Erectile dysfunction is a condition characterized by the inability of a man to maintain an erection sufficient to satisfy his partner. An erection may not occur at all or can be lost during sexual intercourse.
- Psychological (psychogenic) erectile dysfunction. A violation occurs suddenly, the provoking factor is an uncomfortable psychological state. Psychogenic erectile dysfunction is caused by the body’s response to stress, fatigue, mistrust of the sexual partner. This form of disorder occurs in about 20% of all cases of sexual dysfunction, predominantly in young men. In this case, there are no organic disorders in the structure of the genital organs, there is a morning erection, the ability to maintain an erection during the sexual intercourse remains;
- Organic erectile dysfunction. In this case, violations are associated with pathologies of the urogenital organs, hormonal fluctuations, and insufficient blood supply to the vessels of the penis. A sexual desire does not decrease, ejaculation remains, but each time it becomes more difficult to maintain an erection. With organic erectile dysfunction, there are no night erections, there is a sharp weakening of the penis during sexual intercourse. In 80% of cases, erectile dysfunction is a complication of background diseases;
- Mixed erectile dysfunction. This form of violation is diagnosed in a combination of factors such as an underlying pathology and stress.
- Diabetes mellitus, high blood pressure, heart or thyroid disease, blood flow disorders, depression or diseases of the nervous system (such as multiple sclerosis or Parkinson’s disease);
- Medications (drugs for arterial hypertension (especially beta-blockers), cardiac glycosides (eg, digoxin), certain drugs for the treatment of peptic ulcer, hypnotics, and antidepressants;
- Nerve damage after surgery on the prostate;
- Smoking and excessive use of alcohol;
- Narcotic substances;
- Bad psychological contact with your partner;
- A constant sense of doubt, a fear of failure;
- Injury to the spinal cord;
- Stress, fear, anxiety;
- Unreal sexual expectations;
- Low testosterone levels.
Erectile problems are more common in older men. However, they can occur at any age. The cause of the disease in older men is often physical. Emotional causes are more common among young men.
- No erection even in the presence of sexual desire;
- Sudden weakening of erection during sexual intercourse;
- Insufficient hardness of the penis;
- Decreased libido;
- Premature ejaculation or lack of ejaculation;
- Absence or lack of bright orgasm;
- Lack of spontaneous erections at night or in the morning;
- Delay of an erection even with active stimulation of the penis.
- The anamnesis of disease is necessary to reveal predisposing factors;
- General examination of the patient (checking weight, height and their ratio, the level of blood pressure);
- Research of the functionality of the nerves of the penis. The procedure is called testing of innervation. In this case, the pressure is applied to the head of the penis. With such an effect, a reflex reduction of the anus should occur;
- Blood test is necessary for revealing such deviations as diabetes and low testosterone level;
- Testing with vasoactive substances. This diagnostic measure is carried out in order to assess the work of the vascular link of the genital organ The specialist evaluates the intensity, speed, and degree of erection;
- Ultrasonic dopplerography of the vessels of the penis. With the help of the method, the doctor evaluates microcirculation, reveals structural changes. The procedure is performed with a calm and erect condition of the penis;
- Biotesiometry of the penis. For this test, electromagnetic vibration is used. A doctor checks the sensitivity of the penis. If it is low, there is damage to the nerves;
- Analysis for the detection of a PSA marker, which is an indicator of prostate cancer.
How to treat erectile dysfunction?
Treatment of erectile dysfunction depends on the cause of the disease. Consult a doctor about the best way to treat your erection problems.
Today, there are many ED treatment options, including:
- Injection into the penis;
- Drugs used topically in the urethra;
- Oral ED medications;
- Vacuum devices.
Ask your doctor about possible side effects and complications of each method.
Sildenafil (Viagra), vardenafil (Levitra) and tadalafil (Cialis) are medications from the group of PDE-5 inhibitors. They work only when you are sexually aroused. They start working in 15-45 minutes after intake. You can buy ED medications online in Canadian Pharmacy.
Watch a video showing how each of these three ED drugs works:
Remember that these drugs have side effects that can range from muscle pain to a heart attack. Do not combine these drugs with nitroglycerin. This combination can reduce blood pressure.
Take ED drugs with caution in the following cases:
- You recently suffered a stroke or heart attack;
- Severe heart diseases, such as unstable angina or cardiac arrhythmia;
- Severe heart failure;
- Uncontrolled high blood pressure;
- Uncontrolled diabetes mellitus;
- Very low blood pressure.
If ED medications from an online pharmacy do not help, do not despair! There are other methods of ED treatment:
- Testosterone-replacement therapy – patches, gels or intramuscular injection (with low testosterone levels);
- A drug alprostadil is injected into the penis or applied topically in the urethra. This medication improves the flow of blood to the penis. Local treatment usually works better than oral medications;
- To ensure blood flow to the penis, you may use vacuum devices. To maintain an erection during intercourse, use a special rubber rim;
- Some men may need a penile implant (prosthesis);
- To increase sexual activity and desire, you may use herbs and nutritional supplements that boost libido. However, none of them has proven effective in the treatment of erectile dysfunction, and they can not always be safe.