What causes ED?
erectile dysfunction and excess urination As seen in the previous section, getting an erection requires quite a precise sequence of events. So if any of these events are disrupted, it can stop the whole process. This can be anything from nerve impulses in the brain, spinal column, and the area around the penis, through to the tissues, veins and arteries or muscles.
The most common cause of ED is damage to the above, normally as a result of disease, such as diabetes, kidney disease, chronic alcoholism, multiple sclerosis, atherosclerosis, vascular disease, neurological disease, which accounts for around 70 erectile dysfunction information percent of ED cases. Around 35 and 50 percent of men with diabetes experience Erectile Dysfunction at some time.
Radical prostate and bladder surgery (normally because of cancer) can also affect nerves and arteries, which can cause ED, injury to the penis itself, spinal chord, prostate, bladder, or pelvis can also ad to ED, if nerves, muscles, arteries, or tissues are harmed.
Medicines, such as blood pressure drugs, antihistamines, antidepressants, tranquilizers, appetite suppressants can cause ED as a side effect.
Also, psychological factors, such as stress, anxiety, guilt, depression, low self-esteem, and fear, cause 10 to 20 percent of ED cases. This also happens with men who may erectile dysfunction drug have suffered from a physical cause of ED who experience the same sort of mental factors.
Smoking can also cause ED, because it affects the blood flow in veins and arteries, as well as hormonal problems, such as not enough testosterone. erectile dysfunction treatments
erectile dysfunction help The etiology of ED is usually multifactorial. Organic, physiologic, endocrine, and psychogenic factors are involved in the ability to obtain and maintain erections. In general, ED is divided into organic and psychogenic impotence, but most men with organic etiologies usually have an associated psychogenic component. Almost any disease may affect erectile function by altering the nervous, vascular, or hormonal systems. Various diseases may produce changes in the smooth muscle tissue of the corpora cavernosa or influence the cure erectile dysfunction patient's psychologic mood and behavior.
Diabetes is a well-recognized risk factor, with approximately 50% of diabetic men experiencing ED. The etiology of ED in diabetic men probably involves both vascular and neurogenic mechanisms. erectile dysfunctionurologist using laser for erectile dysfunction aid Evidence indicates that establishing good glycemic control can minimize this risk.
Cigarette smoking has been shown to be an independent risk factor. In studies evaluating more than 6000 men, the risk of developing ED increased by a factor of what causes erectile dysfunction1.5
Mental health disorders, particularly depression, are likely to affect sexual performance. The MMAS data indicate an odds ratio of 1.82. Other associated factors, both cognitive and behavioral, may contribute. Also, ED alone can induce depression. The new oral agents have been shown to be effective for men who develop depression following prostatectomy.
Cosgrove et al have reported a higher rate of sexual dysfunction in veterans with posttraumatic stress syndrome than in those veterans who did not develop this problem. The domains on the IIEF questionnaire that demonstrated the most change included overall sexual satisfaction and erectile function. This study suggests that regardless of etiology, men with posttraumatic stress syndrome should be evaluated and treated if they have sexual dysfunction sexual intercourse erectile dysfunction.
A sedentary lifestyle is a contributing factor to ED. Exercise has a beneficial effect on the cardiovascular system, and some data from the MMAS indicate that men who exercise regularly have a lower risk of ED. However, Goldstein et al reported an increased risk of ED in men who rode a bicycle for long periods. Therefore, the type of exercise may be important.
The MMAS study also showed an inverse correlation between ED risk and high-density lipoprotein cholesterol levels but no effect from elevated total cholesterol levels. treatment centers for erectile dysfunction Another study involving male subjects aged 45-54 years found a correlation with abnormal high-density lipoprotein cholesterol levels but also found a correlation with elevated total cholesterol levels. The MMAS study had a preponderance of older men.
Vascular diseases account penis erectile dysfunction for nearly half of all cases of ED in men older than 50 years. Vascular diseases include atherosclerosis, peripheral vascular disease, myocardial infarction, and arterial hypertension.
Vascular damage may accompany radiation therapy to the pelvis and prostate in the treatment of prostatic cancer. In this situation, both the blood vessels and the nerves to the penis may medicare erectile dysfunction be affected. Radiation damage to the crura of the penis, which are quite susceptible to radiation damage, can induce ED. The radiation oncologist must take precautions to avoid treating this area. Data indicate that 50% of men undergoing radiation therapy lose erectile function within 5 years after completing therapy. Fortunately, these men tend to respond to one of the PDE-5 inhibitors.
Prostatic surgery for benign prostatic hyperplasia has been documented to be associated with ED in 10-20% of men. erectile dysfunction & tension ring This is thought to be related to nerve damage from cautery. Newer procedures such as microwave, laser, or radiofrequency ablation have rarely been associated with ED.
Radical prostatectomy for the treatment of prostate cancer poses a significant risk of ED. A number of factors are associated with the chance of preserving erectile function. If both natural cure erectile dysfunction nerves that course on the lateral edges of the prostate can be saved, the chance of maintaining erectile function is reasonable. This depends on the age of the patient. Men younger than 60 years have a 75-80% chance of preserving potency, but men older than 70 years have only a 10-15% chance. Sural nerve grafts are used by some surgeons. Following surgery, one of the PDE-5 inhibitors, such as sildenafil, vardenafil, or tadenafil, is frequently used to assist in the recovery of erectile function.
Trauma to the pelvic blood erectile dysfunction the boston vessels and nerves is another potential etiologic factor in the development of ED. Bicycle riding for long periods has been implicated as an etiologic factor by causing vascular and nerve injury. Some of the newer bicycle seats have been designed to diminish pressure on the erectile dysfunction tcm perineum.