JDS Clipart  

Erectile dysfunction is the inability to achieve or maintain an erection firm enough for intercourse (Masters and Johnson).

It is the most common problem for men who come to see, you can confirm that up to 50% of men have experienced some period of erectile dysfunction, although this has been temporarily. To be considered that there is an erectile dysfunction problem should be submitted at least 25% of cases, so ever occurs sporadically is something “normal”.

It is a common condition that, according to various studies, have varying degrees and with varying severity, 52% of the male population between 40 and 70, and 15-20% of those over 70 years.

Erectile dysfunction is not present in all men the same way: it may appear from the first relationship, which would be primary or may be later when the man is no longer able to maintain an erection. May be limited to certain situations or can be generalized. It may be total or partial, is more common that you get a partial erection, but insufficient for intercourse.

Above all we must say that in most cases is a problem and not a true disease. However, we live in silence and shame and complex that prevent people with this disorder discuss this with your doctor or partner. Few face it and seek a solution: less than a quarter of those with erectile dysfunction get treatment.

They tend to consider ED as a problem caused by the years, caused by aging, except that this is wrong, sexuality can be followed by persons exercising too old to enjoy their sexuality and that of your partner.

Although the decline in testosterone can cause erectile dysfunction treatment is to combat it. And is that another misconception is to think that erectile dysfunction has no solution. While aging can occur with diseases that lead erectile dysfunction, aging alone does not have to be associated with dysfunction.

Total primary and dysfunctions are rare and are usually caused by organic causes.

In situational dysfunction erection (which only occurs in some specific situations), you can get the same with masturbation, but not with your partner or lose your erection when you try penetration. These are usually due to psychological causes.

People with this type of dysfunction often face sexual intercourse with high levels of anxiety, do not enjoy them, are very concerned with the enjoyment of his companion, watch over your sexual performance or performance, unless they get frightened by the erection appropriate. This usually blocks the erection.

It is worth mentioning that ED occurs in what is called the excitement phase. At this stage the predominant phenomenon is the vessel congestion, whose manifestations include vaginal lubrication and erection. An increase in this phase does not produce itself dysfunction is uncommon because the query “excess lubrication” or erections “too hard”.

The decrease in arousal produce absence or deficiency of vaginal lubrication, lubrication and hiccups that is incomplete or absent erections, ie erectile incompetence.

Factors such as fatigue, worry, stress, differences or problems between the couple, are causes that affect sexual enjoyment and cause problems with erection, revealed clear without medical cause.

When he has gone through an experience of lack of erection, usually in the following intercourse, fear of another failure causes only think about sex (becomes spectators of their own sex), and so abstain receiving the erotic message of her companions, which inhibits the physiological mechanism of erection. In other words, the man himself prevents l have an erection.

Other factors such as depression, leading to erectile dysfunction and which must be treated together with depression and there are also drugs that affect the erection and people who are on medication should check if they affect your sexual response.

As we have seen, the erection is a complex phenomenon involving many different factors: visual, tactile, psychogenic, cardiovascular, hormonal, emotional, and so on. Can be inhibited by many circumstances and sometimes even keep the initial erection can be difficult to maintain. These things happen and nothing happens if there are sporadically or seasonally, and then return to normal.

There are times when small stimuli triggered a huge reaction and others in which little or no reaction. This variability is biological, psychological and emotional, and consider that it requires special attention. The couple should know that the erection is a very complex and not always react the same way.

Organic causes

Usually occurs in people who previously had sex without problems and one day begin to notice the absence of erection stiffness or lack of it and, therefore, lack of sexual intercourse and ejaculation. This type of erectile dysfunction are referred to as secondary, which can be of two types: organic and functional or psychogenic. In the first case, there may be an injury or disease at spinal nerve injury or peripheral nerve, by disease of the arteries that hinders blood flow or insufficiency of the veins that allow the escape of blood in the penis .

The organic causes of erectile dysfunction can also result from taking certain medications-blockers and diuretics, used to treat high blood pressure, some antidepressants, anxiolytics and neuroleptics, cimetidine and ranitidine, used for stomach treatments, as well as insulin and other oral antidiabetics. Also, thyroid problems, chronic liver disease and other disorders of metabolism can generate Erectile Dysfunction.

Psychological Causes

When no organic disease Erectile Dysfunction generate talk of a type of functional or psychogenic erectile dysfunction, which amounts to 60% of all cases.

To understand this type of case is necessary to mention that sexual function is closely related to the psyche and emotions of the person, so that any alteration of these will affect the erection. That is why stress, fatigue, depression, marital conflict, family and work problems or other problems that afflict man can cause erectile dysfunction.

Even the fact of not being able to maintain relationships on occasion for some men it becomes a problem when you go round and round aggravating the situation and becoming the factor that triggers erectile dysfunction.

Nocturnal erections during sleep, usually occurring almost daily and are indicative that there is no neurologic or cardiovascular injury and that the absence of an erection during wakefulness (when awake) may be due to psychogenic causes or emotional. The lack of nocturnal erections is indicative that there may be an organic lesion, most of the time a normal arteriosclerosis that prevents filling of the corpora cavernosa of the penis, neurological injury or hormonal or metabolic disturbance.

Treatment

Treatment of erectile dysfunction is complex. Sometimes be psychological-emotional, in other hormonal and ultimately even surgery, as some conditions, usually vascular or fibrosis of the corpora cavernosa of the penis, can only be fixed through a penile prosthesis. However, interventions should be considered as a last resort and should use them only if other treatments fail, such as the use of specialty drugs for erection.

Another possibility is self-injections. The patient is injected into the corpora cavernosa own vasoactive substances that cause an erection, but this method is not without risk as complications may occur such as priapism (prolonged erection for hours) and fibrosis of the corpora cavernosa.

Similarly there is a vacuum technology that allows rapid filling of blood into the penis to become erect, which also carries some risks

In all cases it is important not to self-medicate or try to hide her existence from dysfunction, and currently has a significant range of alternative solutions to Erectile Dysfunction.