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Erectile dysfunction can be detected by the man in question, by analyzing their own sexual and erection. It is important to note that the man is satisfied if during erection as well as its intensity. This sexual disorder can have two main causes: psychogenic (80% of erectile dysfunction) and organic. The organic may in turn be of several types: vascular (impaired flow of blood), neurological (ie erectile corpus of the male sexual organ) and hormones. You know that neither circumcision nor abstaining not causes of erectile dysfunction appearance. Orgasm difficulty can not be considered an erectile dysfunction, but a sexual dysfunction. Sexual intercourse involves several steps and any damage fell within the category of sexual dysfunction. Erectile dysfunction can occur as side effects of certain diseases. Diseases associated with erectile dysfunction are hypertension, depression, diabetes and neurological diseases.

Erectile dysfunction can occur as a result of surgery (prostate cancer, lumbar spine) or follow some cancer treatments (radiation) but also due to local trauma. Unfortunately, in most cases, erectile dysfunction, as a result of disease, is disregarded. To address global disease consult, besides urologist, a cardiologist, endocrinologist and a psychologist. Diabetes effect including nerves (diabetic neuropathy), which can lead to erectile dysfunction mixed vascular and nervous. Another cause of sexual dysfunction can be represented and administration of antidepressants, antihypertensives and other psychoactive drugs. According to the research, more than 200 drugs can have side effects that the occurrence of erectile dysfunction. There are medications that cause erectile dysfunction by acting on the central nervous system, and others that affect the intensity of the blood supply to the penis. Smoking, alcohol and obesity are major causes of erectile dysfunction appearance and reinforces.

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Obesity affects two ways: directly (‘s difficult overweight man to have satisfactory intercourse), and indirectly, as a risk factor for cardiovascular disease. Erectile dysfunction that has a sudden onset and occurs only in certain circumstances but not in others, suggests a psychological cause. Psychological causes of erectile dysfunction include stress and anxiety from work or home, differences and difficulties marital and sexual dissatisfaction, depression, sexual boredom and unresolved sexual orientation. To find out if young erectile dysfunction is psychological or not recommended rigiscanarea. Rigiscanarea is a method that reveals the presence of an erection during sleep. If erection during sleep, when the causes are psychological and not organic. Before starting treatment should take into account all factors concerned. Urologist must discern whether it is a psychogenic dysfunction (stress, education, inhibition of religion, the environment in which the sexual act) or somatic. Most times it is necessary to consult a psychologist along with a visit to the urologist.

Traditional treatments of erectile dysfunction

Existing treatments for erectile dysfunction are sexual psychotherapy, oral medications, injections, vacuum devices, penile implants and vascular surgery.

  • Vacuum devices are recommended for patients who do not want medical treatment or have contraindications for such treatment. Vacuum devices have the advantage that it can be used needed, and no contraindications. Instead, they use an embarrassing and cause local adverse effects.
  • Intracavernous injections are a known alternative treatment. It is given by injection penile, it relaxes smooth muscles of cavernous substances. This method is efficient into action immediately, and costs are relatively high.
  • The vascular surgery is performed increased arterial inflow and decreased venous return.

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The last option for treatment of sexual dysfunction is semi-rigid penile prosthesis implantation surgery or inflatable. Is a very invasive and irreversible and use it only in special cases when patients have not responded to other treatment methods. This is a long-term solution, but invasive and can no possibility of mechanical failure of the prosthesis or surgical complications.

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