The
erectile
dysfunction occurs when you have difficulty achieving or
maintaining an erection. It can be a symptom of chronic diseases such as
hypertension, hypercholesterolemia or diabetes. Having good sexual health
is essential to achieve a good quality of life. However, almost 40% of the
Indian male population could have some type of sexual dysfunction.
What is erectile dysfunction?
Erectile dysfunction is defined as the inability to get and
maintain an erection sufficient to have sex, for a minimum period of six
months.
How many men does
Erectile Dysfunction affect?
Erectile dysfunction affects approximately 20% of Indian men
older than 18 years and more than 50% of men over 50 years.
What is an erection?
The erection is a reflex that occurs in response to an
erotic stimulus. This reflex is regulated by the central and peripheral
nervous system, and increases the amount of blood that reaches the
penis. In that way, the penis fills with blood and an erection occurs.
Thus, as
sexologist in Delhi states that
this response is only maintained while the erotic stimulus persists, if for
some reason it stops being interested in the sexual situation it is very
possible that the erection disappears.
On the other hand, for the erection to occur it is necessary
that there are normal levels of testosterone. Testosterone is the male sex
hormone that regulates, among many other actions, sexual desire and
erection. When there is a decrease in the level of this hormone, sexual
desire decreases a lot and it is difficult to get an erection, explains the
best
sexologist in Delhi.
The reflex of the erection also depends on the normal
functioning of the peripheral nervous system and the circulatory
system. Therefore, diseases that affect nerve conduction such
as diabetes, multiple sclerosis, alcoholism, or the health of the
heart or arteries such as obesity or arteriosclerosis, will cause
that, although we have desire, the blood supply to the penis is insufficient
and an erection does not occur, says
top sexologist in Delhi.
Causes of Erectile Dysfunction
There are seven main causes that increase the risk of having
erection problems.
Psychological causes
Disorders such as anxiety, depression and even stress can affect sexuality.
Excessive concern for problems of a couple, work or family, implies that the
necessary attention is not devoted to the sexual act. Fatigue, lack of
appetite, lack of exercise, insomnia or failure can also affect sexual reflexes,
explains
sexologist doctor in Delhi.
Vascular causes
The artery that brings blood to the penis is subject to the same vascular risk
factors as any other vessel in the body. So the most common causes of vascular
impotence are: diabetes, hypertension, increased cholesterol, smoking and
cardiovascular disease. Surgery in the prostate, bladder or rectum, or
radiotherapy on the pelvic area, can also injure these vessels and cause
erection problems, says
sex specialist in Delhi.
Pharmacological
causes There are several medications that have as a side effect the
decrease in the ability to have an erection. Among them are some drugs to treat
hypertension, heart disease and psychiatric disorders, states
sex
specialist doctor in Delhi.
Neurological causes
Erectile dysfunction of neurological origin occurs when there is a problem in
the transmission of orders that the brain sends to the penis through the spinal
cord. This happens in spinal cord injuries, multiple sclerosis, diabetes,
kidney failure or in surgical operations of the pelvis. But it is also caused
by chronic kidney failure, says
sex doctor in Delhi.
Hormonal causes
Hormonal imbalances such as testosterone deficiency, a high level of prolactin
and an abnormal level of thyroid hormone, can cause erectile dysfunction.
Anatomical or
structural causes. Abnormalities of the male genitalia (hypospadias or
epispadias), micropenis, congenital curvature of the penis, Peyronie's disease.
Traumatic causes
Like the fracture of the penis.
Diagnosis of Erectile Dysfunction
When there is an erection problem, the most important thing
is to understand the cause that produces it. If you have had erectile
dysfunction for more than six months, you should consult with the
best
sex doctor in Delhi.
Clinic history.
To detect the cause, it is necessary to know when the erection and sexual
desire problems have started, if there are injuries that can cause the
dysfunction and any recent change of physical or emotional character in the
life of the patient. It is also important to know the medication that is taken,
says
sexologist
in East Delhi.
Aspects to consider:
- Age. Before
age 50, erectile dysfunction of psychological origin is more frequent.
- Allergies
to medicines.
- Toxic
habits. Smoking and alcohol consumption.
- Weight. The
higher the Body Mass Index (BMI) and perimeter, the more likely to suffer
from erectile dysfunction.
- Work
history. Spend many hours sitting and have a sedentary
life.
- Medical
history. Have cardiovascular, endocrine, neurological and / or
hormonal disorders.
- Surgical
background. A surgery or radiotherapy in the pelvic
area.
- Pharmacological
treatment. The medication for high blood pressure,
psychotropic drugs or drugs for the treatment of prostate cancer
or prostate hyperplasia.
- Start
and course of dysfunction. If the dysfunction is sudden and
episodic, it is usually related to a psychological origin; if it is
insidious and constant, it can be of physical origin. The presence of
nocturnal, morning or certain situations of normal stiffness precludes the
origin being organic.
- Gravity. Use
of a questionnaire (IIEF-5 or EHS, for example).
- Sexual
sphere. In many cases the problems of erection cause a decrease
in libido or alterations of ejaculation. The opposite can also
happen, decreased desire or premature ejaculation can trigger erectile
dysfunction. Thus, the time sequence of the appearance of problems is
very important.
Symptom questionnaire. The diagnosis of erectile
dysfunction is based on a questionnaire that the patient completes with the
doctor.
Physical exploration. The evaluation may include
a physical examination and an analytical test to determine the level of
testosterone in the blood. According to the results, the
sexologist
in South Delhi can also request analysis of other hormones, cholesterol
or sugar, and tests to determine the function of the liver, kidneys and
thyroid. Although not common, some patients require special tests to check
neurological function, blood vessels and circulation.
Non-Pharmacological Treatment
In cases in which there is an erection problem of vascular
origin, it is important to treat the risk factors that produce it: smoking,
obesity, sedentary lifestyle and / or inadequate nutrition.
It is proven that losing weight through a healthy and
balanced diet, as well as the practice of regular physical exercise, can
improve sexual function.
On the other hand, one of the most determining factors that
produces arterial damage is tobacco. Quitting smoking is basic when limiting
vascular damage because it allows to obtain better results over time with the
other treatments.
Pharmacological
Treatment
Treatment with IPDE-5 is essential for
impotence
treatment in Delhi, as they are effective, safe drugs and allow the
normalization of erection in almost 80% of patients.
Most men who have difficulty maintaining an erection receive
oral medication. These drugs improve the dilation of the penile artery and
the blood flow that reaches the penis when there is sexual desire. The
main drugs are the inhibitors of phosphodiesterase-5 (IPDE-5).
At present there are four drugs marketed in India: sildenafil,
vardenafil, tadalafil and avanafil .
- There
are differences in the speed of action and the duration of the effect of
the drugs. It is important to know the needs and preferences of
patients in order to adapt and personalize the treatment.
- Despite
being very effective drugs, in some cases they may not have enough
power. In that case, it is important to verify that the drug is used
correctly. Many times the failure of the treatment is due to the
abandonment of it.
- Drugs
for the erectile
dysfunction treatment in Delhi is effective and
safe. Regarding side effects, the most frequent are headache,
heartburn, facial flushing and muscle pain.
- It
is false that this type of drugs increases the probability of presenting
cardiac problems or sudden death, a fact that has been demonstrated in
numerous studies.