Erectile Dysfunction

Erectile dysfunction

Erectile dysfunction (ED) is when a man cannot get or keep a firm and rigid penis that is needed for sexual intercourse. 

This situation deprives the man of possible intercourse or the ability to finish sexual intercourse.

This situation was named impotence before. ED is not sex-specific and occurs at any age; however, it is more happened in men older than 75 years.

ED doesn’t necessarily become part of the process of getting older.

 With age the man may need more stimulation (i.e. touching and stroking) to achieve an erection.

The man may also require some space on the time between erections.

Men in old age can also manage to get an erection and be able to enjoy sex.

Erectile dysfunction (ED) means the inability of men to get the firm enough penis erections required for the sexual comfort of both partners. 

The sexual health of almost every adult male will be affected by some extent of ED once and perhaps 30 million men suffer from ED on a regular base.

Such as by changing their lifestyle, adding some physical exercise or following some system of drug or supplements, nearly all men who seek treatment for ED find some relief.

Erectile dysfunction can be caused by:

·         Diabetes (high blood sugar)

·         Hypertension (high blood pressure)

·         Atherosclerosis (hardening of the arteries)

·         Stress, anxiety, or depression

·         Alcohol and tobacco use

·         Some prescription medicines. This includes antidepressants, pain medicine, and high blood pressure medicine

·         Fatigue

·         Brain or spinal cord injuries

·         Hypogonadism (a condition that leads to low levels of the male hormone, testosterone)

·         Multiple sclerosis

·         Parkinson’s disease

·         Radiation therapy to the testicles

·         Stroke

·         Some types of prostates or bladder surgery

Erectile dysfunction may also occur in your issues with your sexual partner. 

Reducing the conflict within your romantic relationship may improve your love life.

If you go for a therapy session, your sex partner could be involved too and your therapy would benefit from it.

Partners can find out new techniques of sexual gratification for each other and, also, new opportunities to show love to each other. 

This may make you less afraid of an erection.

Help of older men with an erectile dysfunction The compared phenomenon with erections mostly lies in blood vessels. 

Apart from the famous first reason for erectile dysfunction in older men, there are some other conditions that obstruct blood flow to the penis.

They include atherosclerosis which is a risk factor of cardiovascular diseases and diabetes (type 2).

The other cause could result from a vein that is defective and this can lead to the blood getting drained too rapidly from the penis.

Furthermore, other disorders, mixed hormonal imbalances, as well as some quite complex operations can lead to ED.

Symptoms

Erectile Dysfunction (ED) leads to having difficulty with both getting and keeping erectile that is firm enough for sex activities. 

If your arousal doesn't bother you and if it becomes a regular issue then first talk to your primary care physician or a Urologist to seek more information.

A possible early warning sign of ED can be its connection with cardiovascular disease.

It shows that arteries can't supply blood to the other organs because of arteries' blockage in the vascular system.

A few researches also confirmed that males suffering from ED faced a type of life-threatening problem such as heart attack, stroke or blood circulation problem in their legs.ED also causes:

• Low self-esteem
• Depression

Acknowledging that the results are devastating for the man and his partner helps avoid making any lighthearted comments.

When EE begins to impact negatively their well-being or their social lives, addressing it becomes urgent. 

The goal is to restore the performance and the quality is the aim of treatment that effectively improves a man's function, his cardiovascular health, and brings about a better life.

Premature Ejaculation (PE)

Premature ejaculation is a male sexual dysfunction characterized by:

• Ejaculation is literally almost beyond control or it happens nearly immediately after getting penetration into the vagina.
• Infrequent or absentience of control over ejaculation during nearly all vaginal insertion; and, non-communication, such as dread, truancy, and/or all the sexual intimacy mannerisms.

Premature ejaculation is divided into lifelong and acquired

• Lifelong premature ejaculation. The patient has premature ejaculation as long as he has been sexual, from the age of first engaging in sexual contacts.
• Acquired premature ejaculation. The patient had experienced normal coitus prior to his symptomogy but he now has become symptomatic of premature ejaculation.
• Performance anxiety. Anxiety over performance is also one of the psychological EDs which is normally effected by stress.

Erectile Dysfunction Diagnosis

When you experience possible ED symptoms for example, when you see a doctor, they would try to find out whether you have any other health condition that could be contributing to the issues. 

They’ll also want a description of your medical profile, involving interrogations on your sex life.You might have:

A physical. It will include [performing] physical inspection of your penis and testicles.

Blood and pee tests. Such diagnostic procedures are aimed at identifying issues like diabetes, heart disease, and the low testosterone levels.

A mental health exam. You can discover some underlying reasons why you have stress, depression, or they may be the reason behind ED through this.

It gives your doctor visual clues about your vessel health by evaluating whether blood is properly flowing through your penis.

Drugs for erectile dysfunction

Normally, the front line therapy of ED is a phosphodiesterase inhibitor. 

This is an oral drug. The other medicinal tools are intracavernosal or intraurethral prostaglandin E subunit

However, the majority of patients prefer oral drug therapy to any other, so oral drugs are being used as long as they do not interfere with another or are tolerated by patients.

Firstly, the PDE5 inhibitors of cyclic guanosine monophosphate (cGMP) (cGMP–specific) type 5 (PDE5) phosphodiesterase are selective because the majority of phosphodiesterase bowers in tissues of penis. 

These drugs have an active ingredient like sildenafil, vardenafil, avanafil and tadalafil. 

As a result, these drugs disrupt the formation of cGMP, optimal relaxation of the cGMP-dependent smooth muscle and the erection is regulated. 

While vardenafil and tadalafil are more selective than sildenafil to the penile blood vessels, the same are true in the cases of their clinical responses and adverse reaction. 

These therapeutics, clinically comparable (60-75% efficacy) in controlled clinical studies, require a more thorough pharmacovigilance in patients treated with them.