Erectile dysfunction more often known as impotence outlined by the inability of a men to develop and sustain an erection of penis all along the sexual intercourse. Penis erection is the hydro-mechanical response of allowing blood to rush into the cylinder-shaped spongy tissues by relaxing the muscles of the penis and the walls of the arteries. The emerged firmness linger as long as the ejaculation prevailed by hampering this pressure over hydrant.
Erection process usually initiated as a result of libido, transmitted from the brain to veins in the penis. Most meaningful generic causes are cardiovascular disease/diabetes, neurological problems, hormonal insufficiencies and drugs side-effect.
Penile erection is carried by the nervous system, leads to the excretion of nitric-oxide (NO), results in relaxation of smooth muscles of corpora cavernosa along with testosterone (secreted by the testes). So impotence may develop due to hormonal deficiency, disorders of the neural system, lack of adequate penile blood supply or psychological problems.
A number of factors can acts as a catalyst for ED. Arousing for an erection involves the brain, hormones, muscles, nerves, and blood vessels. A non-generic responses of any of these ingredients could alter the usual functioning of the penis.
Physiological causes of ED:-
Physical causes of ED:-
Inability to hold on erection for the adequate sexual intercourse itself reveals a sexual problem. Some of the bit of symptoms are concluded below
WHEN TO SEEK FOR A DOCTOR:-
RISK FACTORS & COMPLICATIONS:-
Risks and Complications can be concluded:
All summoned medications are used to boost-up the effects of nitric oxide that increases blood flow and allows you to get erection and aroused by secreting a natural chemical that relaxes muscles in the penis.
A topical cream combines Alprostadil used as an evaporator, which draws blood via veins towards the spongy tubes of penis. Injected medication
Alprostadil self-injection. In this method, we use a fine needle to inject alprostadil into the base side of your penis.
Testosterone replacement. Some men may have ED that might be complicated by low levels of the hormone testosterone. In this case, testosterone replacement therapy might be recommended as the first step.
Oral medications are a successful ED treatment for many ones:
Treatments rather than medications-:
When other pharmaceutical courses failed then we go for the pumping; used right before intercourse to pull blood into the penis.
Penis pump, a cupped shape hand-powered or battery-powered device surmounted over the penis, is used to suck out the air inside the tube and develops vacuum by applying negative pressure that draws blood into your penis. Once you achieved an erection, slip a tension ring around the base of your penis to tighten the blood vessels and keep it rigid, remove the pumping device. It usually lasts long enough for a spouse to have an inter-course.
Blood vessel Surgery
It is recommended if there is a leakage in blood veins; leaking or clotted blood vessels could leads towards the erectile dysfunction. Surgical repair, such as vascular stenting or a bypass procedure, might be required.
If all failed then surgically placing devices into both sides of the penis, consist of either inflatable or semi rigid rods. Former one allows us to control when and how long an erection and the semi ones helps us to keep our penis firm but bendable.