Erectile dysfunction, or ED, is described as the persistent inability to get and keep an erection that is appropriate for satisfactory sexual performance. This often results in negative consequences such as stress, low self-esteem and relationship problems. On a positive note, this sexual health problem is highly treatable and most men respond well to pharmacological treatments. These treatments provide a safe and discreet way for men with ED to restore their sexual well-being.
In order to understand ED, it may be useful to know what happens when an erection occurs. When sexual stimulation takes place under normal circumstances, certain chemicals and nerves in the body function together to relax blood vessels in the penis. As a result, the penis becomes engorged with blood, causing it to become rigid. If there are any problems with blood vessels, blood flow to the penis may become insufficient, resulting in erectile dysfunction symptoms.
ED is particularly common in men over the age of 40. It is associated with certain medical conditions such as diabetes and heart disease. In fact, men with diabetes are about four times more likely to have erection difficulties than men without diabetes. They are also more likely to have severe cases and develop this condition 10 to 15 years earlier.
Medical professionals used to believe that most ED cases were caused by psychological issues like anxiety and depression. However, they now understand that about 8 in 10 cases are physical in origin. The following table describes common physical problems that lead to erection difficulties:
|Atherosclerosis||This condition is caused by an accumulation of a waxy plaque in blood vessels. Consequently, blood vessels become narrower which limits the supply of blood to the penis. Various factors such as a poor diet, smoking and a sedentary lifestyle can cause atherosclerosis.|
|Nerve damage||During sexual arousal, the brain transmits messages to the penis to begin the erection process. Any damage to nerves can prevent these messages from being communicated properly. Therefore, medical conditions that affect the central nervous system such as multiple sclerosis and Parkinson's disease can also cause erectile dysfunction.|
|Side effects of certain medications||Some medications, including antihypertensives and antidepressants, have sexual side effects that can cause erection problems. There are several ways to mitigate the sexual side effects of medications such as changing the dose or switching to another medication.|
|Hormonal problems||In certain cases, low levels of testosterone in the body can lead to erection difficulties.|
|Peyronie's disease||An injury or disease of the connective tissue in the penis, like Peyronie's disease, can cause ED. It can prevent the two spongy rods in the penis called the corpora cavernosum from expanding properly.|
In addition to physical causes, ED may also be the result of psychological problems like performance anxiety. This condition is known as psychogenic ED which is more common in younger men. A man with psychogenic ED may become overly worried about pleasing his partner and his own sexual function that he develops erection difficulties.
The anxiety associated with performing sexually may activate the release of stress hormones like noradrenaline. This can also cause blood vessels to become narrower, resulting in ED. Fortunately, both organic and psychogenic ED can be effectively treated with erectile dysfunction pills in the majority of cases.
Oral medications are an effective treatment for most men with ED. These medications do not automatically produce an unwanted erection. They simply restore erectile function so sexual stimulation is still needed for them to work. The following treatments for ED are available online:
All PDE5 inhibitors have a similar mechanism of action. They work by enhancing blood flow to the penis, making it easier for the organ to fill with blood and form an erection.
These medications induce this effect by inhibiting phosphodiesterase type 5 (PDE5) which is an enzyme found mainly in the blood vessels of the penis. This enzyme breaks down a chemical messenger called cyclic guanosine monophosphate (cGMP) which is essential for erectile function. It causes blood vessels in the two spongy rods of the penis to relax and dilate. Consequently, the penis fills with blood and becomes erect.
By preventing or reducing the effect of PDE5, medications for ED allow a man with erectile difficulties to regain erectile function and sexual confidence. This medication works best when used in combination with healthy lifestyle choices like exercise, weight loss and stopping smoking. Healthy lifestyle choices also facilitate smooth blood flow which can help with sexual health.
Uncomfortable circumstances associated with the topic of sexual issues often prevent men from finding the medical attention they need. With the convenience of online shopping, there is no need for awkward conversations with a healthcare professional.
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