What is erectile dysfunction?
Erectile dysfunction (ED) is a common sexual disorder in men. This term means the inability to achieve or maintain an erection necessary to satisfy any sexual activity.
How common is erectile dysfunction?
Approximately 110 million men worldwide have some form of sexual dysfunction. According to observations, about 5% of men aged 40 years and 15-25% of men aged 65 years, regularly suffer from erectile dysfunction.
Causes of erectile dysfunction:
Erectile dysfunction is caused by mental and physical causes. However, erectile dysfunction often has a mixed nature.
Mental causes of erectile dysfunction:
- psychiatric disorders
Physical causes of erectile dysfunction:
- diabetes mellitus;
- Parkinson’s disease;
- Low levels of testosterone;
- Peyronie’s disease (scar tissue in the penis);
- The consequences of surgery or pelvic trauma / spinal cord
Some medications (lowering blood pressure, antidepressants, antispasmodics, tranquilizers), alcohol, smoking is also contribute to erectile dysfunction.
Treatment of erectile dysfunction
If erectile dysfunction is caused only by psychological causes, treatment can be limited only psychotherapy.
If erectile dysfunction has organic nature, requires medication or surgery.
Currently, for the treatment of erectile dysfunction can be used conservative treatment (medication and physical therapy) and surgical intervention.
Medical treatment of erectile dysfunction
Drugs to treat erectile dysfunction – sildenafil, tadalafil and vardenafil have been successfully used by millions of men.
Injections into the cavernous body of penis
The drug is introduced into the cavernosum corpus of the penis before intercourse. The method has side effects such as bleeding at the injection site, formation of fibrous tissue around the injection site.
Injection into the urethra
Medications are injected directly into the urethra. Side effects include pain, bleeding from the urethra, burning, and the formation of fibrous tissue around the penis.
Testosterone replacement therapy for erectile dysfunction treatment is carried out only when the low secretion of this hormone.
Physical therapy treatments for erectile dysfunction.
Vacuum pumps. It work by drawing blood into the penis and are used just before sexual intercourse.
Reflexology (acupuncture) as an independent method of treatment is not recommended but can be a useful component of a comprehensive treatment of erectile dysfunction.
This is the most radical method of treatment of ED. It is used when necessary to restore blood flow to the penis. The introduction of implants in the penis (so-called “intimate plastic”) is also a surgical method of correction of erectile dysfunction. This is the most expensive and complex method of treatment.
Preventing erectile dysfunction
Erectile dysfunction is much easier to prevent than to cure. To do this:
- to quit smoking, drugs and excessive alcohol consumption,
- follow a balanced diet, reduce the consumption of animal fats
- monitor the level of blood pressure, blood glucose and lipid
- profiles, especially in the presence of hypertension or diabetes.