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Erectile dysfunction(ED): Causes and Treatments

Erectile dysfunction(ED): Causes and Treatments

Erectile dysfunction (ED), also known as Impotence is the inability of to get or maintain erection during sexual intercourse in human beings. Erection of penis is a natural process during sexual arousal. It is controlled by brain under the influence of various sensory perceptions like touch, visual and smell. This is a hydraulic process commanded by the brain, in which the blood flow to the penis is increased, thus causing the erection. Proper erection ensures successful intercourse.

 

Causes of erectile dysfunction

Failure to get or maintain erection makes intercourse difficult. This problem might have psychological or physiological causes.

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Psychological causes of erectile dysfunction

Psychological reasons of erectile dysfunction include mental stress, lack of adjustment among couples, job pressure, anxiety, lack of privacy, fear of pregnancy or sexually transmitted diseases (STDs) and performance anxiety. This can be easily treated by psychological counselling and placebo medicines.

 

Physiological causes of erectile dysfunction

Physiological or physical causes of erectile dysfunction are those morphological or chemical changes within the body which make proper erection difficult. The main physiological causes of erectile dysfunction are mentioned as under:

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  1. Diseases like diabetes and multiple sclerosis
  2. Medicines like anti-depressant and diuretics
  3. Smoking
  4. Hormonal imbalances (Testosterone deficiency)
  5. Nerve disorders
  6. Prostate surgery
  7. Ageing

Diagnosis of erectile dysfunction

 The cause of erectile dysfunction is diagnosed through the use of various techniques  like Magnetic resonance angiography (MRA), Corpus cavernosometry, Dynamic infusion cavernosometry (DICC), Penile biothesiometry, Nocturnal penile tumescence (NPT), Penile nerves function, Duplex ultrasound.

 

Treatment of erectile dysfunction

 Once, the reason behind the erectile dysfunction is identified, treatment procedure could be planned. This mainly includes the following

  1. Hormone replacement therapy (Testosterone injections)
  2. Medicines like sildenafil (Viagra)
  3. Use of penis pumps
  4. Alternative medicines like herbs and libido booster food/aphrodisiacs
  5. Prosthetic penile implants to maintain erection
  6. Psychological counselling
  7. Proper diet
  8. Regular exercise
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