Erectile dysfunction is a condition in which it is difficult to achieve and maintain sufficient erection for sexual intercourse over a prolonged period of time. ED can be recurrent. ED is sometimes referred to as “impotence” in common parlance. There are many causes of ED and it can greatly impact the quality and satisfaction in a couple’s relationship.

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What causes Erectile Dysfunction?

A complex interplay of nervous and vascular systems is required to achieve an effective erection. Male sex hormones can also influence it. Complex structure of the penile corpus cavernosum. The causes of ED are many, including neurological and cardiovascular. Cardiovascular or neurological. As important as psychological factors (e.g. Stress, low self-confidence, and problems in the relationship are all possible causes. It is possible that a combination of multiple factors are present.

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There are many possible Causes

• Chronic diseases, e.g. Diabetes, hypertension, obesity and dyslipidemias are all common chronic diseases.
• Vascular factors (affecting blood vessels), e.g. atherosclerosis,
• Intake of medication, e.g. Antihypertensives, psychotropic medications, certain diuretics and antiandrogens are some examples.
• Endocrine disorders, e.g. Hyperprolactinemia, thyroid disorders, testosterone deficiency.
• Neurological causes, e.g. Multiple sclerosis, diabetic neuropathy, multiple spinal cord injuries, and consequences of pelvic injuries. radical prostatectomy (removal of the prostate, rectal surgery)
• Lifestyle factors, such as smoking and alcohol abuse, are important. Lifestyle factors, e.g.

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How does one Diagnose?

A detailed medical history is required to clarify an ED. This includes both physical and sexual health as well as lifestyle and environment. It may be helpful to include the partner in this discussion. Often, “problems” with sexuality are associated with inhibitions and taboos. For diagnosis and therapy, however, it is important to have an honest and open conversation. Among other things, it is important to have an open and honest conversation about diagnosis.

Clarification of basic illness/physical causes. For diagnosis, physical examinations are essential (especially of the urogenital and rectal organs). ED can be caused by a variety of diseases, such as diabetes mellitus, cardiovascular disease, and atherosclerosis. Diabetes mellitus, cardiovascular disease, especially atherosclerosis, are all possible causes.

Laboratory/blood work. Laboratory tests are ordered if necessary. Blood sugar, blood cholesterol, and hormone status. Based on the baseline and patient, other blood tests can be performed (red and white blood counts and thyroid levels, PSA level, albumin, and so forth). ).

Additional tests. Additional tests may be required for some patients. These include erectile tissues injection test, ultrasound of penile arteries, and advanced imaging procedures to evaluate and visualize the erectile tissues of the penis. This is not a common procedure.

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