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Erectile Dysfunction

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Erectile Problems

Read here to understand more about Erectile problems. When a man becomes sexually aroused, blood rushes to the penis and an erection occurs. That sounds very simple and obvious, but sometimes something goes wrong during this process. The penis fails to become stiff, but semi-rigid, or becomes limp too quickly. If this occurs several times in a row, it may indicate an erectile dysfunction (ED). There are different types of erectile dysfunction, which, depending on the cause, can usually be treated successfully.

Different Types of Erectile Dysfunction

One erectile dysfunction is not the same as another. Doctors make distinctions between different types of impotence:

Primary impotence In this condition, the man has never had an erection and will never achieve one spontaneously. This is usually caused by a physical abnormality in the penis, such as a trapped nerve. Primary impotence can sometimes be treated with surgery.

Secondary impotence Men who suffer from this have had full erections in the past, but have suffered from erectile dysfunction at some point.

Situational impotence This means that the man only manages to have a full erection in certain situations. He can achieve an erection during masturbation, for example, but not during sex with a partner.

Partial impotence In this erectile dysfunction, the penis becomes stiff, but soon afterwards becomes floppy. It is also possible that the penis only becomes semi-rigid

Total impotence This term indicates that there are no erections at all. Not even early morning erections.
Erectile dysfunction can have a physical or a psychological cause. Fortunately, there are many ways to solve erection problems.

Erectile dysfunction from vascular disease

One of the most common causes of erectile dysfunction is problems with blood circulation in the penis. To get and maintain an erection, a lot of blood needs to be able to flow to the penis. This blood collects in spongy cylinders (corpora cavernosa) in the penis, making it stiff. If the veins and blood vessels in the penis are no longer functioning properly because of arteriosclerosis, for example, the erectile process can be impeded.

Tips to correct this erectile dysfunction

For optimum circulation of the penis are healthy and flexible blood vessels are needed. A customised lifestyle can improve the condition of the veins and arteries, such as:

Quitting smoking

Getting enough exercise

Eating a healthy diet

Drinking only a minimum amount of alcohol or abstaining completely

Erectile dysfunction can be treated with erection pills. These medicines temporarily correct the blood flow disorder so that a proper erection can occur. Injections into the penis, vacuum pumps and/or penis rings are also effective methods of treating this type of erectile dysfunction.

Erectile dysfunction due to diseases of the nervous system

An erectile dysfunction may be related to another condition. If there is something wrong with the transfer of (sexual) stimuli, such as a brain disease or nerve damage caused by MS, diabetes, radiation or prostate surgery, erectile dysfunction is often prolonged or permanent.

Aids for this erectile dysfunction

Erectile pills may also help this type of ED, depending on the severity of the nerve damage. If they do not work or if you don’t want to use medication, a penis injection or vacuum pump is a good alternative.

Another option is a penis implant. A doctor can surgically place a prosthesis into the penis, which can be activated as needed. There are several types of penis implants.

Erectile dysfunction due to psychological factors

Impotence is sometimes caused by psychological problems, often involving factors such as failure, depression or guilt. Problems in the relationship can also contribute to erectile dysfunction. If you still have strong morning erections, there is a chance that your erectile problem will have a psychological cause.

How to treat this type of ED

Psychological support can help to treat the type of erectile dysfunction caused by a psychological problem. You could consider therapy or couples therapy. A GP may refer you to a suitable therapist.

Erectile dysfunction caused by low testosterone levels

Normal levels of hormones are essential for the erectile process to function properly. The male sex hormone testosterone has a vital role to play. If the levels of testosterone are too low, it will also affect the libido or sex drive and the erectile ability.

The solution for this type of erectile dysfunction

Testosterone levels can be increased with a supplement, such as hormone patches or gel. You should also pay attention to your lifestyle choices: do more exercise (strength training are great for stimulating the production of testosterone) and eat healthily.

Erectile dysfunction as a side effect of a medication

Some medicines can cause erectile dysfunction. This is the case with drugs for epilepsy, some sedatives and antihypertensive drugs.

Treating impotence caused by medication

Consult a doctor if you are suffering from erectile dysfunction as a side effect of a medicine. You might be able to switch to another drug.


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