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- The top cause of erectile dysfunction (ED) is inadequate circulation to the penis. Psychological issues, medications, injury, and hormone imbalances are other top causes.
- TABLE OF CONTENTS
Introduction
At its core, erectile dysfunction is the inability to achieve and maintain an erection suitable for intercourse. This problem, however, can manifest itself in a number of different ways as well as varying degrees of severity. For example, some forms of ED are most commonly associated with insufficient blood flow to the penis, which itself can be attributed to a number of different causes, which will be covered in detail later in this article.
ED, or the inability to perform sexually when appropriate, is one of the biggest health concerns of adult men, because the disorder in a sense robs them of what many regard as the essence of manhood. However, the problem is fairly widespread, affecting roughly 30 million American men, according to the National Institute of Diabetes and Digestive and Kidney Diseases.
Fortunately for men living in the early 21st century, medical research has developed innovative new pharmacologic treatments for vascular-related ED, and research continues into potential new treatments for all forms of ED.
Common Symptoms of ED
As already noted, the symptoms of erectile dysfunction can vary, but in the end they all point to an inability — if only occasional — to get and keep an erection. Typical ED symptoms can include:
1. An intermittent inability to achieve and maintain erection every time you would like to have sex. In other words, sometimes you can get and keep an erection long enough to complete sexual activity, while at other times you cannot.
2. An inability to maintain an erection firm and long-lasting enough to complete sexual activity. In such cases, you are almost always able to achieve an erection, but it rarely lasts long enough to reach orgasm.
3. A total inability to achieve an erection, regardless of the amount of stimulation, both mental and physical.
4. An absence of sexual desire such that you have no real interest in getting an erection.
5. The presence of sexual interest and desire that is not triggered by the forms of stimulation that you have been taught by society to consider appropriate.
Primary Causes of ED
ED can arise as a result of one of the following causes, although it is not uncommon to find that two or more of the causes are present. However, with your doctor’s help you can usually identify the primary cause, treatment of which will hopefully lead to the resolution of secondary causes. Here are the most widely reported causes of ED:
1. Insufficient blood flow to the penis: This can occur when the arteries that supply the male genitals become clogged with fatty plaques or when the mechanisms that control normal arterial relaxation and constriction become dysfunctional. It is estimated that vascular-related impotence accounts for roughly 80 percent of all ED diagnoses. In most cases, vascular-related ED can be successfully treated with Viagra or one of the other oral ED drugs known as PDE5 inhibitors.
2. Emotional or mental factors: Medical professionals estimate that 10 to 20 percent of all ED can be traced to psychological problems, such as depression, anxiety, and the inability to handle the day-to-day stress of life. Generally speaking, resolution of these issues requires some degree of psychological counseling to identify specific causes and then measures to resolve them.
3. Adverse interactions with medications: Many men find that they develop symptoms of ED after they begin taking certain medications, including both prescription and over-the-counter drugs.
4. Injury to the male genitals: Although they account for only a tiny fraction of all ED diagnoses, congenital or traumatic injury to the penis or other parts of the male genitalia can make erection impossible. Such damage to structures of the male reproductive system usually requires surgical intervention.
5. Hormonal imbalances: The primary male sex hormone is testosterone, which plays a key role in the regulation of sexual desire. If a lack of sexual desire is present in your ED symptoms, your doctor can order a blood test to determine whether a testosterone deficiency exists and then prescribe hormone replacement therapy if appropriate.
6. Sexual orientation: Most young people try to live their lives in the footsteps of their parents and other adult figures of influence. This can result in problems in the early sexual development of those who are basically attracted to the same sex, which runs counter to socially accepted norms. It should come as little surprise that a young man whose primary attraction is to other men would fail to become aroused with a female.
Secondary Causes of ED
As previously noted, insufficient blood flow to the penis is by far the biggest cause of ED. Certain health conditions and lifestyle decisions that affect vascular function play a key role in the development of blood flow issues. Often, two or more of these secondary causes might be present, increasing your risk for and hastening the onset of ED. Here, in no particular order of importance or prevalence, are some of those secondary causes:
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- Smoking: Nicotine from tobacco leads to dysfunction in the endothelium, the smooth muscle tissue that lines the inner wall of arteries. Endothelial dysfunction disrupts the normal relaxation and constriction of arteries that regulate the volume of blood flow.
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- Excess weight: Carrying around more pounds than appropriate for a person of your physical stature puts an undue amount of pressure on the heart, making it more difficult for the organ to provide oxygen-rich blood wherever it might be needed in the body.
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- Cardiovascular disease (CVD): One of the most common causes of CVD is atherosclerosis, the buildup of plaques on the inner walls of arteries. As the arteries become progessively more clogged, blood flow to all organs is diminished. Because the arteries that supply the penis are smaller than those that feed the brain and heart, symptoms of ED often serve as an early warning signal that CVD is present.
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- Diabetes: This widespread disease, caused by the body’s inability to properly process glucose, a form of blood sugar, adversely affects both vascular and nervous system function, both of which are key to erectile function.
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- Unhealthy eating: A diet that’s high in empty calories and unhealthy fats can hasten the onset of ED and other manifestations of CVD. It’s best to stick to a diet that contains plenty of fresh fruits and vegetables; whole (unrefined) grains; lean poultry; fish and other seafood; healthy fats such as olive oil; and protein-rich seeds, nuts, and beans.
- High blood pressure: Arteries in those suffering from high blood pressure, also known as hypertension, are constricted, which limits the flow of blood, making it more difficult to achieve and sustain an erection.
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- Prostate disease: Most treatments for prostate disease, whether for cancer or benign enlargement of the prostate gland, interfere with erectile function.
- Substance abuse: Overdoing it with alcohol, certain prescription drugs, and illicit drugs adversely affect a man’s ability to get and keep an erection.
Getting Help
No matter what your ED symptoms or their causes may be, there’s plenty of reason to take heart. With the help of your doctor, you should be able to find a way to successfully treat the disorder.
ED caused by insufficient blood flow to the penis, the single biggest cause of all male impotence, is perhaps the most easily treatable form of the disorder. Viagra, introduced in the late 1990s, and similar drugs that have followed it to market temporarily optimize blood flow, opening a window of time during which impotent men can get and keep an erection suitable for intercourse.
ED of psychological origin usually requires professional counseling to identify the underlying emotional or mental issues that are causing the impotence. Once those factors have been identified, patients can work with their counselor to resolve the problems.
In the relatively uncommon cases where ED is caused by injury to the male genitals, surgery is usually needed to repair such damage so that normal erectile function can resume.
Ordering Viagra Online
If Viagra, its generic equivalent, sildenafil citrate, or one of the other PDE5 inhibitors is your preferred treatment for ED symptoms, you can save time and money by ordering those medications from a reliable online facilitator. One such supplier is Arizona-based eDrugstore.com, which sells only FDA-approved medications, sourced exclusively from licensed U.S. pharmacies. To learn more, visit eDrugstore’s Erectile Dysfunction page. To order ED medications, visit eDrugstore.com.
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