Erectile dysfunction

Erectile dysfunction (impotence) - the most accurate of the terms used for impotence, defining the latter as the inability to achieve and maintain an erection necessary for sexual intercourse normal duration in full ( erection , frictions , ejaculation and orgasm). Most often seen in the form of erectile dysfunction or ejaculation.

Causes

Factors of erectile dysfunction can be divided into two groups: physiological and psychological. Moreover, psychological factors may serve as the launch of erectile dysfunction, but without the presence of physiological reasons, it will not occur. Thus, the basis for the reduction of sexual function are organic lesions of genital violating offensive and maintaining an erection.

The main causes of erectile dysfunction:

Psychological causes:

• depression,
• neurosis and neurotic states,
• concern.

Organic causes:

• disorders of the nervous system (spinal disease or brain) injury, causing nervous disorders genitals; myelodysplasia spine, intervertebral disc damage, multiple sclerosis, neuropathy as a complication of diabetes;
• pelvic surgery;
• urinary tract diseases: urinary tract infection, prostatitis, adenoma and prostate cancer;
• hormonal disorders - low testosterone levels;
• arterial vascular disease: hypertension, smoking, diabetes;
• disease of the veins: damage mechanism to prevent the narrowing of veins outflow of blood from the penis during an erection;
• action of chemical and drugs: alcohol, drugs to lower blood pressure; psychotropic drugs, hormonal drugs.

Symptoms

The main symptom is a disruption in any segment of intercourse, ranging from sexual attraction to a partner, and the last sensations of orgasm. But most of all complaints becomes: sluggish elusive a brief erection and premature ejaculation. The intensity of symptoms and their changes will be the envy of what is a leading factor in the development of erectile dysfunction: psychological or organic.

Psychogenic impotence is characterized by an unexpected abrupt onset, it may be coming (in certain "bad" circumstances it occurs, and if they do not, sexual intercourse takes place normally), night and morning spontaneous erections are preserved.

When organic impotence symptoms do not appear immediately, it starts with small disturbances that evolve over time, breaking every sexual act occurring, do not depend on the circumstances of his being accomplished, night and morning spontaneous erections are not saved.

Diagnostics

Diagnosis of erectile dysfunction is based on the detection of disorders of blood circulation during erection. The main methods of the study are:

• determining the level of sexual hormone (testosterone, estrogen, luteinizing hormone, prolactin);
• journaling night and morning spontaneous erections;
• farmakodopplerografiya - ultrasound study of blood flow in the penis under the influence of drugs;
• farmakokavernozografiya sinography penis;
• study of the nervous system;
• counseling therapist.

Treatment

Treatment of erectile dysfunction can be both conservative and operative.

Conservative methods reduce to receive drugs stimulating potency (have a peek here and you can order it right now), and vacuum- constrictor therapy stimulation erection using a vacuum pump.

Operative, ie surgical recovery of sexual function is performed in the presence of vascular lesions of the penis (arteries and veins), and can be directed towards preserving their function or implantation of prostheses in the penis, which helps to fight with his "lethargy".