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Erectile dysfunction : Impotence, Erectile Dysfunction


Erectile dysfunction : Impotence, Erectile Dysfunction

Erectile dysfunction : Impotence, Erectile Dysfunction

Page contents 

1.      What is erectile dysfunction

2.      Causes and risk factors

3.      treatment


Erectile dysfunction in particular and sexual dysfunction disorders in general are much more common than we previously thought.

Erectile dysfunction is defined as the persistent and repeated inability to achieve or maintain an erection sufficient for sexual performance.

It is not the practice of patients to talk, in general, with their family doctor about sexual function disorders, based on the assumption that this is not his job (his specialty) and for fear of damaging their image, but do you know the most important information about him?

Causes and risk factors of erectile dysfunction

Many diseases and problems may cause disturbances in sexual performance. In the past, these factors were classified according to their sources: emotional - psychological and physical - physical.

Today we are aware that this classification is artificial, because the connection between the soul and the body is very close and inseparable.

Causes of erectile dysfunction are varied and include:

  •  Psychological stress: such as personal and marital problems, anxiety about sexual performance (fear of sexual failure, etc.).  
  •  Some common diseases: such as: diabetes , hypertension ,  hyperlipidemia , calcification and hardening of the arteries in the body. The common denominator between these diseases is that all of them affect blood flow to the penis, and thus may affect sexual performance and lead to erectile dysfunction.
  • Some types of medicines: The same applies to medicines used to treat the aforementioned diseases (beta blockers, lipid-lowering drugs, diuretics, etc.).
  • Innervation  problems : such as after a herniated disc in the spine, or after pelvic surgery or radiotherapy.
  •  Depression and anxiety  (Anxiety) : They are two very common diseases, and one of their prominent symptoms is a decrease in sexual desire and a decline in sexual performance. Also, treatment with modern drugs, selective serotonin reuptake inhibitors, exacerbates the problem, and this is one of the side effects of these drugs. 
  •  Heart disease and its treatments: It can also harm the level of sexual performance. Today it is known that a person who has had a heart attack can return to a normal sexual life, but he only needs help and encouragement.
  •  Medicines: such as sedating drugs, drugs to reduce stomach acid, chemotherapy and various hormones - may affect the level of sexual performance.

Erectile dysfunction treatment

There are a variety of treatments that help treat erectile dysfunctionIt includes:

1-  Medicines

The first line of treatment recognized today is the  tablets Viagra / sildenafil (Sildenaphil / Viagra), Levitra (Vrdnaphil / Levitera) or Cialis (Tdalaphil / Cilas), and finally a new drug in this family called Avanafil has been approved

These drugs are sold in pharmacies, and every doctor can give them in appropriate cases.

Side effects of erectile dysfunction medications

These drugs have minor and transient side effects, including:

  • Slight redness of the cheeks
  • A slight decrease in blood pressure is reflected in a feeling of dizziness, a slight feeling of weakness and nausea.

Most of these symptoms subside and go away before you start having sex (about an hour later). There were almost no patients for whom the side effects of these drugs were so severe that they could not take them again.

However, it is strictly forbidden to take these medicines with medicines that contain nitrates (medicines to increase blood flow in the coronary arteries in heart patients), and it is also prohibited to take them for anyone whose physical, medical and psychological status does not allow them to have sex. 

2- Testosterone test

This hormone is considered a regulator of sexual desire, in some cases of erectile dysfunction, doctors may recommend tests to find out its concentration in the blood, and if it is found that its concentration is low, then doctors advise alternatives to testosterone as an appropriate treatment.

Sometimes doctors may prescribe a combination of Viagra and testosterone alternatives, which may be effective.

A person who is unable to take one of these medicines orally, or a person who has found that this medicine does not help him, it may be possible to help him by direct injection into the corpora cavernosa of the penis, as active substances are injected into the blood vessels.

It is also possible to use a special vacuum pump that creates a strong erection, which is kept by a ring at the base of the penis

Another treatment available today is the direct injection of alprostadil (a vasodilator substance) into the urethra, which has produced satisfactory results during recent scientific research.

3-  Surgeries

In the event that all of the above mentioned methods of erectile dysfunction treatment fail, it is recommended that surgeries such as:

  • Penis implantationThis surgery is simple and has a very good success rateThe participation of the primary physician (family doctor) in the decision-making process and in the treatment measures greatly increases the chances of success, and also increases the willingness of the therapists and their partners to receive treatment.
  • Revascularization surgery rod (Revascularization) : is another surgery available but with low success rates are relativelyIn a few special cases, this procedure can be an effective treatment.

The primary doctor (family doctor) must diagnose these cases, and he can, in most cases, treat themHowever, in every major hospital there are clinics specialized in treating erectile dysfunction and dysfunction .