Erectile dysfunction
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What are the causes of Erectile Dysfunction? Erectile dysfunction can be due to psychogenic or organic causes, but more often to their combination, thus creating a vicious circle Organic causes are: Vascular Neurologically The entire sexual cycle - desire, arousal, erection, ejaculation, orgasm - are under the absolute control of sex hormones. Testosterone and prolactin, directly and indirectly thyroid hormones, play an important role in erectile function. Whether they are due to a malfunction of the corresponding organs, i.e. the testicles and the thyroid gland, or to a central disturbance in their production - at the level of the pituitary gland - or to the gradual decrease in testosterone levels with increasing age (andropause), the decrease in testosterone is very likely to lead to disorders of erection, desire (libido), ejaculation, orgasm, fertility and systemic metabolic disorders. Metabolic syndrome: Pharmaceuticals Surgical procedures: Many surgeries - several of them are very common - are likely to lead to erectile dysfunction, often irreversible, without taking even preventative therapeutic protocols. Radical prostatectomy – the removal of the prostate for cancer – pelvic surgeries – for colon cancer – have a strong chance of erectile dysfunction. Diabetes: Psychogenic causes are more common in young men and are due to performance anxiety, a romantic disappointment or the loss of a loved one, but also as a secondary consequence of organic erectile dysfunction at older ages. There are many psychological mechanisms that worsen erectile function, such as the reduction of sexual desire, stress (work, social, failure in the sexual act), phobias, obsessions or even specific psychiatric diseases, such as depression and personality disorders. How is the cause diagnosed?
- General medical and sexual history. Timing of the onset of the problem, exact determination of the extent, psychosocial history, presence of morning erections.
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Whatever treatment is applied, the goal remains the same: the man's satisfaction with his sexual life, always respecting his expectations, his desires, without adding additional stress. The choice must always be personalized and only concern the man and the partner he has chosen. The best solution is to discuss all options with your doctor. The decision you will make, regarding the treatment you will follow, must be based on your own needs and be the result of a detailed discussion with your urologist. What is the prevention of Erectile Dysfunction? Maintaining a normal weight or losing weight if you are obese. |