Causes of Erectile Dysfunction and treatments

Causes of Erectile Dysfunction and treatments

Causes of Erectile Dysfunction

What is Erectile Dysfunction

Erectile dysfunction is a repeated inability to have an erection, or to maintain it. Note that an occasional "breakdown" is completely normal and should not cause any concern, either in the man or his partner.

Although women may be very concerned about the problem and even directly targeted, they should know that erectile dysfunction is a common problem that affects half of men aged 40 to 70 years. Nowadays, a lot of medical and psychological means are available to them and most of them see their troubles quickly.

Please if you have any questions about Erectile dysfunction, you can ask us by commenting below this text, we'll answer you as soon as possible.

Vascular causes

These are heart disease, coronary heart disease, arteritis, high blood pressure, and atherosclerosis.

They account for 40% of erectile dysfunctions.

In a hypertensive man whose systolic blood pressure (the first digit) is greater than 140 mmHg, the probability of having severe erectile dysfunction is twice as high as for a man with normal blood pressure.

An abnormal cholesterol level is an aggravated risk factor because cholesterol, by depositing on the walls, reduces the diameter of the arteries and thus decreases the blood flow in the cavernous bodies.

Erectile dysfunction is therefore a fundamental precursor to future vascular disease.

That is why it is so important to consult to talk about it as soon as you feel worried as a result of recurrent sexual breakdowns.

Diabetes and Erectile Dysfunction

It's a growing disease.

Erectile dysfunction is found in 35 to 75% of diabetics, as a result of nerve and artery damage.

This dysfunction is more common than ocular or renal complications.

If diabetes is not well balanced, or if the diabetic is old, the risk increases.

Erectile dysfunction occurs very early in patients with type 1 diabetes (insulin-dependent).

As with cardiac diseases, erectile dysfunction may be the first clinical sign of type 2 diabetes.

Management of the diabetic patient

As the prevalence of diabetes increases in the general population, men should be encouraged to eat a healthy diet, to be tested and to be treated.

If diabetes is installed, the erectile function must be taken into account by the doctor during consultations.

Any reduction in the quality of the erection must be reported by the patient so that a treatment is put in place as soon as possible.

Indeed, diabetes is a factor of severe erectile dysfunction and the treatment will be more difficult as this disease is often a source of psychological complications, it is difficult to bear and its treatment is binding.

Neurological diseases

Parkinson's disease, epilepsy, multiple sclerosis, Alzheimer's disease and stroke are causes of erectile dysfunction.

Similarly, erectile nerve damage after surgery, radiotherapy or trauma causes difficulty or stopping of erectile capacity.

Erectile dysfunction may be the first sign of a debilitating multiple sclerosis.

Prostate surgery

Prostate cancer is currently the most diagnosed cancer in humans.

The surgical procedure, the total prostatectomy, can be done according to different techniques, but they all result in a disappearance, temporary in most cases, erections.

The erector nerves are very close to the prostate gland and surgeons often perform a large ablation to avoid leaving cancerous tissue.

However, as often as possible, some well-trained surgical teams leave these nerves in place, which in some cases can restore erections in less than a year.

Brachytherapy treatment * has almost the same percentage of erection loss in its aftermath.

It is not uncommon for you to wait two years to find a satisfactory erection quality when you have undergone treatment, whatever it is.

Prostate cancer is diagnosed more and more early (50% before age 60), which is why it has a great impact on the sexual life of couples.

Once the cancer is treated, sexual demand becomes a priority again and needs to be appropriately managed.

The treatment most often proposed is a reeducation by intracavernous injections of active substances.

erectile dysfunction

Please if you have any questions about Erectile dysfunction, you can ask us by commenting below this text, we'll answer you as soon as possible.

Other surgeries

Bladder surgery (cystectomy) or rectum (abdominoperineal resection), or abdominal vascular surgery, are also common causes of erectile dysfunction, not only because of the direct damage they cause at the local level, but also because of the seriousness of the pathologies involved.

Effects of radiotherapy

Any radiation treatment for abdominal or pelvic cancer, or abdominal ganglia, causes erectile dysfunction in 20-75% of cases.

This erectile dysfunction can settle more or less quickly. It has its origin in the vascular consequences of irradiations.

Usually, the intervention on the adenoma of the prostate does not give an erection disorder. The fact of no longer having ejaculation often disturbs men and they sometimes need some time of adaptation to forget this inconvenience, knowing that the orgastic capacity does not change.

Traumatic causes

Men who have had a pelvic fracture associated with trauma to the urethra suffer from erectile dysfunction by involvement of the local vasculo-nervous system.

Spinal cord injuries following accidents are more and more frequent (1100 new cases each year in France). Depending on the medullary area reached, erection and ejaculation are more or less modified. If the lesion is incomplete erectile ability is more likely to be preserved.

Perineal micro trauma, such as the chronic compression syndrome observed in professional cyclists, has been shown to cause effects on the pudendal nerve and, consequently, erectile dysfunction and even erectile dysfunction.

Physical trauma is therefore a common cause of sudden loss of erection, a loss that will often be definitive but accessible to treatment.

Drug causes

Certain medications for hypertension, excess cholesterol or heart problems, can induce erectile difficulties, as well as drugs that treat psychiatric disorders or depression (neuroleptics, antidepressants, anxiolytics).

If the symptom occurs in connection with taking a medication, you should discuss again the treatment with your doctor.

We must always balance the need to cure something serious and the need for a satisfying sex life.

You should never stop a medication that is thought to have caused the sexual disorder without talking to your doctor.

Tobacco, alcohol, drugs

Most men who have erectile dysfunction have been or are smoking. Tobacco aggravates hypertension and arteriosclerosis (arterial wall disease) and promotes venous leakage (inability of the veins of the penis to retain blood).

After the first impressions of lifting stress, alcohol and drugs, have a harmful brain action on the control of erection.

Alcohol is responsible for lowering testosterone, which is at the origin of sexual desire and promotes erection.

Very often in a large smoker or addicted man, erectile dysfunction is the first sign of worsening vascular disease.

Stopping smoking, reducing alcohol consumption and not taking drugs (such as cannabis, for example, which in high doses causes frequent sexual breakdowns) are extremely effective preventative measures.

Age and Erectile Dysfunction

Sexual function in general and erectile function in particular, are altered by natural aging.

There is a decrease:

sexual motivation,


penis sensitivity, requiring more stimulation to achieve rigidity,

rigidity of erections,

the frequency of nocturnal or morning erections,

the strength and volume of ejaculation,

the frequency of sexual activity,

But also:

a drop in testosterone

Treatments of Erectile Dysfunction

Erectile Dysfunction is particularly relevant to men who are over 50, are smokers or have been smokers, are overweight or have type 2 diabetes, have treatment for excess cholesterol or triglycerides, and treatment for high blood pressure. (Read full information for Erectile Dysfunction: Treatments of Erectile Dysfunction)

Erectile dysfunction may be the first symptom of a cardiovascular disease and as such it is very important to talk to your doctor when sexual breakdowns are repeated several times.

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Please if you have any questions about Erectile dysfunction, you can ask us by commenting below this text, we'll answer you as soon as possible.

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