Causes of erectile dysfunction

There is not one experienced man, who once would not have been such a failure. Some refer to it in their stride, for others every such case becomes the cause of severe and prolonged depression. But few men knew the reason for this unfortunate event happened to them.

A bit of theory.

But before we start talking about the problem of erectile dysfunction, it is necessary to refresh your memory a bit structure of the penis, as well as modern ideas about how it operates. Penis consists of two cavernous and a spongy body. Order viagra plus. Cavernous body reminiscent of a spindle-shaped and are arranged next to each other, and the spongy body, which goes into the head of the penis is underneath. Of the penis are not linked by blood vessels. Each body has its own artery, through which blood is delivered to him, and his veins, for which the blood flows away from it.

Of the penis in their structure resemble a sponge. They contain many small gaps, or in Latin cavities. It is this feature of their structure and makes possible the phenomenon of erection. Contrary to popular belief, the penis is not muscle.

When sexually aroused men in the penis following happens. Arteries that bring blood to the cavernous and spongy bodies, expand, and the veins in which blood flows away, sharply narrowed. As a result, in the bodies of the penis, or rather, in their lacunae, accumulated a significant amount of blood, each gap is strained, and there is an erection. Such a state of vessels persists throughout erection. Order viagra plus. At this time, all the tissues of the penis, with the exception of the skin, do not get the blood supply to them, and are in a state of ischemia. For very long sex acts over time this can lead to certain problems, which we will in due course.

Causes of erectile dysfunction.

Failure in the sexual lives of men often called impotence. However, this is not quite true. Impotence doctors consider a state in which a man under any circumstances, is unable to perform sexual act, which, fortunately, does not occur very often. A coincidence or recurring problems with erectile dysfunction should be called erectile dysfunction. Erectile dysfunction may be caused by several kinds of reasons - the endocrine, medical, local, neurologic and vascular. All of this relates to the organic form of erectile dysfunction when it is due to some changes or disturbances in the body. Much more common form of psychological erectile dysfunction, in which a normal sexual life interfere with neuropsychiatric features exclusively male. In addition, almost always problems with erectile dysfunction caused by organic causes, added a psychological component, which after eliminating the underlying causes may go in the first place.

Endocrine causes of erectile dysfunction.

Endocrine causes of erectile dysfunction are primarily hypogonadism - a lack of gonadal function, and low production of the male hormone testosterone. In addition to erection problems in this state, a man sees increase in voice, stopping the growth of facial hair and body fat deposition in the breasts, thighs, buttocks. Typically, such changes occur in severe violations of the hormonal system of human body, and in these cases necessarily need help endocrinologist. Fortunately, these diseases are relatively rare. Other endocrinological cause of erection problems may become a pituitary tumor - one of the most important endocrine glands of the human body, which is located in the brain. Order viagra plus. If such tumor secretes a hormone called prolactin, no other changes in the body, except for persistent erectile dysfunction, will not be celebrated. In this case, the diagnosis should not only examine the hormonal status of man, but also perform a CT scan of the brain.

Medication causes of erectile dysfunction.

There are several types of drugs that may have an adverse effect on erectile function of the male body. Hormonal drugs that block the action of male sex hormones (so-called antiandrogens) as well as preparations female sex hormones cause serious problems with erectile dysfunction due to disturbances of the hormonal mechanism of its occurrence. Such drugs are usually prescribed only for severe disease, the most common of which is cancer of the prostate gland. In this case, doctors are guided by the principle of "not up to fat" when it is first necessary to extend as much as possible and make life easier for the patient. However, I personally know of cases where intense action antiandrogens (in other words, even called castration drugs, I think it is clear why) with a single "good" doctor prescribed to patients with benign prostatic hyperplasia (better known as adenoma). Needless to say, help them without a hitch, but all the men in terror realized that the more established themselves not feel. Fortunately, erectile function rapidly recovered after drug withdrawal.

Other of drugs that affect the erection, are all substances with inhibitory action on the cerebral cortex. This was mainly alcohol and narcotic drugs, which in addition to effects on the brain caused total depletion of the body, which does not contribute to any of erectile function in particular, no reproduction as a whole. In such cases, for restoration of a normal erection requires not only complete elimination of the drug, but also properly held during rekonvolestsentsii.

In addition, there are some medications, according to the pharmacological classification relating to various groups who have property to block the peripheral nerve endings responsible for the occurrence of an erection. Who knows, for example, antihistamines, the most famous member of which is diphenhydramine, for this reason should not take more than 10 days? If the question of a normal erection is not indifferent to you, then you are in the appointment of any medication ask your doctor, if he does not cause such violations.

Local causes of erectile dysfunction.

They are different in origin factors, but they all lead to hardening of the corpora cavernosa. The fine elastic tissue cavernous bodies partially or completely replaced by a rough solid connective tissue, is not able to provide an erection. This can result in injuries of the penis, multiple injections into the penis, transferred priapism (painful prolonged not passing and not associated with sexual arousal erection). By hardening the cavernous tissue may also cause frequent practicing overextended sexual acts in which a man, so bring your sweetheart greatest pleasure in all possible ways to delay ejaculation, and sexual intercourse lasts longer than 4 hours. This practice can not be called useful from various perspectives, including its impact on the tissue of the penis can not be called positive. Sclerotherapy of cavernous tissue - a very poor prognostic sign for erectile dysfunction. If fact sclerosis diagnostically proven to help such a patient can only be of dental dildo.

Neurological causes of erectile dysfunction.

Neurological causes of erectile dysfunction can be classified as diseases such as epilepsy, Parkinson's disease, multiple sclerosis, trauma of brain and spinal cord, pelvis and perineum, the various operations in these areas. As a rule, other manifestations of the disease is so heavy and serious, that problems with erection depart even further than the second plan.Order viagra plus. However, a dramatic violation of erectile function after undergoing surgery or trauma is often a serious problem. Unfortunately, and here the possibilities of modern medicine leave much to be desired, and rarely in such patients can help other than implantation of penile prosthesis.

Vascular causes of erectile dysfunction.

This is one of the most common group of reasons. As we have said, during a normal erection to the penis much stronger inflow of arterial blood, and blood flow through the veins almost completely blocked. Hence there are two main types of vascular disorders in erectile dysfunction - insufficient arterial inflow and excessive discharge of blood through the veins of the penis. In the first case of erection begins a long, hard, are rarely very good quality, and often the penis is in a sort of intermediate position between the rest and excitation. In case of violation of venous block the contrary, stimulation of the penis comes quickly, an erection is very good, but very quickly is by not allowing complete, and sometimes even initiate sex. These disorders may develop in diseases such as endarteritis, atherosclerosis of aorta and large arteries, aortic aneurysm, varicose veins, resulting in various injuries of the pelvis and the perineum. Unfortunately, the causes of disorders of the vascular mechanism of an erection to date not been studied well enough to be confident in each case, identify the root cause that caused the violation of erectile function. Special mention should be problems with erectile dysfunction in hypertension and diabetes. Erectile dysfunction in them can be associated with different groups of causes - neurological, vascular, local, and medication. This makes the treatment of erection problems in these diseases is extremely difficult.

Psychological causes of erection problems.

However, despite the large number of diseases and conditions that can lead to erectile dysfunction, most often erectile dysfunction is caused by the peculiarities of the psyche men. And if we take into account the fact that the violation of any organic erectile function always overrides a psychological component, then it becomes clear how important are psychological causes of erectile dysfunction among all other causes.

Erection in men may not appear quickly disappear or be of poor quality if it depression, prolonged stress (by the way, did you know that stress - it is very useful for the state of the organism, which is training for an athlete, to bolster the work of all vital functions organism, and only brings harm to the prolonged stress? "), fatigue, general malaise, discontent with self, partner, a situation in conflict with his partner, inconsistency sexual habits and requirements of partners, the fear of possible pregnancy or infection with sexually transmitted diseases through, most often AIDS. Erection can not occur if the sex occurs in some not provide a sense of calm and security situations (the back seat of the car, her parents' house, unlocked cabinet in the office elevator).

By the psychological form of erectile dysfunction is a version thereof, as the impossibility of sexual intercourse with one partner at a constant success with the other (so-called selective erectile dysfunction). Older men often complain about lack of or poor quality of erection during sex with his wife, whereas with mistresses erectile problems do not arise. Order viagra plus. However, I have met and the opposite case, when a man is extremely concerned that the erection appeared only in the marital bed, and with another partner, he invariably suffered a fiasco.

Another option for erectile dysfunction caused by the peculiarities of the psyche men, the so-called syndrome of the first meeting. In this case, men with erection problems appear only at the first intercourse with partner, and at all other meetings, all is fine. It is worth to highlight the first sexual intercourse men, which often excitement is so great that by the time of intercourse body gets tired of it and the erection disappears. For many young men fail at the first sexual intercourse (particularly if the partner's behavior in this case was not entirely correct) is a great psychological impact, and may later cause great difficulties and problems in this sphere of life.

Dwell further on this form of psychological erectile dysfunction as the inability to sexual intercourse with a condom. Policies of many pharmaceutical companies, solidly backed by the influence of the media, leads many young people to the firm belief that having sex without a condom is completely unacceptable. Meanwhile, a number of psychological reasons, putting a condom on the penis is for men to certain stress, which is often quite compatible with a normal erection. As a rule, the replacement of a condom other contraceptive method solves this problem.

Finally, when labile psyche of men may be a situation in which a random failure in the commission of sexual intercourse is a very strong emotion the next time you close with a partner, which leads to erectile dysfunction and at this time. Accumulate from time to time, to convince men of their own inferiority complex might make it absolutely impotent even in his early years. A similar condition can develop after the disease, which influenced the erection when organic cause dysfunction resolved, but problems with erections remained unchanged.

In most cases, to distinguish the psychological form of erectile dysfunction on an organic presents no particular difficulty. Besides these cases, lack of erection in some situations, while maintaining it in other, often in the form of psychological erectile dysfunction to maintain an erection during masturbation and so-called phenomenon of nocturnal penile swelling, or morning erections. Order viagra plus. Causes of morning erections are still unclear. Some experts argue that it is associated with the action on the prostate bladder filling, the other - with erotic dreams that supposedly mandatory regular visits to each of us. However, both these points of view can not withstand any criticism - a morning erection often occurs after awakening and can not be called dreams, but, according to the first point of view, an erection should occur at each filling of the bladder, which, to put it mildly, incorrect.