EROS MEDICAL GROUP: What causes Erectile Dysfunction

What is Erectile Dysfuntion?

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Erectile Dysfunction (ED) is defined as the inability to achieve and/or maintain an erection sufficient for satisfactory sexual intercourse.

CAUSES OF ERECTILE DYSFUNCTION

While most often associated with older men, Erectile Dysfunction is a common problem for men of all ages. The term impotence was once loosely used to imply the same condition.

  • Diabetes
  • Cardiovascular Disease
  • Medications
  • Surgery / Injury
  • Neurological Disease
  • Endocrin
  • Psychological
  • Unknown Causes

ERECTILE DYSFUNCTION CAUSES :
PSYCHOLOGICAL

Psychological factors account for about 10% of erection problems and often result from nervousness, performance anxiety or fear of failure during lovemaking.

These factors cause a surge of adrenaline which reduces blood flow to the penile area, often resulting in erectile difficulty. Psychological ED may become self-perpetuating.

After several episodes of repeated failure, the body becomes accustomed to releasing adrenaline at the very thought of a sexual encounter. This can become a vicious cycle difficult to break without help.

Other less common causes include stress, low sexual drive, guilt, anxiety, sexual boredom or depression.

The characteristics of psychological erectile dysfunction include:

  • The ability to achieve or maintain an erection with one partner but not with another
  • The ability to achieve or maintain strong and lasting erections in the mornings and during masturbation but not during lovemaking.
  • The tendency to affect younger men with unstable relationships or unsettling past experiences.

ERECTILE DYSFUNCTION CAUSES :
PHYSICAL

About 90% of cases of ED are caused by physical factors, classified as vascular (related to blood flow) and non-vascular diseases. It is estimated that 70% of all ED cases may be attributable to vascular diseases alone.

The penis requires a healthy blood flow to become completely erect, and even a marginal reduction in blood flow can potentially cause problems.

This condition is referred to as “vascular insufficiency” and is known to be caused by, or associated with, the following risk factors:

  • Diabetes
  • Hypertension
  • High Blood Cholesterol
  • Cardiac diseases
  • Smoking
  • Poor Overall Circulation

Furthermore, research indicates that more than 200 prescription medications can potentially cause, contribute to, or aggravate ED. However, it is imperative that you must not discontinue your medications unless otherwise instructed by your physician.

Other associated physical conditions or causes are less common. These include:

  • Hormonal deficiencies caused by testicular disease, liver disease or thyroid problems.
  • Neurological problems such as Multiple Sclerosis, Stroke or Parkinson’s disease.
  • Chronic illnesses such as chronic liver disease, chronic renal disease etc.
  • Peyronie’s plaque or disease, a peculiar condition of excessive fibrosis in the penile tissue

It is however, not uncommon to see ED in an otherwise completely healthy person, both physically and psychologically. It is postulated that the penile circulation is intrinsically precarious, being an end-artery. As men age, partial obstructions to the blood flow of the penis may become more common.

While this may in inconsequential under normal conditions, it may be enough to cause insufficient blood flow to the penis when sexually aroused.

ERECTILE DYSFUNCTION CAUSES :
ADVERSE EFFECTS ON DAILY LIFE

Erectile dysfunction may cause or exacerbate psychological problems such as poor motivation, feelings of inadequacy, frustration, denial and low self-esteem, and may ultimately lead to depression. As a result, personal, family and business relationships can be adversely affected if it is left untreated.

THE IMPORTANCE OF PROACTIVELY
TREATING ERECTILE DYSFUNCTION

As with any medical condition, erectile dysfunction is often best treated promptly. The sooner it is diagnosed and treated, the better the outcome, for the following reasons:

First, identifying and correcting the underlying problem often helps prevent further deterioration, a natural progression of the condition.

Second, disuse of an organ can cause progressive loss of function via progressive loss of healthy tissue. This condition is called “disuse atrophy” and is particularly important in the case of penile health.

Third, ED is more than just a sexual problem. A fulfilling sex life can lead to greater satisfaction in many other aspects of life, including social, family and work environments.

WHAT IS PREMATURE EJACULATION?

The most common description of Premature Ejaculation (PE) is ejaculation that occurs before both partners would like in a majority of sexual encounters, leading to worry, stress, or concern.

For some men, premature ejaculation may materialize in all manner of sexual encounters, including masturbation. In other men, PE surfaces only during sexual encounters with a partner.

While no medical standard exists for how long a man should take to ejaculate, some commonly observed symptoms of premature ejaculation include:

  • The inability of a man to control his ejaculation.
  • Ejaculating before he is ready to or has satisfied his partner.
  • Ejaculating before penetration, upon penetration or shortly thereafter.

HOW COMMON IS
PREMATURE EJACULATION (PE)

Premature Ejaculation is a very common form of male sexual dysfunction.

Premature ejaculation is the most common instance of sexual dysfunction for men under 40 years of age, and recent estimates conclude that up to 1 in 3 sexually active men are affected by the problem to some degree.

Premature Ejaculation is usually caused by a combination of an oversensitive glans penis (or head of the penis), and nervousness or performance anxiety during lovemaking.

Fear of not being able to satisfy a sexual partner, which is common, often stems from previous experiences of premature ejaculation. Subsequent, similar episodes can perpetuate the problem.

Estimates conclude that up to 1 in 3 sexually active men are affected by Premature Ejaculation

Some biological causes of PE include:
  • The inability of a man to control his ejaculation.
  • Ejaculating before he is ready to or has satisfied his partner.
  • Ejaculating before penetration, upon penetration or shortly thereafter.

WHAT CAUSES :
PREMATURE EJACULATION (PE)

1

Premature Ejaculation is usually caused by a combination of an oversensitive glans penis (or head of the penis), and nervousness or performance anxiety

2

Fear of not being able to satisfy a sexual partner, which is common, often stems from previous experiences of premature ejaculation. Subsequent, similar episodes can perpetuate the problem.

Some biological causes of PE include:

  • Hormonal imbalances
  • Thyroid issues
  • Neurotransmitter abnormalities
  • Abnormal reflex activity of the ejaculatory system
  • Inflammation and infection of the prostate or urethra

PE can also occur in association with Erectile Dysfunction. In these cases, treatment often focuses on ED as the primary problem, with the aim of treating PE secondarily.

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Relationship Difficulties: Perhaps the most frequent patient complaint is the stress that PE causes in relationships. Especially in the initial stages, PE often leads to a lack of communication, internalized guilt and resentment.

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WHAT IS TESTOSTERONE

When a man reaches his mid 30’s, production of testosterone declines an estimate of 1% each year – 10% in 10 years or even more.

Testosterone is the key hormone produced by the Leydig cells of the testicles and is responsible for the normal growth and development of male organs and for maintenance of other sexual characteristics.

Aside from sexuality, it also contributes to some essential body functions such as embryological development, facial hair development, brain function, body muscle mass, bone strength, red blood cells function and even mood and energy levels.

When a man reaches his mid 30’s, production of testosterone declines an estimate of 1% each year – 10% in 10 years or even more. Greater decline in testosterone level can happen due to obesity, infectious diseases, excess of blood iron and inflammatory diseases.

The range for normal testosterone level is 300-1100 ng/dL. It is optimal for a man to get around 800- 1100 ng/dL.

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Low testosterone level can post significant health risks and physical limitations such as decreased energy, low libido, decreased mental quickness and depression. If left untreated, it may lead to more serious health problems such as osteoporosis, muscle atrophy, alopecia and erectile dysfunction.

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