Erectile Dysfunction

—Specialisation

Erectile Dysfunction, which is also known to be impotence is understood in general terms as the sexual dysfunction. The problem is developed as, the erection of the penis will be unable to be developed and inability to maintain the same, during the process of sexual activity. The problem is started because of sexual arousal and this process is initiated during the transmission of the signals from the brain towards the nerves, all placed in the penis. According to the research, there are about 40% of male do have this problem of medical condition and suffer from impotence or erectile dysfunction, if not all the time, but at least occasionally.

Causes

There are many causes that result in erectile dysfunction. The following are the most important causes.

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Diabetes
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Cardiovascular disease
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Neurological problems
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Side effects of the drugs
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Hormonal insufficiencies
Apart from the sexual dysfunction, the psychological impotence has more impact, because of the intense feelings and thoughts that flow negatively. Usually erectile dysfunction creates psychological consequences severely.

Underlying Causes

There are certain underlying causes that would result in erectile dysfunction.

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Arsenic contamination in drinking water
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Potassium deficiency

Signs and Symptoms

The clear problem of erectile dysfunction is the repeated inability or regular inability to maintain or obtain an erection. The same symptoms are experienced in many of the ways.

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When there are any of the psychological issues are less present, full erections can be obtained as normal. In such situations, it is clear and evident that the physical structures are fine and function properly.
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Other important symptoms or a factor that are found to be causing or leading this medical condition is diabetes mellitus.

Causes

There are many of the causes that would lead or result in erectile dysfunction. These are as follows.

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Neurogenic disorders
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Surgery
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Drugs, which are anti-depressants
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Psychological causes, like mental disorders, stress and performance anxiety
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Aging, as it is more prominent and about 4 times more in men after 60s, when compared to the age at 40s
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Cavernosal disorders
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Kidney failure
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Some kinds of diseases like multiple sclerosis and diabetes mellitus
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Lifestyle, in terms of their smoking habits, because smoking promotes arterial narrowing and causes impotence
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Bicycling is one of the factors and causes to small degree, because of both vascular problems as well as the neurological problems that cause from the compression. This risk is about 1.7 fold.

Diagnosis

Erectile dysfunction does not need any kind of formal tests to be done. However, there are certain blood tests done, to exclude the other or underlying disease, like prlctinoma and hypogonadism. ED is generally related or caused from the factors, like obesigy, poor dietary habits and poor physical health and also cardiovascular diseases. So, initially medical professionals perform a thorough physical examination. The physical examination can be helpful to find the groin hernia, which is undetected previously and once detected, can be easily curable.

The impotence can be either psychological or physiological and this can be detected by questioning the patient, whether he ever had the ejection. If it was never, it is assumed to be physiological and if it ever, the suspicion can be either physiological or psychological.

Various diagnostic methods that are used to determine the accuracy of the cause and condition are the following

 

Penile nerves function

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Duplex ultrasound
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NPT or Nocturnal Penile Tumescence
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DICC or Dynamic Infusion Cavernosometry
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Penile biothesiometry
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MRA or Magnetic Resonance Angiography
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Corpus Cavernosometry

Treatments Available

The medical condition does exist in various stages and the treatment is given according to the stages it has been.

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When it comes to the medication, initially Viagra or PDE5 inhibitor drugs are to be given.
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In certain instances, injections are given to the penis and also the medication of prostaglandin tablets.
 

However, a formal way of treatment from the initial to advanced strategies can be as following.

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Oral medication that includes medicating with phosphodiesterase type 5 inhibitors
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Topical medication, which is considered to be the first line treatment
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Injected medication
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Pumps to draw blood towards the penis, through applying the pressure negatively
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Surgery