Types and causes of erectile dysfunction
Erectile dysfunction can be caused by several kinds of reasons: endocrine, drug, local, neurologic and vascular. All this refers to the form of organic erectile dysfunction when it is caused by some change or disorder in the organism. Is much more common form of psychological erectile dysfunction, in which a normal sexual life interfere with neuropsychiatric features exclusively male. In addition, almost always problems with erectile dysfunction caused by organic causes, added a psychological component that after removing the root can go in the first place.
Endocrine causes of erectile dysfunction
Endocrine causes of erectile dysfunction include primarily hypogonadism - a lack of function of sexual glands and low production of the male hormone testosterone. In addition to erectile problems in this state man sees increase in voice, stopping the growth of hair on the face and body fat deposition in the chest, thighs, buttocks. As a rule, such changes occur in severe violations of the hormonal system of the human body, and in these cases always need help endocrinologist. Fortunately, these diseases are relatively rare.
Other endocrinological cause erection problems can be a pituitary tumor - one of the most important endocrine glands of the human body, which is in the brain. If such a tumor secretes a hormone called prolactin, no other changes in the body, except for persistent erectile dysfunction, will not be marked. In this case, the diagnosis is necessary not only to investigate the hormonal status of a person, but also to perform a CT scan of the brain.
Medication causes of erectile dysfunction
There are several types of drugs that may have an adverse effect on erectile function of the male body. Hormonal drugs that block the action of male hormones (called androgens), as well as preparations female sex hormones cause serious problems with erectile dysfunction due to violation of all the hormonal mechanism of its occurrence. Such drugs are generally administered with a severe disease, the most common of which is a prostate cancer. In this case, the doctor guided by the principle "not to fat" when it is first necessary to extend as much as possible and make life easier for the patient.
However, I personally know of cases where the action of a powerful anti-androgens (differently even called castration drugs, I think I understand why) a "good" doctor prescribed to patients with benign prostatic hyperplasia (better known as an adenoma). Needless to say, they help trouble-free, but all the men in horror realized that those more do not feel. Fortunately, erectile function recovers quickly after discontinuation of the drug.
Other medicinal drugs affecting the erection include all substances with a depressing effect on the cerebral cortex. This is mainly alcohol and narcotic drugs which, in addition to the brain effects cause cachexia organism that does not contribute any particular erectile function, audio reproduction as a whole. In such cases, to restore normal erection requires not only a complete removal of the drug, but properly conducted rekonvolestsentsii period.
In addition, there are some formulations according to the pharmacological classification relating to a variety of groups, which have the ability to block peripheral nerve endings responsible for the occurrence of an erection. Who knows, for example, antihistamines, the most famous representative of which is diphenhydramine, for this reason should not take more than 10 days? If the question of a normal erection is not indifferent to you, then the appointment of any drug you ask your doctor whether it causes such violations.
Local causes of erectile dysfunction
They are different in origin factors, but they all lead to sclerosis of the corpora cavernosa. In this case, a thin stretch fabric cavernous bodies partially or completely replaced by a rough solid connective tissue, unable to achieve an erection. This may result in injury of the penis, multiple injections into the penis, transferred priapism (painful for a long time does not pass and is not associated with sexual arousal erection). By sclerosis cavernous tissue can also cause frequent practice of tightened sexual acts in which a man, in order to deliver his beloved greatest pleasure in every way possible delays ejaculation and sexual intercourse lasts more than 4 hours. This practice can not be called useful from different points of view, including its impact on the tissues of the penis can not be called positive.
Hardening of erectile tissue - a very unfavorable prognostic sign for erectile dysfunction. If fact sclerosis diagnostically proven to help such a patient can only falloprotezirovanie operations.
Neurological causes of erectile dysfunction
Neurological causes of erectile dysfunction may be related diseases such as epilepsy, Parkinson's disease, multiple sclerosis, traumatic brain and spinal cord, pelvis and perineum, the various operations in these areas. As a rule, other manifestations of the disease are so heavy and severe that erection problems depart even further than the wayside. However, severe disturbance of erectile function after surgery or trauma often becomes a serious problem. Unfortunately, here the possibilities of modern medicine left much to be desired, and rarely so patients can help other than penile prosthesis implantation.
Vascular causes of erectile dysfunction
This is one of the most common causes of groups. As we have said, during a normal erection to the penis increases sharply inflow of arterial blood, and the blood flow through the veins almost completely blocked. From here there are two main types of vascular disorders with erectile dysfunction - insufficient arterial inflow and excessive discharge of blood through the veins of the penis. In the first case, an erection occurs long, hard, rarely very high quality, and often the penis is in a kind of intermediate position between the quiescent state and excitation. In case of violation of venous block Conversely, stimulation of the penis occurs quickly, the erection is very good, but very quickly passes, not allowing complete, and sometimes even to begin sexual intercourse.
These disorders can develop diseases such as occlusive disease, atherosclerosis of the aorta and large arteries, aortic aneurysm, varicose veins, resulting in various injuries pelvic and perineal. Unfortunately, the causes of disorders of the vascular mechanism of erection to date have not been studied well enough to be able in each case confidently identify the root cause that caused the violation of erectile function.
Special mention should be problems with erectile dysfunction in hypertension and diabetes. Erectile dysfunction in them can be associated with different groups of causes - neurological, vascular, local and medication. This makes the treatment of erectile problems in these diseases is extremely difficult.
Also say a few words about erectile dysfunction in chronic prostatitis. On the one hand, it is due to general exhaustion and largely psychological factors - for prostatitis are known often leads to the development of a deep depression in man. On the other hand, problems with erection chronic prostatitis may be caused by involvement in the inflammatory process the nerve bundles responsible for the occurrence of erectile dysfunction, which pass through the prostate gland. To restore normal erectile function is necessary to completely cure the disease, or at least make it stable remission. Ideally, such patients after treatment is necessary to consult a sexologist.
Psychological causes of erection problems
However, despite the large number of diseases and conditions that can lead to erectile dysfunction, erectile dysfunction often occurs due to the peculiarities of the psyche of men. And if we take into account the fact that any organic disorder of erectile function necessarily piling psychological component, then it becomes clear how important are the psychological causes of erectile dysfunction among all other causes.
Erection in men may not appear, quickly disappear or be of poor quality, if he has depression, prolonged stress (by the way, did you know that stress - a very useful condition for the body, which is training for an athlete to bolster the work of all vital functions body, and brings only harm prolonged stress?), fatigue, general malaise, a dissatisfaction, a partner, a situation in conflict with a partner, sexual habits discrepancy and requirements of partners, fear of the possibility of pregnancy or contracting diseases, sexually transmitted, often AIDS. Erection can not occur if sex is in some not provide a sense of calm and security situation (the rear seat of the car, his parents' home, unlocked cabinet in the office, elevator).
By the psychological form of erectile dysfunction is such a version thereof, as the impossibility of having sexual intercourse with one partner at a constant success with others (the so-called selective erectile dysfunction). Older men often complain about the lack of or poor quality of erection during sex with his wife, whereas with mistresses erectile problems do not arise. However, I have met and the opposite case, when a man is extremely worried that an erection occurs only in the marital bed, and the other partner, he has always been a fiasco.
Another option for erectile dysfunction due to the peculiarities of the psyche of men, the so-called syndrome of the first meeting. In this case, men have problems with erection only when the first intimacy with a partner, and at all other meetings, all is fine. It is worth to highlight the first sexual intercourse of men, which often excitement is so great that by the time of sexual intercourse body gets tired of it, and the erection disappears. For many youths failure at first intercourse (especially if the behavior of your partner when it was not quite correct) becomes large psychological blow, and may subsequently cause great difficulties and problems in this sphere of life.
Dwell on this form of psychological erectile dysfunction is the inability to sexual intercourse with a condom. The policy of many pharmaceutical companies, solidly supported by the influence of the media, leads many young people to the firm conviction that sex without a condom is completely unacceptable. Meanwhile, a number of psychological reasons, putting a condom on the penis is for men to certain stress, which often completely compatible with normal erection. As a rule, the replacement of the condom other contraceptive method solves this problem.
Finally, in the psyche of man can labile situation in which one random failure in the commission of sexual intercourse is a very strong emotion during the next intimacy with a partner, which leads to erectile dysfunction and this time. Accumulating from time to time, the belief in man's own inferiority may make it an absolute impotent even in his early years. A similar condition can develop after the disease had an impact on erection when organic cause dysfunction resolved, and erection problems remain the same.
In most cases, to distinguish a psychological form of erectile dysfunction from organic not difficult. Besides these cases, the lack of erection in some situations while retaining it in others, most often in the form of psychological erectile dysfunction remains an erection during masturbation and so-called phenomenon of nocturnal penile swelling, or morning erections. Causes of morning erections are still unclear. Some experts argue that it is connected with the action on the prostate gland filled bladder, others - with erotic dreams, which allegedly fail regularly visit each of us. However, both of these points of view do not stand up to scrutiny - morning erection often occurs after waking up and can not be called dreams, and, according to the first point of view, the erection should occur at each filling of the bladder, which, to put it mildly, incorrect.