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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 to get or maintain an erection during sexual intercourse in human beings. Erection of the penis is a natural process during sexual arousal. It is controlled by the 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 ED

Psychological reasons for 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 counseling and placebo medicines.

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Physiological causes of erectile dysfunction

Physiological or physical causes of ED are those morphological or chemical changes within the body which make proper erection difficult. The main physiological causes of ED 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. Aging
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Diagnosis of (ED) 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 (ED) erectile dysfunction

 Once, the reason behind the ED is identified, the 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 an erection
  6. Psychological counseling
  7. Proper diet
  8. Regular exercise
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