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Erectile Dysfunction for Men

 
Erectile Dysfunction for Men - Erectile dysfunction refers to the inability of a man to consistently get or maintain an erection sufficient for satisfactory sexual intercourse. This condition is not due to a lack of sexual interest or desire and not for the occasional difficulty achieving or maintaining an erection (a situation that affects all men at some time in their lives).

Erectile dysfunction causes sexual intercourse with penetration is not possible. This can affect the self-esteem of patients and undermine domestic harmony.
Cause

To understand the causes of erectile dysfunction, it is necessary to first understand the process of erection. In the penis there are two parallel rods spongy tissue called the corpora cavernous (tungal: corpus cavernosum). Corpora cavernous surrounded by a membrane, called the tunica albuginea. The spongy tissue contains smooth muscles, fibrous tissues, spaces, veins, and arteries. The urethra, which is the channel for urine and semen flow longitudinally under the corpora cavernous.

Erection process is as follows:

    When a man desires to have sex, increasing sensitivity to sexual stimuli
    Sexual stimulation impulses sent to the brain, which triggers arousal.
    Arousal and intensify action at a point to be very active to increase body temperature, heart rate and blood flow. Erection begins when blood flow to fill the spaces of spongy tissue in the cavernous kopora. This creates pressure in the corpora cavernous, making the penis expand. The tunica albuginea helps trap the blood in the sponges, thereby maintaining an erection.
    Erectile dysfunction can occur when one part of the process interrupted: nerve impulses in the brain, spinal cord and around the penis and response of muscles, fibrous tissues, veins and arteries in and around the corpora cavernous.

The basic requirements for a normal erection is:

    Nervous system that works well to send the necessary signals to the penis.
    Effective blood vessels to allow blood flow to and from the penis.
    Smooth muscle in the penis, which loosened to allow the penis to fill with blood and swell.
    Ability to trap blood in the penis so that it stays upright.

Disturbances in the erectile mechanism of the above can happen from smoking, diabetes mellitus, atherosclerosis, depression, anxiety disorders, alcoholism, hypothyroidism, prostate cancer, testosterone deficiency, kidney disease, liver or nerve, and the side effects of the drug.

In addition to the physical condition, psychological problems such as depression, trauma, etc. can also cause erectile dysfunction.
Diagnosis

Diagnosis of erectile dysfunction is established when the inability to get and maintain an erection sufficient for sexual intercourse occurred in at least 50% of the effort.

Therefore, sexual and medical history is very helpful diagnosis. Physical examination and lab may also be done on the endocrine system, cardiovascular urogenital, and nervous.
Therapy

Therapy for erectile dysfunction include:

    Eliminating the underlying factors such as the treatment of depression, drug discontinuation was not necessary, stop smoking, etc..
    Counseling to restore sexual intimacy
    Direct therapy for erectile enhancement. This therapy works best in conjunction with other interventions above. These therapies include:
        Penis ring with or without a vacuum device.
        Tablet prostaglandin (PGE1). PGE1 causes increased blood flow corpora cavernous. These drugs produce erections that lasted from 30 to 120 minutes at approximately 70% of patients.
        Intracavernosal injection: PGE1 combined with fentolamin.
        Systemic medications such as Yohimbine (Yohimbe bark extract), testosterone and sildenafil

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