Why is erectile dysfunction such a sensitive problem?
Erectile dysfunction, defined today as the inability to attain and maintain an erect penis with sufficient rigidity for sexual intercourse, has become an increasingly common complaint that affects 140 million men worldwide.
A man is considered to have erectile dysfunction if he regularly finds it difficult getting or keeping a firm enough erection to be able to have sex, or if it interferes with other sexual activity.
To understand erectile dysfunction, it’s important to understand how erections occur. When a man is sexually aroused, nerves and chemicals work together to relax smooth muscle tissue and widen arteries so that the penis can fill with blood. Veins constrict to keep the blood inside the penis, forming the erection. Once the man ejaculates, the blood is released back into the body.
Physical and psychological causes for the onset of erectile dysfunction, are:
Poor blood flow to the penis. This is one of the most common causes of erectile dysfunction and can be the result of diabetes, heart disease, high cholesterol, and high blood pressure.
Nerve damage. When a man is sexually aroused, his brain sends messages to his penis to start the erection process. But if there is nerve damage, these messages cannot be transmitted properly. Thus, conditions that affect the nervous system – like diabetes, spinal cord injury, multiple sclerosis, and stroke – can lead to erectile dysfunction. Erectile nerves can also be damaged during cancer treatments, like radiation therapy or radical prostatectomy (removal of the prostate gland).
Hormonal issues. Men with low testosterone or thyroid disorders may have trouble with erections.
Side effects of some medications. erectile dysfunction is a side effect of some medications, such as those prescribed for high blood pressure, heart disease, peptic ulcers, insomnia, and depression. Not all medications in these categories have sexual side effects, however. For example, some antidepressants do, but other antidepressants do not. If you suspect that your erectile dysfunction is linked to your medications, talk with your doctor. Ask them about alternative medications or other treatment options. Don’t stop taking medications without talking to them first.
Peyronie’s disease. Peyronie’s disease is a wound healing disorder marked by a distinct curvature of the penis. Many men with Peyronie’s disease develop erectile dysfunction, although experts aren’t sure exactly why.
Psychological and emotional issues. Fighting with a partner, anxiety, depression, stress, past sexual abuse, and concerns about sexual performance can all affect one’s sexual well-being. In these cases, sessions with a sex therapist or counsellor may help.
However, secondary psychological problems are expected in all cases associated with erectile dysfunction.
Facing the erectile dysfunction, most men tend to temporarily ignore the matter. Erectile dysfunction symptoms may appear to most men as transient, but in fact, the symptomatology is persistent. Most cases that confront erectile dysfunction don’t admit that they have this problem and refuse to get an appointment with the sexologist. This causes a lot of individual frustration, as well as tensions between the partners.
The high prevalence of erectile dysfunction among men with diabetes and hypertension suggests that screening for erectile dysfunction in these patients may be warranted. Physical activity and other measures for the prevention of cardiovascular disease and diabetes may prevent a decrease in erectile function.
How common is sexual dysfunction among adolescents?
Research suggests that sexual problems are very common among adolescents.
In 2016, the Journal of Adolescent Health published findings by Canadian and American scientists, who reported that about 80% of their study subjects had experienced a sexual problem within the previous two years.
The study involved 405 participants (180 men and 225 women) between the ages of 16 and 21. The group’s average age was 19. Periodically over two years, the group completed a series of five surveys that assessed their sexual experiences. Men answered questions about their erections and ejaculation; women provided information about lubrication and orgasm. The participants revealed any sexual distress they felt, how confident they felt about sex, and whether they had ever been coerced to have sex. The surveys also addressed the group’s sex education and social beliefs about sex.
Over three-quarters of the men and almost 85% of the women said they had had at least one sexual issue during the survey period. Over 40% of both groups said they felt distressed over these problems.
Is there a link between erectile dysfunction (ED) and glaucoma?
It appears to be. According to research published in 2016, there might be a connection between glaucoma and erectile dysfunction.
For the study, the Canadian scientists collected data from 128 male patients of an ophthalmology clinic. Sixty-one men had glaucoma and the rest did not. The men answered questions about their erections and their general health.
Both groups of men had similar rates of medical conditions that can affect erections, like diabetes, a history of smoking, high blood pressure, and high cholesterol.
Researchers found that men with glaucoma were over two and a half times more likely to have erectile dysfunction than the men without glaucoma. They also discovered that men with more severe cases of glaucoma tended to have more severe cases of erectile dysfunction.
The researchers suggested that the link might be due to blood vessel inflammation, but more research is needed in this area.
Managing erectile dysfunction
Stress and/or anxiety are one of the biggest enemies of a healthy sex life. They are one of the main contributors to erectile dysfunction. It is very important to relax and enjoy the moment.
There are also some lifestyle habits that influence the onset of erectile dysfunction, such as smoking, drinking large amounts of alcohol, consuming marijuana, cocaine, heroin, and amphetamines.
An unhealthy diet and poor exercise habits can associate with other health conditions that can get you in the wrong direction with your sex life, contributing to the onset of erectile dysfunction.
But is a healthy diet contributing to a healthy sex life?
It’s probable. A research published in January 2016 found that men who ate foods high in antioxidants called flavonoids had a lower risk of erectile dysfunction than those who didn’t eat a flavonoid-rich diet.4
Flavonoids can be found in certain plant-based foods like citrus fruits, blueberries, strawberries, apples, pears, cherries, blackberries, radishes, and blackcurrant. Some teas, herbs, and wines also have flavonoids in them.
Past studies have shown that consuming flavonoids could reduce a person’s risk for diabetes and heart disease, both of which can lead to erectile dysfunction.
Eating healthy, particularly a Mediterranean diet can go a long way in preserving erectile function, however.
This type of diet includes fruits, vegetables, whole grains, and olive oil. Nuts and fish are good additions.
Vitamin D is an important nutrient for our overall health. And some experts believe that vitamin D deficiency might interfere with a man’s erections.
Sometimes called the “sunshine vitamin,” vitamin D helps the body process calcium to strengthen bones. It’s also important for nerves, muscles, and the immune system.
In 2016, the journal Atherosclerosis published a study by American researchers examining the relationship between vitamin D deficiency and erectile dysfunction. The research team collected data from 3,390 men between the ages of 20 and 85. The men were considered to have vitamin D deficiency if their levels were below 20 ng/mL. Almost a quarter of the men had erectile dysfunction.
What does diet have to do with erections?
When a man is sexually aroused, his penis fills with blood, giving it the firmness, it needs for sex.
Eating a healthy diet keeps the body in good working order. It can help men maintain a healthy weight, keep their blood sugar under control, and reduce the risk of blood vessel damage, which can impair blood flow.
Diet isn’t the only path to good erections, however. Other lifestyle habits, like regular exercise, quitting smoking, and managing depression are important too
Now, you managed all these. Still facing the issue? It is time to address it to the specialist.
What does the International Society for Sexual Medicine (ISSM) recommend?
There are lots of directions one man can go in order to treat the erectile dysfunction. Psycho-sexual treatments may reduce both the man’s and his partner’s anxiety, enhance arousal, and offer pleasurable options, which may reduce the man’s stress. These interventions can be performed separately or during the period when taking medication.
The drugs that treaterectile dysfunction
The guidelines of the International Society for Sexual Medicine (ISSM) Standards Committee for Sexual Medicine suggest that treatment with PDE-5-inhibitors can be effective in most Erectile Dysfunction aetiologies except after severe damage of the parasympathetic cavernous nerves.5
These medications help increase blood flow to the penis. These drugs are usually the first method patients try, but they should not be used by men who take nitrates. Patients with slow drug absorption (e.g., Parkinsonian patients) may need to wait 2-3 hours for an erection to develop after taking PDE5 inhibitors.
Other treatments for the treatment of erectile dysfunction are penile injections, urethral suppositories, vacuum erection devices and penile implants.
Men can learn to inject medication into the penis. This medication helps blood vessels dilate, allowing more blood for an erection.
Implants (sometimes called penile prostheses) are surgically placed inside the penis and allow a man to get an erection when he wishes. Nowadays, most penile implants are inflatable devices controlled with a pump.
Further sex education can help, too. Knowing what to expect from the experience may build confidence and reduce anxiety.
Is oral medication suspected to be linked to increased prostate cancer risk?
No. The scientists concluded that there is no link between drugs that treat erectile dysfunction and prostate cancer risk.
In 2016, a team of American scientists examined the medical records of 6,501 men with erectile dysfunction. The conclusion was that using an ED drug did not seem to affect the onset or the severity of prostate cancer.
How does Sildenafil (Viagra) treat erectile dysfunction?
Viagra is a medicinal product, containing sildenafil and indicated in the treatment of adult men with erectile dysfunction.
Until 1998, no effective oral therapy existed. The only treatments available were highly cumbersome or invasive, and many men found them unacceptable as solutions to the problem of achieving or maintaining a satisfactory erection.
Sildenafil citrate was the first oral agent to be introduced for the treatment of erectile dysfunction, thanks to the researchers from Pfizer.
Sildenafil is a highly selective inhibitor of PDE type 5and enhances NO-mediated relaxation of human corpus cavernosum. Sildenafil, by inhibiting phosphodiesterase, increases the intracellular concentrations of cyclic guanosine 3’,5’ monophosphate (cGMP), causing an amplification of the endogenous NO-cGMP signalling pathway.
It is considered a vasodilator agent, acting by increasing blood flow to the penis and thus it restores impaired erectile function.
In order for Viagra to be effective, it requires sexual stimulation in a natural setting.
How does Tadalafil (Cialis) treat erectile dysfunction?
Compared with other phosphodiesterase type-5 (PDE5) inhibitors like sildenafil (Viagra) or vardenafil (Levitra), Cialis has the advantage of a longer half-life that provides a therapeutic window of 36 hours, hence the name of the” weekend pill”.
Due to its effectiveness that lasts up to 36 hours, Cialis could offer nearly continuous coverage when taken on a regular basis, allowing patients and their partners to choose freely when to have sexual activities without the need of timing it. Oral tadalafil is an effective, reliable and well-tolerated treatment for erectile dysfunction of organic, psychogenic or mixed aetiology.
Are there risks when you take too much of an oral erectile dysfunction medication?
Yes. An oral overdose of erectile dysfunction drugs manifests in priapism, an erection that lasts for several hours. Priapism can happen if too much blood flows into the penis, causing it to swell. Some men with priapism experience discomfort or pain. But they should not take the situation lightly.
This is a medical emergency and men experiencing priapism should address immediately to the doctor.
Another risk associated with oral erectile dysfunction medications is a drop-in blood pressure. Men might start to feel weak, dizzy, and nauseated. They might start breathing more quickly, experience blurry vision, and have difficulty concentrating.
In severe cases, low blood pressure can substantially reduce the amount of oxygen that reaches important parts of the body, like the heart and brain. Eventually, these organs can become damaged.
Men who feel their medication is not working as well as they hoped should also talk to their doctor. The medication might be changed, or the dose might need to be adjusted, but this should only be done under a doctor’s care. Men should also remember that these drugs are prescription medications and are not appropriate for every man. For example, men who take drugs containing nitrates should never take erectile dysfunction drugs.
Can I order oral medication for erectile dysfunction online?
Sure! Through a short online questionnaire, Assured Pharmacy can help you deal with your health problem and you can both access quality pharmaceutical products online and have high-quality medical services.
Our objective is to meet the needs of patients and help you in a safe and fast manner to fix your problem.
You can have a regular prescription check, you can order your prescription medicines, or you can access a consultation with a physician and get a prescription and the required medicinal products.
You can save time and effort and, in the meantime, stay confident that your healthcare professional will give you the solution to your problem.
You can order Viagra, Cialis, generic tadalafil and generic sildenafil now. If you’d like to know what to look for when finding a legitimate online pharmacist, we wrote an article on it here!
So, can Erectile Dysfunction be cured?
Yes, erectile dysfunction can be treated and can be managed. In an onset of sexual stimulation, with good dietary habits, few exercise, less stress and oral medication, if prescribed.
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