Organic erectile dysfunction.
For an erection to take place, nerves, blood vessels, hormones and the psyche must work in a complex way.
Organic causes are quite diverse:
- cardiovascular diseases,
- arterial hypertension,
-diabetes mellitus,
- high cholesterol,
- chronic kidney failure,
- consequences of prostate surgery,
- injuries and diseases of the spine,
- hormonal disorders,
- diseases of the nervous system (for example, multiple sclerosis),
- diseases of the endocrine system,
- side effects of a number of medications (for example, glucocorticosteroids),
- alcohol and Smoking,
-damage to veins and arteries,
- damage to the cavernous bodies, violation of their innervation and blood supply,
- injuries and surgical interventions on the penis (curvature of the penis, growth of scar tissue in the cavernous bodies).'
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Now a little more about the main physiological causes.
■ circulatory problems
Any disease that affects the arteries, such as atherosclerosis, can be accompanied by erectile dysfunction. Impotence in this case indicates an increased risk of heart attack or stroke in the future.
■ Diabetes
Approximately 60% of diabetic men have some degree of impotence. In this case, it is the result of neurological and vascular disorders associated with diabetes.
■ Neurological problems. Diseases that affect the nervous system, such as Parkinson's disease and multiple sclerosis, disrupt the neurological component of the erection process.
■ Surgical operation or injury in the pelvic region. Surgery on the bladder, rectum, or colon, and especially on the prostate gland can damage the blood vessels and nerves that provide an erection. Injury can also cause a similar disorder.
■ Hormonal disturbance
In about 3% of cases, endocrine disorders lead to a decrease in the level of the hormone testosterone, which causes a decrease in libido and suppresses the reaction of the parasympathetic nervous system.
■ Side effects of medications. Some medications, such as amphetamines, can lead to impotence.
Thus, erectile dysfunction can be a warning sign for a serious medical condition that requires a doctor's visit.
Psychogenic erectile dysfunction.
Along with the above organic causes, the psychogenic factor should not be underestimated. And at a younger age, it is often even decisive.
Every form of erectile dysfunction affects a man's psyche. Often they fall into a vicious circle, from which they can hardly get out. Psychogenic dysfunction is especially common in men under 35 years of age and the main reason for this is the fear of refusal to have sex. And this fear is closely related to intrapersonal conflicts, distance from others, self-reproaches, failure in the profession or lack of understanding of the male role.
The more a man makes desire the main goal, the more he misses.
Risk factors for psychogenic dysfunction are:
- alcohol abuse,
- drugs and Smoking,
- stress,
- depression,
- intrapersonal conflicts.
Some doctors identify another, more trivial cause of erectile dysfunction-bad Bicycle saddles cialis black in Canada. After a series of studies in 1998, scientists concluded that Bicycle saddles contribute to impaired potency. Due to the teardrop-shaped design of the saddle, approximately one-third of the total weight is on the perineum, so long bike rides lead to the fact that blood flow to the penis is limited and not enough pressure is created for a full erection. Therefore, it is very important to choose the right saddle.