“Most of the time, diseases associated with erectile dysfunction are amenable to control and treatment. Having regular physical activity, avoiding consumption of alcohol, tobacco, and illicit drugs, eating in a regulated and healthy way are the keys to prevention.”
Erectile dysfunction is the inability of a man to achieve and maintain a penile erection sufficient to allow satisfactory sexual activity. It can be a sign of active chronic diseases or even psychological problems, affecting the quality of life of patients and their partners.
The fact of not being able to have an adequate erection does not always translate into erectile dysfunction, but if this occurs frequently, the ideal is to consult a sexologist in Delhi for a proper evaluation.
It is estimated that 100 million men worldwide have erectile dysfunction, which is the most common sexual dysfunction found in this population after 40 years of age. In India, the prevalence approaches 50% after the age of 40.
The causes are varied and may be related to:
– Circulatory problems: erection depends directly on the flow of blood to the penis, so changes that make it difficult for the adequate circulation to this region can cause erectile dysfunction. We have as an example cardiovascular diseases (hypertension, coronary artery disease), diabetes, high cholesterol, smoking, previous surgeries on the pelvis, and people submitted to the previous radiotherapy.
– Neurological: up to 20% of erectile dysfunction cases are associated with neurological problems. Some examples are degenerative diseases (multiple sclerosis, Parkinson's disease), stroke, central nervous system tumors, and trauma.
– Anatomical or structural: people who from birth or even due to acquired diseases have changes in penile anatomy may have problems with erection and sexual intercourse. An example is Peyronie's disease, a condition seen more commonly after middle age in which a plaque of hardened tissue forms along the inner tubes of the penis, causing an abnormal curvature and making an erection difficult.
– Hormonal Disorders: Hormonal imbalances can cause changes in libido (desire to have sexual intercourse), especially the lack of testosterone, which directly influences erection. Other conditions may also be related, such as dysfunctions of the thyroid gland (hyperthyroidism, hypothyroidism), pituitary gland (hyperprolactinemia), among other changes.
– Drug-induced: numerous medications can cause erection problems, such as antihypertensives, depression medication, antipsychotics, and drug use such as alcohol, heroin, cocaine, methadone, among others.
– Psychological: problems such as anxiety, depression, and stress affect the young adult population more, generating erection disorders by directly decreasing libido.
Symptoms
Sexual impotence can be manifested in many ways, not only by not being able to keep the penis erect but by problems with ejaculation or orgasm. According to the best sexologist in Delhi, in certain patients, there is a delay in maintaining a lasting erection, or even an erection is obtained, however, it does not have sufficient rigidity. Other times, even with an adequate erection, premature ejaculation occurs (ejaculation that happens before, during, or shortly after penetration with minimal sexual stimulation).
It is possible to prevent
We must keep in mind that maintaining healthy lifestyle habits is the best way forward. Most of the time, the diseases associated with erectile dysfunction are amenable to control and treatment. Having regular physical activity, avoiding consumption of alcohol, tobacco, and illicit drugs, eating in a regular and healthy way are the keys to prevention.
Treatments
Depend on the underlying causes. Lifestyle changes (not smoking, avoiding alcoholic beverages, physical activity, healthy eating) are essential for all men. Treatment can be divided into non-pharmacological (psychological or psychiatric counseling), pharmacological (drugs that induce erection), and surgical.
For people who have psychological problems, psychotherapy associated or not with medication for depression is recommended and should be accompanied by a psychiatrist or sexologist in Delhi.
There are several drugs available that induce an erection by facilitating blood flow into the penis, which can be administered daily, on-demand before sexual intercourse, or even administered by the patient by direct injection into the penis. Always remember that they should be used only under the supervision of top sexologist in Delhi and need sexual stimulation to obtain results.
In specific cases or even refractory to drug therapy, surgical options for penile prostheses can be an option, with satisfactory results, greatly improving the quality of life of men. It is possible to choose between malleable, articulating, or inflatable prostheses.
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