Nearly every man has at least once experienced this feeling, when all is set and ready, except one little thing. Shock, anger, frustration, these are the most common feeling when you can’t get it up. Let’s find out what causes this inability to get hard and solid erection when it’s most needed.
What causes erectile dysfunction?
Erectile dysfunction or impotence is the constant inability to achieve and maintain an erection sufficient to carry out sexual intercourse. The penile erection is in fact that phenomenon induced by sexual arousal that causes the penis to increase in size, hardening and lifting through the flow of blood into the corpora cavernosa. Erectile deficit represents a disorder with a high incidence, especially in the elderly male population.
The onset of this problem causes severe discomfort in the sexual sphere of the person who suffers from it, and compromises the quality of life. It can also be a warning sign for the onset of cardiovascular diseases, such as coronary artery disease and peripheral vascular disease.
For this reason, erectile dysfunction must not be neglected, but must be taken care of and treated properly. Various Viagra generics like Kamagra are cheaper and can be ordered from trusted online pharmacy.
What are the symptoms of erectile deficit?
Men with erectile deficiency have difficulty getting and/or maintaining an erection and may experience a decrease in spontaneous erections during sleep and upon awakening, as well as a decrease in sexual desire. To this can be added dysfunctions in ejaculation ( premature or delayed ejaculation) and difficulties in orgasm.
Data from epidemiological studies have also shown that benign prostatic hypertrophy and symptoms of the lower urinary tract may be related to this pathology.
What can cause erectile dysfunction?
The causes of erectile dysfunction can be numerous. In most cases, the origin of the disorder lies in a problem affecting the blood vessels or nerves of the penis, other times it concerns hormonal, structural-anatomical, pharmacological, traumatic or psychic factors.
Vascular causes include:
- Atherosclerosis
- Hypertension (also in drug treatment)
- Type 1 and 2 diabetes
- Hyperlipidemia
- Surgical / radiotherapy / cryotherapy treatment for prostate cancer (25-75% of cases in relation to the therapy performed and tumor staging)
The most common neurological causes include:
- Nerve injury during pelvic surgery or radiation therapy
- Multiple sclerosis
- Parkinson’s disease
- Stroke
- Diseases of the spinal cord (tumors, injuries)
Among the hormonal factors are:
- Hyperthyroidism
- Hypothyroidism
- Hypogonadism
- Cushing’s syndrome
Structural abnormalities can cause erectile dysfunction, such as:
- Peyronie’s disease
- Microfallo
- Hypospadias
And again, the origin of the pathology can be pharmacological, that is linked to the side effects of certain drugs, as in the case of antihypertensives, antipsychotics, antidepressants, antiandrogens, antihistamines, diuretics, corticosteroids, H2 blockers, anticonvulsants, cytotoxic chemotherapy.
Sometimes, the cause of the deficit can be traumatic, that is linked to trauma in the pelvic region, such as injuries to the head of the penis.
The inability to erect may also be effects of psychological factors:
Performance anxiety
- Depression
- Behavioral and emotional problems: relationship disorders, sexual dysfunctions, history of sexual abuse, relationship problems
- Other psychiatric disorders (including in drug treatment)
Finally, it should be borne in mind that the onset of erectile deficit can be related to the following risk factors:
- Lack of physical activity
- Obesity
- Drug use
- Cigarette smoke
- Alcohol abuse
- Aging
Erection problems and age
As already highlighted, one of the factors that can cause difficulties in achieving penile erection is linked to the decrease in sexual desire. As the years go by it is natural that there is a non-rigid or less stable erection. However, it must be said that there is no age in which a man loses his ability to achieve an erection.
Greater difficulties are encountered from the age of 50 upwards, with a further decline in men over 70 years of age. Much also depends on the levels of the male sex hormone (testosterone), which regulates many of the functions of our body and which tends to drop during old age.
In addition to a strictly personal data issue, a central role is also played by the individual ‘s lifestyle. Taking regular physical activity, eating a balanced diet can affect your ability to achieve an erection and lead a satisfying sex life.
How to fight erectile dysfunction?
For male erectile dysfunction, there are many treatments available. Phosphodiesterase 5 (PDE5I) inhibitors, which come in a variety of dosage forms, are the primary medications used to treat impotence.
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Given the high likelihood of impotence resulting from injury to the pelvic nerves responsible for erection, a drug therapy based on prostaglandins may be prescribed if the patient has undergone pelvic surgery (prostate, bladder, rectum, etc.) and/or treatments for prostatic neoplasia. Regardless of the nerve stimulus, it is a medication to be injected into the penis in order to achieve a pharmacological erection.
How to avoid erection problems?
The prevention of erectile deficit consists in the renunciation or limitation of risk behaviors that can cause the onset of this disorder:
- Avoid a sedentary lifestyle by practicing regular physical activity.
- Avoid alcohol abuse.
- Limit the consumption of highly caloric foods.
- Avoid smoking.
- Avoid taking drugs.
- Learn to control stress.
In the case of hypertensive, cardiopathic and diabetic patients , keep the pathology under control and be followed regularly from a medical point of view.