Most Effective Natural Weight Loss Pills For Men Over 50 Erectile Dysfunction: Causes and Treatment

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Erectile Dysfunction: Causes and Treatment

“Erectile dysfunction is the inability to maintain the structure necessary for sex.

What is that?

Erectile dysfunction is a medical term used to describe the inability to get an erection that is strong enough to penetrate or hold for a period of time that is satisfactory to both partners. point time. It is important to know that it can happen even if the desire and orgasm (ejaculation) are there.

Erectile dysfunction (ED) affects nearly two thirds of men over 50 years of age, representing 10 to 20 million Brazilians.

Most men, at some point in their lives, have experienced episodes of erectile dysfunction, usually due to fatigue, stress or alcohol consumption. Failures are sometimes not to be celebrated. However, if the problem persists, see a urologist.

Reasons

The ability to build a house is just one aspect of a man’s work. There are four stages to the human response cycle: basic need, erection, orgasm and relaxation. Each person can change differently.

The causes of ED are divided into organic, psychogenic and mixed, and can be found with combined factors. Biological problems such as diabetes, cancer, arteriosclerosis and neurological injuries often cause psychological problems, for example. It can also be secondary and can be the first manifestation of various diseases such as hypertension, diabetes, heart disease and kidney disease.

ED of psychological origin can be expressed in different ways, or delayed ejaculation, pain and impotence. There may be loss of libido (sexual desire), lack of orgasm and phobias (fear) of sex, all due to anxiety, depression or guilt. A person who has a negative experience, such as losing the way to sleep early or ejaculate, goes to the next relationship and remembers these “failures” with anxiety. This is a new mistake and creates a vicious circle.

Organic causes are divided according to origin. Vasculogênicas are more severe, especially flow changes, arteriosclerosis and injury (injury to blood vessels). Neurogenic causes include diabetic neuropathy, multiple sclerosis, alcohol abuse, trauma, spinal cord injury and nerve damage due to radical prostatectomy (surgery to remove the prostate). Since the reasons are primary or secondary hormonal hypoandrogenismo (disorders of male hormones).

ED also occurs, for the use and abuse of drugs such as marijuana, alcohol, heroin, cocaine, barbiturates, antidepressants.

Associated diseases

There are several risk factors for DE such as aging, diabetes, hypertension, skin diseases; neurological diseases, endocrine diseases, spinal cord injuries, radical pelvic surgery, radiation therapy, alcohol, smoking, marijuana and cocaine use; use of antihypertensives, tranquilizers and psychotropic substances; relationship problems with friends, stress, anxiety and fear of failure, depression, self-centeredness, change.

Analysis

The goals of the patient’s initial evaluation are to determine the potential cause of the ED and to identify biological or psychological factors that may influence treatment.

A detailed medical examination is the most important to assess patients with this problem. History should identify the duration, progression and severity of ED and associated factors.

When you find a problem in the sexual activity of the patient, the next step is to distinguish it from other sexual problems such as loss of libido and ejaculatory disorders.

The physical examination is the assessment of the patient’s health, with special attention to the cardiovascular, neurological and genitourinary, due to his participation in the construction. A neurological evaluation should include an assessment of the patient’s anxiety or depression. From the assessment of genital herpes is ordered to find local abnormalities.

Some have basic laboratory tests to identify diseases that may cause ED.

Treatment

In cases of psychogenic DE, psychosis is indicated. There are many things that should be evaluated by a urologist and, if possible, by a specialist in psychiatry. Aspects such as physical, mental, emotional, relationship conflict and friendship and inappropriateness on the part of the woman should be discussed with the couple.

Penile injections are the first good and objective, with little or no side effects, and a significant improvement in erection, even in the negative OF and carbon. They are the most confusing, painful distractions. It is also harmful to reduce the time of establishment and the frequency of application (three times a week). This method is abandoned with the advancement of technology.

As treatment progresses, there are oral medications on the market. They are:

Viagra (Sildenafil) of Pfizer: works on the penis by relaxing the muscles and increasing blood flow to the area. It is useful in cases of partial weakness, the creation of supply 40 to 60 minutes after the introduction of the drug, and the stimulation of the penis. Its effect can last up to six hours.Tem side reactions such as headache, runny nose, skin of the face and dyspepsia. Cardiovascular patients, especially in acid drug treatment (Sustrate, Monocordil, Isordil, Nitradisc, Nitroderm TTS, Isocord, Isosorbide, nitroglycerin) cannot take this medicine.

First (apomorphine), from Abbott Laboratories, works on the central nervous system, controlling the brain’s stimulation of the penis. Forms formation 10-20 minutes after oral administration under the tongue. It may cause headaches, nausea, dizziness, fatigue and dizziness, but heart patients can use it.

Cialis (Tadalafil), manufactured by Eli Lilly, works directly on the prostate by inhibiting the enzyme phosphodiesterase. It leads to formation in 30 minutes and lasts for 36 hours. It can cause headache, stomachache, runny nose, back pain, muscle pain, dizziness and bloating. Like Viagra, it can not be used for heart disease in the use of sodium.

Leviathan (Vardenafil) of Bayer and Glaxo, works directly and selectively on the penis by inhibiting the phosphodiesterase enzyme, with fewer side effects (headache, swelling and nasal congestion). It leads to formation in 15 minutes and lasts up to 8 hours. Like Viagra and Cialis, it can not be used for heart disease in the use of sodium. One of the biggest advantages is that it is very affordable and can be purchased in single packages.

Although drug treatments have been mentioned, some patients may be unresponsive and seek treatment with mechanical devices such as vacuum devices or penile implants that can cause swelling or tenderness. Some may need surgery to repair the blood vessels that supply blood to the penis, in some cases.

Because there are many reasons that cause erectile dysfunction, there are many treatments that work in different ways, and with specific suspicions, a urologist should be consulted.

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