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About Erectile Dysfunction

Erectile dysfunction is a condition manifested in inability to achieve and maintain adequate erection enough for the sexual intercourse. This limits or makes impossible to perform a normal sexual intercourse. According to the last data, nearly 10 millions of men in the USA suffer from this disease. By estimates of the German scientists this number reaches 5 millions in Germany.

The Causes of Erectile Dysfunction

Today there is no doubt that the occurrence of erectile dysfunction is associated with a range of causes that may lead to different men's problems including and ED. All the causes of erectile dysfunction can be classified into several groups:

• Psychological disorders that include: depression, narcotic addiction, alcoholism, drugs abuse, psychopatological disorders: fear of the sexual frustration.
• Endocrine disorders: decreased function of the sexual glands (hypogonadism), diabetes, prolactinoma (tumor of the pituitary gland), sarcoidosis.
• Disorders of the cardiovascular system: atherosclerotic damage of the vessels in the penis associated with smoking, high blood cholesterol, diabetes, high blood pressure; congestion of the vessels in the small pelvis; disorders of the blood coagulation in the penis vessels as a result of taking some medicines and smoking; dysfunction of the venous system in the penis.

It is necessary to mention that in most cases erectile dysfunction is caused by a group of different causes. The scientists consider that in 80 percentage of cases erectile dysfunction is related to diabetes,high blood pressure and smoking. Psychopathological problems are common as well.

Erectile Dysfunction Diagnosis

The diagnosis of erectile dysfunction is made by a specialized health care provider. The doctor usually ask a patient about his problems, concomitant disease, additional therapy that a patient may receive. In some cases a doctor may suggest to pass some specific physical tests. In most cases these tests helps to determine the main cause of the disease. The most common tests that are used in diagnosis of erectile dysfunctions are:

• Doppler ultrasonic examination(echografia). This examination helps to determine blood flow in the vessels, signs of atherosclerosis, cicatrical changes and calcification of in the cavernous tissue in the penis.
• Determination the function of the nervous system in the penis that is based on the penile reflex.
• Night penile tumescence. Usually a healthy man may experience of 3-6 erections during sleep, especially in the period of rapid eye motions. The lack of night erection usually points on the neurological disorders or problems with penis blood supply.
• Biotensiometria of the penis. This test determines electomagnetic oscillation for the determination of the sensitivity and function of the balanus and body of the penis. Decreased sensitivity to electomagnetic oscillation testifies about the disorders with pelvic nerves. This may lead to erectile dysfunction.

Erectile Dysfunction Treatment

Erectile dysfunction treatment depends on its cause. Usually erectile dysfunction treatment includes a complex approach such as: lifestyle changes, medications. In some cases vacuum devices and implantant devices are used. The most widespread medicines that are used are phosphodiesterase type 5 inhibitors or PDE5 for short (Viagra, Cialis, Levitra). These medicines work by increasing the amount of nitrogen oxide(NO) that widens blood vessels in the cavernous tissue and improves blood flow to the penis. These medicines are taken by mouth before the sexual intercourse. Injections such as Caverject and pellets(Muse) are used as well. These forms are used rarely.

Mechanical vacuum devices can also be used to improve erection. They work by creating a vacuum that helps to draw blood into the penis. They consist of cylinder, a pump and elastic band. In very severe cases a doctor may suggest a surgical interventions. Surgical interventions include implantation a devices that improve erection, reconstructing arteries(this helps to improve blood flow to the penis) and bock of veins through which blood leaks from the penis.

The treatment of erectile dysfunction is especially effective when certain lifestyle changes are followed. This includes: stop smoking, loosing excessive body weight and moderate physical activity. All of these will help to improve the functional condition of the cardiovascular system.

And finally we would to mention that if its seems to you that you have erectile dysfunction you should necessarily visit a doctor to confirm an exact cause of your condition. Only in this cases the treatment will be effective, short and safe.