the first are the symptoms of impaired desire,
- the second – the symptoms of erectile dysfunction,
- the third and fourth are often combined together: these are symptoms of ejaculation and orgasm.
Most often, in 70-80 percent of cases, there is a violation in one form or another of impulses, when a man already does not want anything like that. The second most common are the symptoms of erectile dysfunction, that is, a flaccid, incomplete erection. And even more rarely, there are violations of ejaculation and orgasm.