Suffering From Erectile Dysfunction, Read This

Erectile dysfunction (ED) is the inability to achieve or maintain a satisfactory erection for intercourse.

Sometimes all men have problems getting an erection, and it is a fact that is considered normal. Erectile dysfunction occurs when a man

• He is never able to achieve an erection

• Achieves a brief erection, but not enough time to have sex

• Achieves an effective erection with little consistency

ED is called primary if a man has never been able to achieve or maintain an erection.

ED is called secondary if it develops at a later time in the life of a man who was previously able to achieve an erection.

Secondary erectile dysfunction is much more frequent than primary erectile dysfunction.

In India some 50% of men between the ages of 40 and 70 are affected in some way; this percentage increases with age. However, erectile dysfunction is not considered a normal symptom of aging and can be treated perfectly at any age, says the best sexologist in Delhi.

Causes

To achieve an erection, the penis needs sufficient blood intake, a reduction in blood output, proper functioning of the nerves entering and leaving the penis, an adequate amount of male sex hormone testosterone and sufficient sexual stimulation (libido), so a disorder of any of these systems can lead to erectile dysfunction, states sexologist in Delhi.

Most cases of erectile dysfunction are due to anomalies of the blood vessels or the nerves of the penis. Other possible causes include hormonal disorders, structural disorders of the penis, the use of certain drugs, and psychological. The most frequent specific causes are

• Hardening of the arteries (atherosclerosis) that affects the arteries of the penis

• Mellitus diabetes

• Complications of prostate surgery

• Certain medications, such as those used to treat high blood pressure or prostatic hypertrophy and those that act on the central nervous system, such as drugs used to treat depression

Often, several factors worsen the ED. For example, a man with a slight decrease in erectile function caused by diabetes or peripheral vascular disease can develop significant erectile dysfunction after receiving a new medication or if his stress level increases.

Blood vessel disorders

Atherosclerosis partially blocks the blood supply to the legs (peripheral vascular disease). In general, the arteries that supply the penis are also blocked, which decreases the amount of blood to the penis and causes erectile dysfunction. Diabetes, high cholesterol levels, high blood pressure, and smoking contribute to atherosclerosis and therefore to erectile dysfunction, says top sexologist in Delhi.

Sometimes the blood leaves the veins of the penis too quickly, which reduces the blood pressure in the penis and prevents achieving or maintaining an erection (veno-occlusive dysfunction).

Nervous disorders

If the nerves that send messages to the penis are damaged, erectile dysfunction can occur. In addition to causing atherosclerosis, diabetes can also affect the nerves of the penis. Since the nerves of the penis cross the prostate, prostate surgery (for example, in case of cancer or enlargement of the prostate) often causes erectile dysfunction.

Other less frequent nervous disorders that cause erectile dysfunction are spinal cord injuries, multiple sclerosis, and strokes. In addition, prolonged pressure on the nerves of the buttocks and the genital area (the so-called saddle zone), which can occur after long bicycle rides, can cause temporary erectile dysfunction, says sexologist doctor in Delhi.

Other disorders

The hormonal abnormalities, such as abnormally low levels of testosterone, tend to reduce sexual desire, but can also lead to erectile dysfunction.

In Peyronie's disease, scar tissue appears inside the penis, resulting in curved and often painful erections, in addition to ED.

The drugs, including alcohol and illegal drugs such as cocaine and amphetamines, can also cause or worsen erectile dysfunction.

Sometimes, psychological problems (such as performance anxiety or depression) or factors that lower the energy level (such as illness, fatigue or stress) cause or worsen the ED. Erectile dysfunction may be due to a situation and involve a specific place, moment or couple.

Prolonged and painful erection (priapism) can damage the erectile tissue of the penis and cause ED, says sex doctor in Delhi.

Assessment

It is not uncommon to suffer an occasional episode of erectile dysfunction, but men who are systematically unable to achieve or maintain an erection should go to the sex specialist in Delhi, since erectile dysfunction can be a sign of a serious health problem, such as atherosclerosis or a nervous disorder. Most cases of erectile dysfunction can be treated. The following information can help you decide if an evaluation is necessary by the best sex doctor in Delhi and what to expect from it.

Alarm signs

In men with ED, certain symptoms and characteristics are cause for concern, such as

• Absence of erections at night or when waking up in the morning

• Numbness in the area of ​​the buttocks and the surrounding and genital area (area of ​​the saddle)

• Painful cramps in the leg muscles that appear during physical activity, but that disappear quickly with rest (claudication)

When to go to the doctor

Although erectile dysfunction can decrease the quality of life of the affected person, it is not in itself a dangerous disorder. However, erectile dysfunction can indicate a serious medical disorder. Since numbness in the groin or legs can be a sign of damage to the spinal cord, men who suddenly develop that numbness should go to the consultation immediately. Those who have other warning signs have to call the sexologist clinic in Delhi and ask when they should go for their examination.

Physician's performance

First, the sex specialist doctor in Delhi asks about the patient's symptoms and medical history and then performs a physical examination. Clinical history and physical examination often indicate the cause of erectile dysfunction and what tests need to be done.

The sexologist in Delhi asks about

• Consumption of drugs and alcohol

• History of smoking

• History of diabetes

• History of hypertension

• History of atherosclerosis

• History of surgery (for example, prostatic growth, prostate or rectal cancer, or blood vessel disorders)

• History of injury (eg, pelvic bone breakage or back injury)

• Symptoms of blood vessel disorders (eg, pain in the calves when walking or being cold, numbness or blue discoloration of the feet)

• Symptoms of nervous disorders (for example, numbness, tingling, weakness, incontinence or falls)

• Symptoms of hormonal disorders (eg, loss of sexual desire, enlargement of the breasts, reduction of the size of the testicles, loss of body hair, tremors, changes in weight or appetite, or difficulty in tolerating heat or cold )

• Symptoms of psychological disorders, especially depression

• Satisfaction in sexual relations

• Sexual dysfunction (for example, vaginitis or depression) in the couple

Despite the usual discomfort in men to discuss these issues in the sex consultation in Delhi, information is important to determine the cause of ED.

The physical examination focuses on the genitals and the prostate, but signs of hormonal, nervous and vascular disorders are also sought, in addition to exploring the rectum.

Sometimes it is easy to discern the cause from the background. For example, erectile dysfunction may appear shortly after prostate surgery or to begin the administration of a drug. An important clue is whether erections occur at night or upon awakening. If they occur, physical causes are less likely than psychological causes, because physics usually prevent erection. Other factors that suggest a psychological cause are sudden involvement in young and healthy men, the appearance of symptoms only in certain situations and the resolution of erectile dysfunction without treatment. Claudication, cold, or bluish toes or entire feet indicate a blood vessel problem, such as peripheral vascular disease or vascular disease caused by diabetes.

Do You Know

• The occasional inability to achieve an erection is normal and does not mean you have erectile dysfunction.

• Almost half of those over 65 and some over 80 are usually able to maintain proper erections for penetration.

• Low testosterone levels tend to decrease the sex drive and not to cause erectile dysfunction.

• Combinations of drugs injected into the penis and the application of constriction rings or bands and penile vacuum devices are very effective and lack some of the side effects of oral drugs.

• Sexual counseling is beneficial in erectile dysfunction treatment in Delhi even when it caused by a physical problem.