The details of erectile dysfunction

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How is your sex life?Sexual life is one of the factors that directly affect the quality of life and life. According to a study conducted by

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How is your sex life?

Sexual life is one of the factors that directly affect the quality of life and life. According to a study conducted by the WHO, whether sexual health is closely related to a person's overall health is even more so for men. Unfortunately, we often ignore the quality of male sexual life.

Although many health problems can cause erectile dysfunction, but there are still ways to solve. In fact, erectile dysfunction can be treated, as long as the regular hospital for treatment, the doctor will give you a detailed explanation of the disease, and will provide you with the best treatment plan.

Structure of penis

The erection of the penis with two penis and in which the distribution of nerves, arteries and veins of.

What is erectile dysfunction?

Erectile dysfunction is commonly known as "impotence", is a kind of disease is also a symptom of erectile degree need male behavior means the inability to achieve or maintain satisfactory. Men occasionally face erectile dysfunction in their lives, but for some men, this problem may occur frequently. In China, more than one hundred million of men suffer from erectile dysfunction.

Under what circumstances does the penis erect?

First of all, the erection of the penis requires a proper sexual stimulation, and the nerves, blood vessels, and testosterone begin to act together.

When men are sexually stimulated, the arteries in the penis dilate and allow more blood to flow into the penis. When the arteries in the penis dilate to the penis is hard, the blood that is in charge of the blood that is exported to the penis will be squeezed, reducing blood flow to the penis. In this way, because the blood into the penis than the outflow of more, the penis will increase, and then maintain an erection.

Weakness: no sexual excitement when the blood flow through the artery into the penis immediately after the venous return, thus weakening the penis.

Expansion: when exposed to visual stimuli or sexual fantasies, more and more blood flow to the penis, the penis began to swell, harden, but the hardness is not enough, still can not start.

Erectile state: when the amount of congestion in the penis more and more, the organization of oppression of the vein, so that the blood can not be returned, the blood filled in the penis sponge body, the penis has reached a strong hardness.

Causes of erectile dysfunction?

Erectile dysfunction in men, the erection of the penis abnormal chemical reaction, the artery can not be fully expanded, the penis can not congestion. It was previously believed that erectile dysfunction is a psychological problem, or an inevitable phenomenon in the aging process. However, we now know that the majority of men with erectile dysfunction are closely associated with erectile dysfunction.

Only when the blood flow, your body's testosterone levels, nerve conduction and brain were normal, the penis to erect, any one link in the chain reaction problems are likely to lead to erectile dysfunction.

The reason: if the blood flow inside the penis blood flow is too small, such as arterial occlusion, or intracavernosal fibrosis, blood flow is slow, the penis cannot erect; diabetes, smoking, drugs, or pelvic radiotherapy may also lead to changes in the hemodynamics.

Testosterone levels: male male hormone testosterone is important, such as low levels of testosterone are excited to start slow, thyroid or pituitary lesions and the testicular hypoplasia can lead to decreased testosterone level, blood tests can detect your testosterone levels.

Psychological response: fatigue, depression, anxiety and depression can make the brain excitability decreased, resulting in attention shift, reduce their own sexual attractiveness.

Nervous system effects: stimulation signal can through the conduction of the nervous system to the brain, spinal cord injury, diabetes without blood glucose control or pelvic surgery (such as rectum, prostate, bladder surgery) may damage the neural pathway, thus affecting the erectile function.

In general, the etiology of erectile dysfunction can be divided into three types: organic, psychogenic and mixed.

Organic - by sex hormones, blood vessels and nerves, or the penis itself caused by abnormal or damaged. It is characterized by a slow onset and significant clinical promoting factor. Most of the patients waking up in the morning without penile erection phenomenon.

Psychogenic - cansed psychological factors, such as economic pressure or the feelings of the couple is not harmonious. Is characterized by sudden onset, patients were younger, waking up in the morning or in other conditions can have normal erection.

Mixed - the patient to the quality of the main, accompanied by psychological factors, resulting in erectile dysfunction.

Age and erectile dysfunction

20 year old male

Erection does not require excessive stimulation, erection is rapid, and can quickly start the second erection after orgasm.

40 year old male

It takes a long time to stimulate and caress before erection. It usually takes a few minutes, and the interval between orgasm and second erection is longer than that of the young.

60 year old male

It is not easy to erect, erection takes more time, and it is also difficult to maintain erection.

80 year old man

Men of this age can also enjoy sexual pleasure when they are allowed to do so, but they are not always able to achieve orgasm after erection, and sexual pleasure is not as good as before orgasm.

Diabetes and erectile dysfunction

It is well known that diabetes is one of the most common causes of erectile dysfunction. As many as three of the five men with diabetes are associated with varying degrees of erectile dysfunction.

Penile erection depends on two factors. One is sufficient blood flow into the penis, and the other is local nerve stimulation. Diabetes can cause vascular disease, reduce the flow of blood into the penis; diabetes will make the nerves around the penis lose sense, limiting the nerve endings to help stimulate the penis erection.

Men with type I diabetes mellitus (insulin-dependent diabetes) have a longer duration of disease and may have erectile dysfunction in the early stages. The men with type II diabetes mellitus (insulin independent diabetes) are more likely to have an adult onset before the onset of erectile dysfunction.

When diabetes is not controlled, it can lead to transient erectile dysfunction until the drug or diet is corrected. In addition, some men suffering from diabetes for many years, emergence of irreversible erectile dysfunction, but these patients also can be treated.

Heart disease and erectile dysfunction

If you have heart disease or other cardiovascular diseases, arteries supply blood to the body organs function may be affected, not enough oxygen and nutrient supply, these organs may be damaged, the function will be diminished.

Since penile erection depends on sufficient blood flow to the penis, any vascular disease may be associated with erectile dysfunction. It is estimated that there are four has happened or is happening in five with erectile dysfunction and cardiovascular disease in men; in five male patients with heart disease in three had erectile dysfunction problems; and about half had heart bypass surgery men will also face this problem.

Cardiovascular drugs and erectile dysfunction

According to a study that found that 28% of men taking cardiovascular drugs had erectile dysfunction. Among them, the highest chance of erectile dysfunction with diuretics and beta blockers.

When the male for taking cardiovascular drugs and erectile dysfunction, should as soon as possible to the hospital to find a doctor, most patients can be replaced by drug types, not delay the treatment of diseases and improve erectile condition.

Certain antihypertensive drugs have been shown to cause erectile dysfunction. When men have erectile problems due to high blood pressure treatment, the doctor may give you medication to maintain the same effect, but also improve the erectile function.

Hypertension and erectile dysfunction

High blood pressure is often compared to a "silent disease," which can cause health problems without symptoms. Erectile dysfunction is one of them.

High blood pressure can not only increase the burden on the heart, but also increase the burden of unnecessary blood vessels, hardening and contraction of blood vessels. In this case, the artery can not deliver the blood volume of the penis and other organs, so that these organs damage and decreased function.

Prostate disease and erectile dysfunction

Men should be well prepared when they decide to have prostate surgery. Surgery can solve the important health problems caused by prostate disease, but after the surgery, they may have to face another new problem in life - erectile dysfunction.

Transurethral resection of the prostate is the most commonly used procedure for the treatment of benign prostatic hyperplasia. Erectile dysfunction is the most common side effect of the two procedures.

Penile erection depends on the health of the nerves and blood vessels, therefore, the impact of the penis on the nervous system or vascular system of surgery or trauma, and the occurrence of erectile dysfunction. It is estimated that up to 57% of men who have had prostate cancer surgery have erectile dysfunction.

The majority of patients with erectile dysfunction can be treated, whether with or without surgical trauma or medication.

Spinal cord injury and erectile dysfunction

Spinal cord injury can affect the function of multiple systems, and sexual function is often involved. Many men with severe spinal cord injury are suffering from sexual problems, unable to enjoy the fun.

Penile erection depends on healthy nerves and blood vessels. For patients with spinal cord injury, the degree of erectile dysfunction is related to the severity of the injury and the location of the spinal cord injury.

In general, patients with severe spinal cord injury were more likely to have erectile dysfunction than those with a high incidence of spinal cord injury. Although only one of the four patients with spinal cord injury is able to perform an erection, most patients can be cured by treatment.

Depression and erectile dysfunction

Depression can make people lose all kinds of fun, it not only affect the individual's mood, but also affect the physical condition. Many men who had been treated for depression found that they had erectile dysfunction.

For patients with depression, erectile dysfunction may be caused by psychological or physiological factors, it may be both. Erectile dysfunction was associated with increased depression in most men, resulting in loss of self-esteem, low self-image, anxiety and tension with their spouses. These emotional deterioration will make the erection of the penis more difficult.

A study shows that there may be 25% to 90% of depression in men with varying degrees of erectile dysfunction, depression causes erectile dysfunction is unclear. But most of these patients can be treated.

Of course, some side effects of antidepressants have also been shown to cause erectile dysfunction.

Lifestyle and erectile dysfunction

Some habits may lead to erectile dysfunction. Change or get rid of these bad habits will help to improve the quality of life and personal health.

Smoking: smoking in addition to causing cancer, emphysema and other diseases, but also seriously affect the blood circulation. A study showed that men who had high blood pressure and / or other health risk factors were two times more likely to develop severe erectile dysfunction than nonsmokers.

Drinking: drinking should be appropriate, not more than two cups per day. Alcohol has a calming effect on the nervous system, which may affect the ability of the penis to erect. Therefore, some people said: "alcohol increased libido, but decreased sexual function".

The use of illicit drugs: marijuana and heroin and other illegal drugs, not only can cause numerous health risks, but also lead to erectile dysfunction.

Stress: stress and anxiety can affect the sexual response. Try to find ways to relieve stress, such as sports, yoga, gardening, dancing, etc.. Of course, if it is unable to resolve their own pressure, can find a mental doctor for treatment.

The effect of erectile dysfunction on partners

Erectile dysfunction has a negative impact on the mood of the male, which can seriously affect the relationship with the partner. Erectile dysfunction may be associated with depression, loss of self-esteem, and low self-image.

You may think that erectile dysfunction is part of the natural aging process, or loss of libido is a normal process of life, or that your partner feels that your attractiveness is no longer the same as before. However, erectile dysfunction is an important part of physical health, rather than an inevitable phenomenon of age gradually, and erectile dysfunction can be treated.

Appropriate treatment can begin with the patient's partner. Without the encouragement, support, care and care of their partners, and the determination to seek solutions, many men may not be willing to seek treatment.

Men need to understand that erectile dysfunction is a health issue, not a matter of masculinity. A harmonious and happy sex life is equally important for both men and women. In the event of erectile dysfunction, the two sides should work together to seek treatment, to solve the problem.

Put down the burden, take the initiative to help

The majority of patients with erectile dysfunction can be treated regardless of the age of the patient, the cause of erectile dysfunction, or the duration of the disease. First of all, you need to go to a regular hospital to consult a doctor. Remember, it's not embarrassing. The doctor will understand and support you, and will keep you safe.

Most erectile dysfunction is associated with common chronic diseases. Keep in touch with your partner and be able to maintain intimacy and emotional encouragement. Many men will be aware that their partner is very willing to participate in the treatment of erectile problems, in order to re share the feelings of intimacy.

To seek appropriate treatment and doctor and companion, chronic disease control and erectile dysfunction, allow you to enjoy your life, with your partner for romantic moments, cultivating sweet feelings, build stronger ties, make life more perfect.

Sex index (International Index of erectile function questionnaire - IIEF-5)

When you go to the hospital because of erectile problems, the doctor may ask you to fill out a form - the sex index test. The table has 5 questions to answer, you can answer the right in the table circle, then the doctor will be adding the scores corresponding to the answer you choose, get a total score, total score according to preliminary determination of erectile function in your.

If the test your score is below 21 points, you may have erectile dysfunction problems, do not ignore, because it is in addition to sexual health issue, there may be a precursor to cardiovascular diseases, should as soon as possible to ask your doctor.

Sex index score

Nearly June years

One

Two

Three

Four

Five

How much confidence in penile erection and erection

Very low

low

secondary

high

Very high

Do you have a penis erection hardness that allows you to get into a woman's vagina?

Little or no

Only a few times

Sometimes or about half the time

Most of the time

Almost every time

Can you maintain the hardness of the penis before ejaculation?

Little or no

Only a few times

Sometimes or about half the time

Most of the time

Almost every time

From the beginning to the end, do you think it is difficult to maintain penile erection

Very difficult

Very difficult

have difficulty

A little difficult

Not difficult

Are you satisfied with your behavior?

Little or no

Only a few times

Sometimes or about half the time

Most of the time

Almost every time

Methods for the examination of erectile dysfunction

General examination: erectile dysfunction may be a sign of you suffering from other diseases, doctors must assess your body condition, may check your penis, scrotum and testis, you tell physicians of all medication, including prescription and non prescription drugs.

You may also need to accept the following items:

Blood tests, blood lipid, sex hormones, blood glucose, liver and kidney function, prostate, blood flow examination (ultrasonic blood flow velocity, and penile cavernosography).

Rectal examination: to assess whether there are other factors affecting sexual life.

 

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