What is it
Erectile dysfunction is a pathology of sexual function in men, in which there is an inability to achieve or maintain an erection sufficient for sexual intercourse. In this case, the duration of violations must be at least 3 months. This type of sexual disorder is one of the most common in the world, as it occurs in 52% of men aged 40–70 years. 20% of men over 30 have difficulty with an erection. ED is 15–20% more common among smokers than among non-smoking men. Almost every man has had an episode of erectile dysfunction at least once throughout his life.
All men need to remember that there are predisposing risk factors for the development of erectile dysfunction! These include:
smoking and alcohol abuse;
the use of any drugs;
frequent depressive conditions;
lifestyle with physical inactivity;
metabolic syndrome and lipid metabolism disorders;
pronounced vitamin deficiencies;
a variety of adverse environmental factors (radiation, various types of radiation, etc.).
There are 3 main types of causes of erectile function.
Psychogenic - when erectile dysfunction is associated with anxiety, some specific situations, mental disorders, etc.
Organic - when violations of sexual function develop due to some structural changes in the genital organ as such.
vascular causes (due to increased blood pressure, atherosclerosis, diabetes mellitus, venous insufficiency, surgical interventions, etc.);
neurological reasons (due to strokes, multiple sclerosis, various neuropathies, tumors, injuries, etc.);
endocrine reasons (due to low testosterone levels, high prolactin levels, thyroid dysfunction, etc.);
structural reasons (due to trauma to the penis, congenital malformations, Peyronie's disease, curvature, priapism, etc.).
Medicinal - when erectile function develops while taking some drugs (psychotropic, antidepressants, antihypertensives, etc.).
Erectile dysfunction is usually distinguished by the degree of severity: the lung is distinguished; medium; moderate to severe erectile function. The classification is also generally accepted and important due to the development of the disease:
psychogenic - about 40% of cases;
organic - 30% of cases;
mixed - 25% of cases;
without an established reason - 5% of cases.
Alarming symptoms of erectile dysfunction are:
difficulty in the onset of sexual arousal and its continuation;
partial or complete absence of a morning erection.
Other types of sexual dysfunctions in men
There are also disorders of sexual function in men, which are not directly erectile dysfunction, but cause an equally decrease in the quality of life. There are various ejaculation disorders. The greatest discomfort not only for a man, but also for a woman is delivered by accelerated ejaculation. The inability to conduct high-quality sexual contact leads to psycho-emotional stress and even an unwillingness to have sex at all. Painful and difficult ejaculation is less common, but also dramatically reduces the quality of life.
With various neurological diseases, anejaculatory syndrome can develop - a complete inability to independently achieve orgasm and ejaculation. After surgery on the prostate gland and taking certain medications, persistent retrograde ejaculation may develop - the sperm is thrown into the bladder during orgasm. One of the most common sexual disorders is the lack of sexual desire, desire (libido).
Decreased libido can be caused by both neuro-emotional overstrain, physical fatigue, and concomitant diseases in the body, a violation of hormonal metabolism. Most of these abnormalities can be treated safely and successfully. Their timely correction is important to prevent the formation of secondary psychological deviations.
When diagnosing erectile dysfunction, it is very important to determine the degree of their severity. It is also necessary to find out the cause of these disorders, to establish the disease that caused the development of a decrease in erection. It is necessary to determine the presence or absence of other types of sexual disorders (decreased libido, ejaculation and orgasm disorders).Psychogenic dysfunction usually occurs suddenly. At the same time, normal morning erections are preserved. In psychogenic disorders, there are often problems in the relationship with a partner. Erectile dysfunction in this case occurs only under certain circumstances, and under other conditions - sexual function is normal.With organic erectile dysfunction, the opposite is true. Problems arise gradually, morning erections are reduced or completely absent. At the same time, as a rule, a good sex drive remains. The quality of sexual intercourse almost always suffers, with any partner and in various situations. If you experience the first alarming symptoms - lack of sexual desire and weak erection - you should consult an andrologist.
Before starting treatment, all patients are advised to exclude as much as possible risk factors for erectile dysfunction. Normalization of lifestyle and sexual activity is important. An important step is to decide on the possibility of canceling or replacing the taken medications that can negatively affect an erection. Neurological and cardiac problems are eliminated with the help of narrow specialists, in particular a psychotherapist. Doctors recommend that such patients come to a consultation with a sexologist and psychologist together with a partner - this will help to understand each other, relax and trust.
Depending on the cause of the disease, treatment methods are also distinguished. If a curable cause of erectile dysfunction is identified, it is necessary to eliminate it.
You can reduce the likelihood of a decrease in erection. For this, doctors recommend:
Limitation and elimination of bad habits (alcohol and tobacco use).
Regular sex life.
A healthy lifestyle that includes rest and active physical activity.
Control and correction of body weight.
Control and correction of blood glucose and lipids.
Observation of the patient by a urologist - andrologist is recommended.