Causes and treatment of erectile dysfunction.

At present, the term "erectile dysfunction" is used to describe erectile dysfunction, instead of the obsolete "impotence", which has a negative medical and social connotation. Erectile dysfunction, according to the modern definition, is the inability to maintain an adequate penile erection necessary for a full sexual intercourse, which limits or makes it impossible to satisfy sexual intercourse. According to the MMAS (Massachusetts Mate Aging Study) study, up to 50% of men over 40 years of age suffer from erectile dysfunction of varying severity, and with age their number increases significantly and reaches 67% by age 70. Age is not a direct risk factor, but a background for the development of various somatic diseases, a decrease in testosterone content, which negatively affects sexual function and increases the risk of developing erectile dysfunction. Psychological disorders (depression, drug addiction, alcoholism, specific psychopathic disorders, "fear of sexual impotence," koitophobia, etc.) are often the cause of erectile dysfunction. Severe endogenous depression is almost always accompanied by erectile dysfunction.

Organic causes of erectile dysfunction:

  • endocrine disorders;
  • lesions of the vascular system (arterial insufficiency of the penis, disorders of venous outflow of the penis);
  • organic changes in the penis;
  • neurological disorders;
  • drug-induced erectile dysfunction.

Diagnosis of erectile dysfunction

The initial stage of diagnosis: the collection of complaints and anameneza, the questionnaire on the scale of ICEF-5, physical examination, urological status, the exclusion of hypogonadism as the cause of erectile dysfunction, neurological examination (bulbocavernous, cremasteric, anal, abdominal reflexes, determination of the temperature sensitivity of the penis), lipid spectrum blood, the level of total testosterone, LH, prolactin, TTG, SSSG.

Treatment of erectile dysfunction

Progress in the treatment of violations of erectile dysfunction, which is currently observed, in fact, really is revolutionary in modern pharmacology. Today up to 90% of cases of erectile dysfunction can be treated with medicines. The work, which showed the leading role of androgens in maintaining the normal structure and function of the endothelium of cavernous bodies, led to the consideration of erectile dysfunction from the standpoint of endothelial insufficiency, the treatment of which should be carried out long and regularly, as well as the treatment of any other chronic pathology that tends to progress. Drug treatment is now increasingly pathogenetic in nature.

  1. To the first-line treatment of erectile dysfunction today are PDE-5 inhibitors;
  2. To second-line therapy - intracavernous and intraurethral therapy with vasoactive drugs (shown in the absence of effect from first-line drugs);
  3. Third-line therapy is surgery;
  4. To the therapy of the fourth (last) line - the solution of sexual problems, the patient may be offered implantation of the prosthesis of the penis.

Genital reaction

A bad genital reaction (a violation of potency in men) is a disease that is characterized by the inability to carry out a full-fledged sexual act in 75% of cases. As a rule, the condition develops gradually and at the same time it is possible both insufficient filling of the penis with blood, and a complete absence of an erection.

Causes of a bad genital reaction

Among the reasons for the development of problems with the genital reaction can be identified:

  • psychological (stress, traumatic events, lack of adequate rest, etc.);
  • Organic (various diseases, injuries, post-surgical complications, hormonal failures, taking certain medications);
  • mixed (a combination of factors of organic and psychological genesis: the most common cause of the disease).

Treatment of a decreased genital response

After the examination and identify the reasons that caused changes in sexual function, the doctor prescribes treatment. Therapy includes several methods at once. This gives good results and guarantees a favorable outcome in almost 100% of cases. Sometimes patients are helped to change their lifestyle, namely, to make favorable changes:

  • moderate physical activity;
  • utritionally balanced (without overeating);
  • igh-grade rest;
  • efusal from smoking and abuse of alcoholic beverages.

In addition, depending on the cause of the disease, the treatment of the primary disease or the effect on the patient's psychological state helps. An effective way to recognize drugs to increase the sexual response, because it gives a quick effect, helping patients to gain psycho-emotional confidence; also this method is great for supporting erectile function after completion of therapy to fix the result.

Cialis - a unique drug for improving the genital response

Cialis - the most effective drug in the market of drugs to strengthen potency. After its use, a man is ready to perform sexual intercourse after 15-20, and the effectiveness of Cialis lasts up to thirty-six hours, allowing sexual intercourse even the next day. You can buy Cialis in the pharmacy, but it's much more convenient to order it online: it's easier to keep anonymity, and the cost of the drug will be much more affordable.

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