The reasons for ED
Erectile dysfunction is a specific inability to achieve and maintain an erection for performing a sexual intercourse. Proper erectile function intends strong sexual arousal, sexual affection, appearance of a penile erection, frictions for several minutes and ejaculation. When some of these components are eliminated, it is impossible to conduct a full sexual intercourse. This state is called erectile dysfunction.
What are the causes of erectile problems?
Sexual disorders appear as attendant circumstances of other states. Loss of sexual vigor or impotence is often caused by diabetes, uropathies, brain injuries. This type of erectile dysfunction is called organic. The special features of organic ED are:
- Slow developing of all symptoms;
- Absence of night erections (which might be registered by a self-test);
- Sexual vigor and ejaculation may be normal;
- Erection is not strong enough or a man has systematic ED disorder.
Erectile disorders have psychogenic nature. Many doctors believe that sexual impotence is associated with neuropsychology and may be caused by constant psychological problems or temporary depressive state. Psychogenic sexual frustration may appear as a consequence from taking medications for cancer treatment or mind-altering drugs. The symptoms of psychogenic sexual disorder are:
- Sudden development;
- Interpersonal problems and personal fear and anxiety;
- Night erections, which prove that the physical state is normal;
- Erectile dysfunction is spontaneous and sporadic;
In such a case sexual functions may be completely recovered after eliminating of the initial reason.
It is proved that just 10% of ED patients ask for a medical help. A lot of men prefer to hide their erectile disorder and try some self-treatment to stay healthy. Though, in 95% cases sexual impotence is successfully recovered with prescribed medications.
Shy and unconfident men may try one of numerous anonymous hotlines to consult on ED questions and get some necessary information on possible reasons of their sexual problems and proper treatment. And, of course it is very important for a man to ask his partner to overcome the psychological barrier.
More articles about erectile dysfunction are available on http://www.healthline.com/health/erectile-dysfunction
Possible reasons for ED
- System disorders, including diabetes, hypertension, increasing level of cholesterol and other states damaging blood vessels. According to statistics, almost 50% of diabetes patients experience erectile problems.
- Disorders affecting nerve system, e.g. Parkinson’s disease or multiple sclerosis.
- Medication side-effects.
- Drinking and smoking.
- Deficiency of testosterone or other hormone misbalance cases.
- Mechanical damages of the pelvic area, e.g. pelvic surgery or a spinal cord injury.
- Negative psychological factors: depression, anxiety, stresses, connected with changing of a surrounding or a life-style.
There are also few debated issues, like a possible connection between sports activities and erectile problems. For example, it is believed, that long bicycle riding on a narrow saddle may destruct blood flow in the penile tissue. Though, the link between erectile problems and bicycle riding has not been proved yet. And the issue is still debated.
Men with vasectomy may experience permanent erection problems in some psychological cases or have temporary difficulties associated with pain after the operation. Psychological issues concern situations, when a man isn’t quite confident and comfortable with his decision or there are still some second thoughts on the point of having children.
Medical examinations of ED
Usually a doctor starts reviewing possible reasons for an erection problem from asking questions about general problems with health and sexual potency. After this a complete exam of the penile function, prostate, testicles and other organs is pointed. Laboratory tests start from determine of testosterone level. Deficiency of this hormone reduces sexual vigor and inevitably leads to unpleasant erectile problems.
Next step is examination of other hormones, such as prolactin, thyroid, luteinizing and follicle-stimulating hormones. A high blood-sugar may also be the reason for erectile problems. This especially concerns the diabetes. After medical examination is conducted, a doctor estimates the results and proposes the individual program of therapy.
Treatment of ED
One of the most popular options is Cialis. This American medication was specially produced to treat physical inability to achieve and maintain erection for a long sexual intercourse. Cialis belongs to pharmacological group of PDE-5 inhibitors. Its active ingredient is Tadalafil, the chemical which promotes relaxing of muscles and improves blood flow in the penile tissues (necessary for a proper erection). The drug works only after sexual arousal, but if it is quite strong, the erection may be maintained for a long time that gives good perform in sexual intercourse. The effect appears in 15-20 minutes and saves for 36 hours more. Cialis is available here, not only in the USA.
Tadalfil is easily absorbed and may be combined with a fat or moderate dose of alcohol. Time of taking does not matter. The recommended dose is 20 mg once a day. Contradictions to Cialis are quite rare. Medication may be taken even by patients with liver disorders and diabetes.
Advantages of Tadalafil:
- Quick effect and strong erection.
- Abscence of intolerance. Cialis is proper medication for a long-term taking.
- Tadalafil normalizes blood circulation, which may have positive effect on a general health state.
Kamagra. This popular Indian medication is served in oral jelly sashes. The active ingredient of Kamagra is Sildenafil, which improves blood flow in a penile tissue and by doing this improves the erection.
The medication relaxes penile muscles and enhances blood circulation by widening pelvic vessels. This promotes longer and harder erection. The effect of Sildenail is durable for 6 hours.
The maximum dose is 100 mg, although Sildenafil may be taken in quite a less quantity. The list of contradictions includes taking of nitrates or nitrogen oxide donator elements. Sildenafil may be individually intolerant, that appears in such side-effects as headache, sickness or stiffness.