Who suffers from Erectile Dysfunction?
Erectile dysfunction, commonly referred to as ED, is the inability to achieve and sustain an erection suitable for sexual intercourse. The condition is not considered to be typical of any age group.
How does an erection occur?
The penis is the male sexual organ, comprised of:
• Two cylinder-shaped chambers called the corpora cavernosa, which run the length of the penis and contain a maze of blood vessels and sinuses (cavities)
• The urethra, a channel in which urine and sperm flow, running the length of the underside of the corpora cavernosa.
• Erectile tissue, contained within the corpora cavernosa above the urethra, two main arteries and several veins and nerves
• The shaft which is the longest part of the penis
• The head (glans) that is located at the end of the shaft • The meatus or the opening at the tip of the head where urine and semen are discharged
The initial stages of an erection begin in the brain. Physical and/or mental stimulation serve to cause the nerves in the brain to send chemical messages to nerves in the penis. As a result, the penile blood vessels will relax, allowing blood to flow freely into the penis. Once this has occurred, high pressure traps the blood within both corpora cavernosa to sustain an erection. This causes the penis to expand, creating an erection.
Erection is reversed when the inflow of blood is stopped and opening outflow channels open, allowing the penis to become soft.
What are the physical causes of Erectile Dysfunction?
The process of achieving an erection is complex. As a result, any number of physical problems may occur for a variety of reasons. Physical causes of ED are related to a breakdown or damage to the sequence of functions that lead to an erection. This process involves nerve impulses in the brain, spine, and penis as well as the subsequent response in the muscles, fibrous tissues, veins and arteries both in and around the corpora cavernosa.
The damage in the sequence will often affect the arteries, muscles, and surrounding tissues of the penis, and this breakdown is most commonly the result of a disease.
Diseases that commonly cause ED include:
• Diabetes
• Kidney disease
• Neurological diseases
• Vascular disease
• Prostate cancer
The physical causes of ED are not only disease-related. There are many other potential causes, including:
• Surgery
• Injury
• Hormonal imbalances
• Venous leak
• Tobacco, alcohol or drug use
• Prescription drugs
Impotence Treatment
Treatment for an erection problem will depend on the cause, which may be psychological, physical, or a combination of both.
There are various courses of medication, available for the treatment of erection problems. Doctors will initially look at your lifestyle in order to identify the best possible treatment. Simple lifestyle changes will often boost the success of medicines. Many doctors take a stepwise approach to treating erection problems, opting for the least invasive treatments. These treatments include:
• Lifestyle changes, for example the avoidance of tobacco, drugs, and alcohol. In addition, discussing the problem with your partner may also help.
• Identifying the best possible course of treatment, via a full medical consultation with your doctor.
• Taking oral medications like phosphodiesterase-5 inhibitors such as Viagra, Cialis and Levitra.
• Seeking counseling for stress or anxiety.
• Using vacuum devices.
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