Men at risk of erectile dysfunction.
What can cause erectile dysfunction?
Erectile dysfunction is a barometer of men’s health. What causes erectile dysfunction in older males? Erectile dysfunction is much more common in the male population than in developed countries of the world. Severe injuries, alcoholism, and smoking help. Erectile dysfunction is divided into the causes of its development, ie the violation of certain mechanisms of erection. Erectile dysfunction can occur from two groups: vascular (organic) and psychological (psychogenic). Сauses of erectile dysfunction in 20s. Studies over the last 20 years have shown that erectile dysfunction is rarely caused by purely psychological causes (stress, depression, behavior, etc.). Psychogenic erectile dysfunction is more common in young people and is a consequence of anxiety, conflicts with partners, depression, and other disorders of the patient’s psychological state. In addition, it was found that about 90% of all cases of erectile dysfunction are associated with vascular disorders, as well as, to a lesser extent, hormonal imbalances and neurological diseases.
What diseases and conditions contribute to the development of impotence?
- Vascular diseases (disorders of cholesterol metabolism, vascular atherosclerosis, hypertension, coronary heart disease, cardiosclerosis, 1-2 angina pectoris, trauma, radiation, treatment of prostate cancer). Erectile dysfunction and heart disease are directly related. Men with erectile dysfunction had no clinical signs of cardiovascular disease, but 80% had at least one risk factor for cardiovascular disease. Men with high blood pressure often worry about this, but hypertension itself does not lead to impotence. Cholesterol deposits in the walls of blood vessels that restrict blood flow to the heart can do the same as in the penis; With age, the symptoms of impotence increase with coronary heart disease. In most cases, atherosclerosis is also a cause of impotence. Diet, along with the prevention of atherosclerosis, radically reduces this risk.
- Endocrine disorders (obesity, diabetes, thyroid disease, low testosterone levels, taking hormonal drugs, etc.). Erectile dysfunction is an undiagnosed complication of diabetes! The prevalence of erectile dysfunction in men with diabetes is about 60%. 63% of patients with erectile dysfunction have never been examined by a physician. The deficiency of testosterone and other hormones associated with diseases of the thyroid gland and pituitary gland reduces not only erection but also libido. Remember that decreased sexual desire is the first sign of age-related androgen deficiency. Decreased blood testosterone levels are also associated with other hormonal disorders: hypogonadism, age-related androgen deficiency, hyperprolactinemia, taking hormonal drugs (eg, antiandrogens, sports nutrition with a hormonal component, etc.).
- Neurological diseases: trauma, diseases of the spine, multiple sclerosis, toxic neuropathies, cerebrovascular accidents. Any disorder of the central nervous system, from brain tumors to spinal disc replacement, can impair sexual function, although many people retain the ability to injure. Diseases affecting the peripheral nerves often cause impotence.
- Diseases of the penis: Peyronie’s disease, scar fibrosis, caverns – scarring, and inflammatory changes in the cavernous tissue of the penis. Operations on the genital organs other than trauma.
- Mental disorders: depression, anxiety, taking psychoactive drugs (antidepressants, tranquilizers), frequent psycho-emotional stress, alcoholism, drug addiction. One of the most common and main reasons for the lack of an erection is the temporary setbacks (failures and setbacks) of each person. Anxiety, general fatigue, colds, conflict with a partner, and other stresses eliminate the titanic effort to strengthen an erection. Such defects, if they are not constant, are not considered inflexibility, but can worsen the course of erectile dysfunction.