Ed and flow8/8/2023 ![]() ![]() Surgical intervention for a number of conditions may remove anatomical structures necessary to erection, damage nerves, or impair blood supply. COVID-19: preliminary research indicates that COVID-19 viral infection may affect sexual and reproductive health.Due to its propensity for causing detumescence and erectile dysfunction, some studies have described tobacco as an anaphrodisiacal substance. Lifestyle habits, particularly smoking, which is a key risk factor for ED as it promotes arterial narrowing.Kidney disease: ED and chronic kidney disease have pathological mechanisms in common, including vascular and hormonal dysfunction, and may share other comorbidities, such as hypertension and diabetes mellitus that can contribute to ED.Ageing: after age 40 years, ageing itself is a risk factor for ED, although numerous other pathologies that may occur with ageing, such as testosterone deficiency, cardiovascular diseases, or diabetes, among others, appear to have interacting effects.Surgery (e.g., radical prostatectomy).Psychological causes: performance anxiety, stress, and mental disorders.Hyperprolactinemia (e.g., due to a prolactinoma).Cavernosal disorders (e.g., Peyronie's disease).Neurogenic disorders (e.g., diabetic neuropathy, temporal lobe epilepsy, multiple sclerosis, Parkinson's disease, multiple system atrophy).Prescription drugs (e.g., SSRIs, beta blockers, antihistamines, alpha-2 adrenergic receptor agonists, thiazides, hormone modulators, and 5α-reductase inhibitors).By contrast, plant-based diets show a lower risk for ED. Diets high in saturated fat are linked to heart diseases, and men with heart diseases are more likely to experience ED.CausesĬauses of or contributors to ED include the following: About 75% of diagnosed cases of ED go untreated. Many men do not seek treatment due to feelings of embarrassment. It is defined as the "persistent or recurrent inability to achieve and maintain a penile erection of sufficient rigidity to permit satisfactory sexual activity for at least 3 months." Psychological impactĮD often has an impact on the emotional well-being of both men and their partners. Signs and symptomsĮD is characterized by the regular or repeated inability to achieve or maintain an erection of sufficient rigidity to accomplish sexual activity. Other treatments, less commonly used, include prostaglandin pellets, inserted in the urethra smooth-muscle relaxants and vasodilators, injected into the penis penile implants penis pumps and vascular reconstructive surgery. ![]() In many cases, treatment is attempted by drugs, specifically PDE5 inhibitors (such as sildenafil ), which dilate blood vessels, allowing more blood to flow through the spongy tissue of the penis (akin to opening a valve further in order to allow more water to enter a fire hose). Treatment involves addressing the underlying causes, lifestyle modifications, and addressing psychosocial problems. The term erectile dysfunction is not used for other disorders of erection, such as priapism. About 10% of cases are psychological impotence, caused by thoughts or feelings here, there is a strong response to placebo treatment. These include cardiovascular disease diabetes mellitus neurological problems, such as those following prostatectomy hypogonadism and drug side effects. In about 80% of cases, physical causes can be identified. ![]() Through its connection to self-image and to problems in sexual relationships, erectile dysfunction can cause psychological harm. It is the most common sexual problem in men. Penis pump, counseling (psychological treatment) Įrectile dysfunction ( ED), also called impotence, is the type of sexual dysfunction in which the penis fails to become or stay erect during sexual activity. Low testosterone levels, certain prescription drugs, neurogenic disorders Ĭardiovascular disease, diabetes, smoking, stress, mental disorders, ageing, high saturated fat diet, kidney disease ĭepends if psychological or physiological absence of involuntary erections suggests physiological Inability to gain or maintain an erection ![]()
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