It is difficult to say how many people are affected by erectile dysfunction, because the results of studies vary widely depending on the type of data collection, the questions asked, and the subjects selected. vary greatly in some cases, ranging from less than ten percent to more than 50 percent. However, the studies at least indicate that they occur more frequently with increasing age.
Erectile dysfunction can:
Occur without an identifiable cause, happen as a result of another disease or an injury, occur as a side effect of certain medications.
If the man has never been able to get or maintain an erection, doctors call this primary erectile dysfunction.
If the problem occurs later in life, after the man has already had and been able to maintain erections, medicine refers to this as secondary erectile dysfunction. The latter is the more common variant.
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Erectile Dysfunction: Symptoms
The most noticeable symptom of erectile dysfunction is that the man is unable to get an erection hard or persistent enough to have intercourse to have sexual intercourse. The fact that the penis occasionally fails to become erect or slumps early is normal. Warning signs that erectile dysfunction may be pathological include the following could be, for example:
- A feeling of numbness in the area of the buttocks and genitals.
- Absence of nocturnal and morning erections
- Muscle cramps in the legs during exertion (such as walking) that subside immediately at rest. It could be intermittent claudication, the so-called “window shopper’s disease”, in which the arteries are only supplied with blood to a limited extent. One symptom is erectile dysfunction.
Stress and anxiety are often involved in psychologically induced erectile dysfunction. Under stress, the body produces a lot of cortisol. This is a hormone which is released in the body in dangerous situations. The body decides between flight and fight. Both are bad, because in this situation the body also secretes also releases adrenaline, which works against an erection. A sudden onset of erectile dysfunction associated with a life-changing event such as loss experience and traumatic experiences is also typical of psychologically induced erectile dysfunction.
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Erectile Dysfunction: Treatment
Underlying conditions of erectile dysfunction should be adequately treated. This includes good medication to control blood pressure in the presence of hypertension. existing hypertension. Likewise a lowering of high blood lipid values.
Psychotherapy can be helpful for anxiety disorders, depression or other mental illnesses. Patients with physically induced erectile dysfunction could also erectile dysfunction could benefit from psychotherapy. At the beginning of therapy, it is not easy because the patient and therapist need to establish a basis of trust. need to establish a basis of trust. In the longer term, psychotherapy shows good results.
Drug treatment classically includes phosphodiesterase-5 inhibitors (PDE-5 inhibitors). These interfere with the ability of the penile blood vessels to contract. blood vessels of the penis and ensure an adequate inflow of blood into the erectile tissue. They are taken before sexual intercourse.
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