Erectile dysfunction - is a term that includes a wide and varied spectrum of sexual disorders (erectile dysfunction, ejaculation and orgasm phases). Erectile dysfunction is not always synonymous with impotence.
Causes of Erectile Dysfunction
With erectile dysfunction, despite sexual desire, there is insufficient blood flow to the penis. Because of this, it is impossible to achieve a strong erection. Many men who have difficulty with an erection experience a psychologically difficult experience.
Erectile dysfunction is a complex physiological reaction, depending on a whole spectrum of endocrine, neurological and vascular disorders. A few years ago, it was believed that 90% of erectile deficiency has purely psychological roots. But recent studies by scientists in the field of neurophysiology, hemodynamics and pharmacokinetics have shown that in 50% of cases, the cause of dysfunction is organic in nature
One of the causes of erectile dysfunction may be the endocrine factor, associated, for example, with a deficiency of testosterone, or with an excess of iprolactin. According to statistics, the total frequency of hormonal-based erectile insufficiency does not exceed 5% of cases.
Who to contact?
The lack of an erection is a problem that causes fear and anxiety, and the initial consultation of an urologist is of great importance. It is important that a trusting relationship develops between the doctor and the patient. Indeed, in order to receive qualified help, it is necessary to frankly and in detail describe the existing disorder.
Diagnosis of erectile dysfunction
Intracavernous injection of vasoactive drugs allows specialists to study atrerial circulation of the penis in an erection state using an ultrasound scanner equipped with a Doppler sensor. Thus, it is possible to evaluate the internal diameter of the cavernous arteries and measure the blood flow before and after the injection of vasodilators.
Cavernosography provides important anatomical information that may be useful for possible surgical correction.
Treatment of erectile dysfunction
The hormonal causes of erectile dysfunction are eliminated by certain medications in which the body is deficient, or which block the activity of other excess hormones that suppress sexual desire.
Vasoactive substances - prostaglandin (PGE 1), sildenafil (Viagra), apomorphine, tadalafil (Cialis) and vardenafil (Levitra) are used to treat many vascular disorders.
With the most severe forms of erectile insufficiency, when vasoactive drugs are not effective, there are surgical treatment options. For example, the installation of a prosthetic cavernous body. In practice, implants are used, consisting of two cylinders, which allow the penis to obtain the necessary rigidity. The biotechnology industry does not stand still and presents different types of implants that use hydraulic systems that can simulate an erection. So, gentlemen , there is always a way out.
