Early Detection of Erectile Dysfunction Can Save Lives.

The development of erectile dysfunction is attributable to neuronal, vascular, hormonal, metabolic, and psychological factors. As explained by the best sexologist in Delhi that erectile dysfunction is found more frequently in men with hypertension, hyperlipidemia, acute coronary syndrome, diabetes mellitus, and metabolic syndrome, supports the hypothesis that this disease is an important marker of future cardiovascular risk. This point has been deepened in a study published in 2016 in the Journal of Sexual Medicine entitled Coronary heart disease, diabetes and sexuality in men. This work surveys different studies in this regard, and summarizes the recommendations for sexologists in Delhi who receive patients with erectile dysfunction in consultation. 

In long-term research conducted in Western Australia, it was found that men with erectile dysfunction have a cardiovascular risk seven times higher compared to men without the disease. It is therefore not surprising that the prevalence of erectile dysfunction is higher in patients with heart disease, and it has been found to range from 42% to 75%.

Analyzing the different risk factors, hyperlipidemia contributes to erectile dysfunction through endothelial dysfunction, affecting the relaxation of the cavernous smooth muscle. In fact, population studies have shown that dyslipidemia and obesity are the main risk factors for erectile dysfunction. According to different studies, approximately between 26% and 70% of men with erectile dysfunction had an increase in serum cholesterol.

On the other hand, researchers Curkendall and Glasser found that 18% of the population studied with erectile dysfunction had undiagnosed hypertension. In general, erectile dysfunction is twice as common in hypertensive patients as in men with normal blood pressure, and it is also more serious. 

 

Let's now look at some recommendations for doctors based on the International Consultation on Sexual Medicine Reports:

-The detection of erectile dysfunction provides the opportunity to decrease the risk of cardiovascular disease. 

-Erectile dysfunction is a marker for a significantly increased risk of cardiovascular disease, coronary artery disease, stroke, and all-cause mortality.

-The risk of coronary events associated with erectile dysfunction is higher in younger men (30 to 60 years of age).

-Erectile dysfunction has a similar or even higher risk of predictive value for cardiac events than traditional risk factors such as family history, myocardial infarction, smoking and hyperlipidemia.

-Erectile dysfunction often occurs in the presence of silent coronary artery disease, with a time window from the onset of dysfunction to a coronary artery event of two to five years.

-The more severe the erectile dysfunction, the greater the degree of risk of coronary artery disease, its possible severity and the risk of peripheral artery disease.

-Lifestyle modification is generally recommended as the part of first-line treatment to correct erectile dysfunction and decrease cardiovascular risk, but evidence suggests that this could be effective only in men without established cardiovascular comorbidities. 

-Recent studies have suggested that phosphodiesterase type 5 inhibitors, the first-line drugs to treat erectile dysfunction, could decrease cardiovascular mortality through multiple mechanisms, predominantly related to improved endothelial function. 

The final recommendation to sexologist doctors in Delhi is not to fall into the prejudice that erectile dysfunction is always of psychological cause. Therefore, it is necessary to carry out different studies to understand its nature and the risk factors involved in its development. In this way, erectile dysfunction treatment in Delhi will be more effective, and in some cases it will reduce the risk of future cardiovascular events and prevent the progression of the severity of erectile dysfunction. Sexologist in Delhi suggests that there is a three to five year window from the onset of dysfunction to subsequent cardiovascular events, therefore we cannot ignore the opportunity to detect them.

What is a Trigger in Sex

Dr. P K Gupta, best sexologist in Delhi, sees in consultation and in the talks that he explains how the idea of ​​a possible "trigger" as discussed in the street or a specific erection difficulty as we know it in Sexology continues to worry men.

This can happen at any time, sometimes for no apparent reason, usually generates tremendous anguish among men because it seems that all organs can fail us at some point except the penis, which must always be effective and respond to the wishes of the person.

The penis, like all organs, needs many conditions to function normally. This that everyone understands for a hand, for example, we do not apply it to the genitals and we think that the penis is a machine that has to work whenever one wants and here is one of the big mistakes.

I can force my hand to do what I want if I'm healthy, but can you lift your penis right now without touching it and without fantasizing? We cannot control the penis, such as the hairs on the arm, because they depend on a System that we call Vegetative and that is autonomous, that is, it only acts under certain conditions, but outside the voluntary control that I do have over my muscles.

To make matters worse, there is an uncontrollable situation and that is that, if I am worried about looking good, or because of fear of failing, my anxiety is going to trigger, it is managed by the Sympathetic System that in turn triggers a substance in a fear situation the Rho-kinase, which hides the penis, explains sexologist in Delhi.

 

What is the use of hiding the penis?

Can you imagine running away in front of a lion with an erection? When have you been erect before an exam? Or imagine that you receive bad news in the middle of a relationship, how is your penis going to stay?

If when you are going to have a relationship you are afraid of not looking good, or you have drunk more than necessary, or you are simply worried about satisfying your partner and this overwhelms you, you are ensuring a difficulty to maintain or achieve your erection.

The usual thing about a case of these is that as a result of what happens to us once, by chance or some other factor, the next time we try to maintain a relationship we will be more aware of our penis than of having fun in the relationship and this will generate a new activation of that Sympathetic System and this hides our penis.

This is how people of all ages come to the sexologist clinic in Delhi who, after one of these "unimportant" triggers, generate anguish that makes them withdraw from relationships, some lose their desire or start very young to take pills to "fix" something that is NOT spoiled. Many come soon after an episode of these and others take years with what they suffer a very important impairment in their sexual life and by the time they come to the consultation with sex specialist in Delhi they already bring many mental complications, couple or have worsened with some other dysfunction.

If something like this happens to you, do not think about it and go to a sexologist doctor in Delhi as soon as possible, do not self-medicate and do not fear, your secret will be safe with a professional who is bound by Law to Professional Secrecy.

Male Dysfunctions And Fear

Male dysfunctions and fear, virility, machismo, social changes in women and men.

For some time now, in consultation Dr P K Gupta, sexologist in Delhi, has observed the changes that society is undergoing with almost no power (or wanting to) do anything to remedy it.

Our society is getting rid of centuries of macho dictatorships and this is having consequences for genders and orientations, I want to imagine that in a future time all this will find its comfort zone and we can live without so much alteration or dysfunctions our lives and our sexuality.

All religions have generated an abysmal difference between men and women, they have relegated the different orientations to obscurity.

At some point in history, the man decided to make women invisible, reduce her to an inferior being and thus for centuries he believed he was doing things well because everything he did was supported by the prevailing ideologies (directed 100% by men too) . I will never understand what caused this process but of course something had to do with the man's fear of the woman, his condition of being a reproductive relegated him to a working bee.

 

In the current process of social change, women and men are freeing themselves, slowly and with pain, but the path to freedom is true that it does not hurt even if you lose everything in it.

However, in consultation at sexologist clinic in Delhi if part of that pain that I comment appears, current men, the younger and not so young generations, because from those separated at forty-something down, everyone is finding that the supposed freedom that should be for to arrive is still far from appearing and has been chained to fear.

Fear because among other things men do not talk about our problems and our doubts, "it is not going to be that the other knows that I am inferior to him", it is not going to be that the other thinks that I am a softie, that I have feelings and especially that I feel like I don't know.

Fear of this curse of being forced to be virile, especially when being virile is defined in quantifiable terms (two balls, 20 cm, 3 without removing it, it does not take a slap, etc ...). To be virile, social tactics have been imposed on men since time immemorial, courage is one of them, having it means being a true man, as if women when they do everything that being a woman has meant until now did not require high doses of value.

Thus, almost childish themes have been designed to play with courage: confrontations with the other, for whatever reason, today the absolute idiocy of sticking with the opposing team until killing, killing or dying by the horns of an animal wild, playing with AIDS in brothels or on the street without using a condom, because that is how I show that I am a tough guy. In fact, we observe how parties appear that only defend these acts and become enemies of the advance towards freedom of women and men tired of so much useless and completely uncertain demo.

Fear of not being as "man" as the porn actor on duty, porn attempts to adapt to its new status as an educator of an educated society through a globalized screen, many young people today know more about BDSM than how their parents They have made them.

All this chaos, which I hope does not become as eternal as machismo (30 centuries) is leading to the subject that I work on many very different dysfunctions: sexual phobias, aversions, erectile dysfunction, lack of desire, dissatisfaction, premature ejaculation, hundreds of separations without much justification, unwanted loneliness, depressions, anxieties and a long etcetera.

It goes without saying that women are also contributing and suffering to this chaos because to be one you have to worry about reading many new theories and proposals that if you do not know them only make you the victim of change. The man in his flight backwards increases his violence against them and this is unfortunately very evident.

A Happy end: well-directed information solves all this, in some cases short but essential sex treatment in Delhi will be required. Unfortunately sex education becomes difficult without political involvement and we already know what matters to them, for the moment they stop suffering and go to the best sexologist in Delhi who work with it.