Perfect Solution for The Erectile Dysfunction Issues
Erectile or sexual dysfunction is
much more than impotence. Impotence comes from inability to unite and means the
impossibility of "coming together". Erectile or sexual dysfunction is
however a dysfunction not only of erection, but p. ex. also libido,
Anatomical and physiological points of view
The erectile tissues in the penis
are in a dorsal position on the left and right and are called cavernous corpus.
The cavernous body around the urethra is called spongiosium corpus and forms an
anatomical and functional entity with the penis of the penis. The arterial
blood comes from the common iliac artery, which is divided in internal iliac artery
and further in pudendal artery and finally cavernous artery.
Physiologically, an erection
consists of vasodilatation of cavernous artery followed by sinus relaxation and
finally an increase in venous resistance. This means that an erogenous stimulus
sends a central signal via the spinal cord to the pelvic plexus, whereupon,
after release of nitric oxide from the nerve ends, guanylate cyclase
stimulation occurs which results in an increase in cyclic GMP and thereby
decreased intracellular calcium in smooth muscle cells resulting in relaxation
of smooth muscle cells. This relaxation means vasodilatation and erection.
It is often very difficult to determine a single cause of erectile
dysfunction because there are usually three main causes:
A physical affection.
Taking certain medications.
Some of the main physical factors that cause erectile dysfunction
Abnormalities involving blood vessels caused by
high blood pressure (40% of erectile dysfunction), diabetes, high cholesterol
levels and tobacco.
The atheroma plaques that deposit on the walls
of the arteries irrigating the penis can cause narrowing of the arteries and
then prevent the blood from circulating properly to achieve a real erection.
Overweight and obesity.
- Abnormalities related to the nervous system (and thus the proper
functioning) of nerves such as:
Alcoholism, Parkinson's disease,
multiple sclerosis, epilepsy, stroke or spinal cord injury
- Kidney failure:
40% of men with kidney failure
have erectile dysfunction.
- Hormonal abnormalities:
Male hormone levels too low.
These disorders of erection
having a physical origin concern especially men over 50 years. These
dysfunctions are generally progressive onset over several years and not
Surgery related to prostate cancer?
Prostate cancer is the most
diagnosed cancer in men and the most commonly performed procedure. The
prostatectomy total has generally resulted in loss (temporary) erections.
Surgeons very often perform a large ablation to avoid leaving cancerous tissue
and as the erector nerves are very close to the prostate, they are often
damaged. When possible, these nerves are left in place, which allows to find
erections in less than 1 year but in general, it is not uncommon for it to take
two years to find an erection quality satisfactory.
Tobacco, alcohol, drugs?
Most men with erectile
dysfunction are or have been smokers. Indeed, smoking aggravates hypertension
and deposition of atheroma plaques, while promoting venous leakage, that is to
say, an inability of the veins of the penis to retain blood.
The alcohol, if it can be used
initially as disinhibiting, has a very harmful effect on the control of the
erection as it is responsible for a decrease testosterone. The same effect is
noted for drugs, especially for cannabis.
What does the doctor prescribe?
It is an oral treatment that is
usually offered as first-line, we find:
These three molecules act on the
relaxation of the smooth muscles of the cavernous body and thus increase the
arterial blood flow at the origin of the erection. This Erectile Dysfunction
Treatment for Men is erection facilitators and sildenafil citrate is effective
only if they have associated with sexual stimulation (foreplay, caresses).