Erectile dysfunction (ED) is sexual inability to sustain erection of penis (male reproductive organ) during sex or a problem of ejaculation or both noticed only in men. The erection of the penis comprises of the blood gushing and retention in sponge like bodies present within penis.
This impotence can be classified into two types namely psychological or physiological, where the prior is caused due to stimuli and the later caused with touching physically. Many circulatory problems can causes Erectile dysfunction such as alteration of the voltage-gated potassium channel, as in arsenic poisoning from drinking water.
It can also be caused due organic causes like cardiovascular disease and diabetes, neurological problems, hormonal insufficiencies and pertaining to any treatment can also cause the disease.
Whereas psychological impotence is where erection or penetration fails due to thoughts or feelings rather than physical impossibility; this is somewhat less frequent but often can be helped.
Erectile Dysfunction Symptoms
- Getting full erections at some times, such as when asleep tends to suggest the physical structures are functionally working.
- Other factors leading to erectile dysfunction are diabetes mellitus that can cause neuropathy.
Causes of Erectile Dysfunction:
- Drugs and nicotine consumption are common causes
- Neurogenic disorders such as spinalcord and brain injuries, Parkinson's disease, Alzheimer's disease, multiple sclerosis, and stroke
- Cavernosal disorders
- Psychological causes: performance anxiety, stress, mental disorders, schizophrenia, substance abuse, panic disorder, generalized anxiety disorder, personality disorders, psychological problems, negative feelings.
- Surgery radiation therapy, surgery of the colon, prostate, bladder, or rectum may damage the nerves and blood vessels involved in erection. Prostate and bladder cancer surgery often require removing tissue and nerves surrounding a tumor, which increases the risk for impotence
- Ageing. It is four times higher in men in their 60s than in men in their 40s.
- Renal failure
- Diseases such as diabetes and multiple sclerosis (MS). While these two causes have not been proven they’re likely suspects as they cause issues with both the blood flow and nervous systems.
- Lifestyle: smoking is a key cause of erectile dysfunction. Smoking causes impotence because it promotes arterialnarrowing.
How to diagnose Erectile dysfunction?
- Duplex ultrasound
- Penile nerve function
- Nocturnal penile tumescence (NPT)
- Penile biothesiometry
- Dynamic infusion cavernosometry (DICC)
- Corpus cavernosometry
- Magnetic resonance angiography (MRA)
Tips for managing ED
- Reduce smoking, alcohol intake, and illegal drug use.
- Taking good rest and take time to relax can be helpful.
- Regular exercise and healthy diet to keep good blood circulation.
- Use safe sex practices to prevent HIV and STDs.